• 농촌의학ㆍ지역보건
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• 제41권3호
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• pp.152-161
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• 2016

Objective: The purpose of this study was to develop a motivation-enhancing self-management program and apply to rural aged with hypertension to evaluate the applicability of the Program. Methods: The motivation-enhancing self-management program was on the evidence of Orem's self-care theory and Ford's Motivational system theory which consists of group education and tele-coaching conducted 12-week. The program evaluation was done by structured questionnaires of motivation (self-efficacy, perceived benefit, perceived barrier and emotional salience), self-care and blood pressure. There were totally 31 aged with hypertension in 2 rural areas enrolled in the program. Results: There was only perceived benefit statistically significant between the intervention and control group (t=2.05, p=.04) and self-care level was no difference between the two groups (t=0.21, p=.84) after program. But there are statistically significant differences of systolic blood pressure between the intervention and control group(t=-2.62, p=.01). Conclusion: The motivation-enhancing self-management program is necessary for the rural aged with hypertension, but it's needed modify and revise in the future study.

• 한국보건간호학회지
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• 제34권3호
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• pp.457-472
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• 2020

Purpose: This study examined how a pair-work based health coaching program for the self-care of elderly diabetic patients effects the patients' diabetes self-management knowledge, perceived social support, diabetes self-efficacy, and diabetes self-management behaviors in patients with diabetes. Method: The participants of this study were 55 elderly diabetic patients aged 65 years or older enrolled at elderly welfare centers in U city;26 patients in the experimental group and 29 in the control group. The program consisted of eight group coaching sessions and four sessions of phone-based individual interviews and coaching, that were implemented once a week for 12 weeks. Results: Compared to the control groups, the experimental group showed significant improvement in self-care knowledge, social support, diabetes self-efficacy, self-management behavior, fasting blood sugar and glycated hemoglobin level. Conclusion: The health coaching program is an effective intervention for the self-management of elderly diabetics.

• 한국병원경영학회지
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• 제27권1호
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• pp.11-19
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• 2022

Purposes: This study was to investigate intention to exercise the patient's right of self-determination on adopting the non-benefit medical services and was to identify factors associated with intention to self-determined decision. Methodology: A total of 1,000 adult respondents aged 20 to 65 years were recruited using stratified random sampling and surveyed by online. Multivariate logistic regression analysis was performed to identify factors associated with intention to self-determined decision using SAS 9.4(SAS Institute Inc. Cary, NC, USA). Findings: 61.9% of total participants(n=592) had intention to exercise patient's right of self-determination on adopting the non-benefit medical services. Significant differences were observed in the exercise of self-determination in relation to prior explanation and opportunity for self-determination. Practical Implications: This study suggested that explanation duty of provider might influence on increasing intention to exercise the patient's right of self-determination. Considering appropriate use of non-benefit services, it is important to enhance explanation duty of provider.

• 근관절건강학회지
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• 제14권1호
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• pp.77-84
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• 2007

Purpose: The purpose of the study was to compare the effects of Tai Chi exercise, Tai Chi self help program, and self help management program on arthritic pain, stiffness, fatigue and difficulties in performing daily activities in patients with osteoarthritis. Method: The pre-post experimental design was utilized with convenient sampling at Public Health Centers. Total of 38 subjects agreed to participate in the study with the inclusion criteria of being diagnosed as osteoarthritis and no previous regular exercise. The 12 subjects were assigned to Tai Chi exercise group, 13 subjects to Tai Chi exercise combined with self help management program, and the other 13 to self help management program. Tai Chi exercise group performed exercise twice a week for one hour per each session. Tai Chi self help management group came to the class twice a week, one hour for Tai Chi exercise, and another hour for self help management program. The third group came to the class once a week for one hour to participate self help management program. At the completion of 6 week programs, 10 subjects from Tai Chi exercise, 9 from Tai Chi self help, another 10 from self help management groups completed the post-test measures. The data were analyzed by SPSSWIN 11.0. The homogeneity tests for three experimental groups were conducted by $X^2-test$, Fisher's exact test, Kruskal-Wallis test. The final analysis of the post-test measures was conducted by ANCOVA with fatigue, pain, stiffness, and difficulties in daily activities of the pretest measures as covariates. Results: The results were as follows. There were no significant differences in fatigue, pain, and difficulties of daily activities among three groups for the pretest measures. The score of arthritic stiffness was significantly different among groups after controlled for covariates, but the post-hoc tests showed no group differences. Conclusion: The nursing interventions applied for osteoarthritis patients have been previously tested to show the cost effectiveness of symptoms management of this population.

• 가정과삶의질연구
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• 제24권5호
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• pp.175-189
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• 2006

The purpose of this study was to develop a standardized scale to measure consumption self-regulation. A preliminary 38-item scale was developed through a literature review. One thousand-twelve consumers responded to an online survey using the preliminary scale. A series of tests, such as test-retest, item-to-total correlation, Cronbach's reliability coefficient and factor analysis, were conducted using the survey data and a final scale comprising 30 items was then constructed. The consumption self-regulation scale consisted of four factors: (1) impulse control, (2) gratification delay, (3)self-reliance, and (4) self-management.

• 보건의료산업학회지
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• 제12권4호
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• pp.115-126
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• 2018

Objectives : The purpose of this study was to verify the hypothetical models composed of elements that affect turnover intention of hospital workers. Methods : From four random hospitals, 330 questionnaires were collected. Statistical analysis was done using IBM SPSS, AMOS 22.0. Results : Self-esteem had a positive effect on intrinsic job satisfaction. Self-efficacy had a positive effect on intrinsic and extrinsic job satisfaction. Job satisfaction had a positive effect on the organizational commitment, and negative effect on the turnover intention. Organizational commitment had a negative effect on the turnover intention. Conclusions : This research found that Self-esteem and Self-efficacy affect turnover intention through Job satisfaction and organizational commitment. Therefore, we should implement policies and administration to maximize self-esteem and self-efficacy.

• 보건의료산업학회지
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• 제9권3호
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• pp.175-185
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• 2015

Objectives : This study was did a meta-analysis of emergency room visits decreased effectiveness of self management education interventions in asthma among adult patients with asthma. Methods : A search of the database PubMed resulted in identifying 8,619 studies done between January 1990 and November 2012. STATA version 10.0 was used to analyze the effect size, explore possible causes of heterogeneity, and determine publication bias with a funnel plot. Results : We included 7 cases on emergency room visits decreased effectiveness of self management and education. Asthmatic patients experienced fewer attacks (summary effect size, 0.75; 95% confidence interval [CI], 0.65-0.95). We found that emergency room visits decreased effectiveness of self management and education were associated with statistically significant effects. Conclusions : Based on these finding, self management and education on interventions are necessary to prevent asthmatic attacks in patients and to reduce the severity of the attacks, and self management and education programs are needed in Korea.

• 한국농촌간호학회지
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• 제13권2호
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• pp.3-23
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• 2018

Purpose: This study was a descriptive study to investigate correlations between self-care behaviors and quality of hypertension management by hypertensive patients being cared by community health practitioners. Method: Participants were 583 people who were prescribed antihypertensive medications at a health clinic located in South Chungcheong Province. The survey was done from June 1 to July 30, 2018. A self-report questionnaire was administered, and data analysis was performed using descriptive statistics and Pearson correlation coefficients with the SPSS 24.0 program. Results: The rate of awareness, treatment, and control of hypertension were 97.9%, 99.1% and 92.8%, respectively. The number of hypertensive self-care behaviors was 1.82 (${\pm}0.36$) out of 3 points. The quality of hypertension management was 3.22 (${\pm}0.46$) out of 4 points. There was a moderate correlation between hypertensive self-care behaviors and quality of hypertension management (r=.340, p<.001). Conclusions: Results of this study confirm that the quality of hypertension management by community health practitioners is related to self-care behaviors of hypertensive patients. Therefore, it is necessary to improve the quality of hypertension management by health care specialists for self-management of hypertension patients. In addition, a systematic program to improve the quality of hypertension management by community health practitioner is needed.

• Clinical Nutrition Research
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• 제12권2호
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• pp.126-137
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• 2023

Hemodialysis (HD) patients face a common problem of malnutrition due to poor appetite. This study aims to verify the appetite alteration model for malnutrition in HD patients through quantitative data and the International Classification of Functioning, Disability, and Health (ICF) framework. This study uses the Mixed Method-Grounded Theory (MMGT) method to explore various factors and processes affecting malnutrition in HD patients, create a suitable treatment model, and validate it systematically by combining qualitative and quantitative data and procedures. The demographics and medical histories of 14 patients were collected. Based on the theory, the research design is based on expansion and confirmation sequence. The usefulness and cut-off points of the creatinine index (CI) guidelines for malnutrition in HD patients were linked to significant categories of GT and the domain of ICF. The retrospective CIs for 3 months revealed patients with 3 different levels of appetite status at nutrition assessment and 2 levels of uremic removal. In the same way, different levels of dry mouth, functional support, self-efficacy, and self-management were analyzed. Poor appetite, degree of dryness, and degree of taste change negatively affected CI, while self-management, uremic removal, functional support, and self-efficacy positively affected CI. This study identified and validated the essential components of appetite alteration in HD patients. These MM-GT methods can guide the selection of outcome measurements and facilitate the perspective of a holistic approach to self-management and intervention.

• 복식문화연구
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• 제20권4호
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• pp.515-528
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• 2012

The purpose of this study was to classify appearance management attitudes into groups and analyze the difference of self-efficacy and body satisfaction by the groups. Questionnaires were administered to 255 college students living in Deagu Metropolitan City and Kyungbook province. The data collected were analyzed by using frequency, factor analysis, cluster analysis, correlation analysis, ANOVA, Duncan-test, t-test, and ${\chi}^2$-test. The findings were as follows. Appearance management attitudes of college students were classified into three groups such as group health body, low body interest group, emphasizes collective body. The appearance management attitudes showed significant correlation with the sub-variables of self-efficacy and body satisfaction. Male students showed no significant difference in self-efficacy by the groups while female students showed a significant one in task performance which was a sub-variable of self-efficacy. Both of the male and female students showed a significance of difference in the gap between actual and ideal weight which was a sub-variable of body satisfaction by the groups. Gender of college students showed distinction between the sub-variables of self-efficacy factors such as task performance, and anxiety and body satisfaction such as BMI, the difference between current height and ideal height, the difference between current weight and ideal weight.