• 성인간호학회지
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• 제20권4호
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• pp.526-536
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• 2008

Purpose: This study examined the effect of a self-help management program which strengthens self-efficacy on the self-efficacy and the activities of daily living(ADL) in stroke patients. Methods: A quasi-experimental nonequivalent control group, pre and post design was used. The subjects consisted of 47 stroke patients. Twenty-six patients were assigned to the experimental group and 21 patients were assigned to the control group. The self-help management program by strengthen self-efficacy and general hospital care were carried out on the experimental group. General hospital care was performed on the control group. The data was collected before and 5 weeks after the program. All subjects were questioned about the self-efficacy and ADL before and after the program. Results: The scores of the self-efficacy and ADL in the experimental group were higher than those in the control group. Conclusion: The self-help management program by strengthen self-efficacy is effective in increasing the self-efficacy and ADL. Therefore this program may be a useful intervention to increase the ADL in stroke patients.

• 디지털융복합연구
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• 제14권5호
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• pp.493-500
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• 2016

본 연구는 선수들이 지각하는 동기분위기와 자기관리의 관계를 규명하기 위한 것이다. 대학과 실업팀에서 활동하고 있는 남자 195명, 여자 153명의 선수들을 대상으로 하였다. 우선 각 검사지의 신뢰도와 타당도를 확인하고, 이를 바탕으로 기술통계와 일원변량분석, 회귀분석을 실시하였다. 상관관계분석결과 모든 요인 간에 유의한 상관이 있었다. 동기분위기 지각이 자기관리에 미치는 영향을 분석한 결과 선수들이 지각한 숙련분위기는 자기관리의 하위 요인인 정신관리, 훈련관리, 대인관리, 생활관리, 몸 관리, 고유 행동관리의 모든 요인에 정적으로 유의미한 영향을 미치는 것으로 나타났다. 그러나 경쟁분위기 지각은 자기관리에 영향을 주지 않았다. 연구 결과를 바탕으로 지도자는 숙련분위기를 통하여 극복전략, 자기평가, 문제해결과 의사결정기술, 자기조절, 목표설정, 자기강화에 대한 노력, 계획 등 선수가 스스로를 보다 잘 관리하고 조절하게 하도록 해야 할 것을 제언하였다.

• 재활간호학회지
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• 제4권2호
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• pp.187-197
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• 2001

The purpose of this study was to determine the effects of self-help management program which strengthens self-efficacy for post stroke elders who attend day care center in Chongju. One group pretest-posttest design was used, and the subjects were 7 post stroke elders with hemiparesis. The self-help management program consisted of 5 sessions and each session included group education on stroke, ROM exercise, recreation and self-care strategies. Those strategies for encouraging and reinforcing self-efficacy provided verbal persuasion, performance accomplishment and vicarious experience. All subjects were questioned before and after the program about ADLs, IADLs, self-efficacy, self-care behavior and depression. The analysis of data revealed that the program was effective to increase the IADLs, self-efficacy and self-care behavior. However, there was no significant difference between pre and post ADLs and depression. The results indicated that this program may be adopted to improve the physical and psychological function of post stroke elderly patients in community settings.

• 한국직업건강간호학회지
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• 제21권1호
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• pp.1-9
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• 2012

Purpose: This study was to examine the effects of the hypertension self-help program on knowledge, self-efficacy, self-management compliance, and physiological parameters for workers with hypertension. Methods: The subjects of study were 54 patients with hypertension, divided into 28 of experimental group and 26 of control group, working in a general work place located in K city from June to September, 2009. Experiment treatment was a 12-week self-care program given for two hours, once a week. Results: After conducting a self-help program, the experimental group showed significant increase in knowledge level, self-efficacy, self-management compliance, and physiological parameters including blood pressure, BMI, total cholesterol level, neutral fat, and LDL-cholesterol of blood lipids compared to the control group. Conclusion: This program is greatly recommended for workshops.

• 한국산학기술학회논문지
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• 제16권3호
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• pp.1946-1956
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• 2015

이 연구는 골관절염 대상자에게 자가관리를 실시한 연구에 대한 체계적인 문헌고찰과 메타분석을 통해 객관적인 근거를 제시하는 것이었다. 이를 위해 Ovid Medline, CINAHL, PubMed, RISS, KISS 등을 통해, 주요어 '골관절염(osteoarthriti* OR OA)', '자가관리(self-(management OR care OR help))'를 사용하여 1999년부터 2012년까지 출판된 논문을 선정하였다. 최종 선정된 논문은 총 11편(무작위 대조군 실험연구는 7편, 유사실험연구는 4편)으로 RevMan 5.2 프로그램을 사용하여 메타분석을 실시하였다. 자가관리 중재방법으로 운동, 교육, 마사지, 환우모임이 있었다. 메타분석 결과, 자가관리는 골관절염 대상자의 통증, 신체기능, 일상생활능력, 자기효능감에 유의한 효과가 있었다. 특히, 자가관리가 일상생활능력에 대하여 큰 효과가 있었으며, 통증 및 신체기능에 대하여 중간 정도의 효과가 있었다. 이를 바탕으로 골관절염 대상자를 위한 표준화된 자가관리 프로그램의 개발이 필요하다.

• Perspectives in Nursing Science
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• 제7권1호
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• pp.1-9
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• 2010

Purpose: The purpose of this study was to review behavior change theories in terms of important variables, concept definitions, and applicability to diabetes self-management behavior. Methods: Six behavior change theories (the Transtheoretical Model, the Health Belief Model, the Theory of Reasoned Action, the Theory of Planned Behavior, Social cognitive theory, and Information-Motivation-Behavioral skills Model) were reviewed which were applied in diabetes self-management interventions. Results: The five key concepts from the five non-stage behavior change theories were delineated. Based on the key concepts, a theoretical framework was formulated as the explanatory model of diabetes self-management behaviors. The four major concepts in Information-Motivation- Behavioral skills Model were included. The cognitive arm of the proposed theoretical framework included constructs related to diabetes knowledge, motivation (beliefs, attitude, social norm), self-efficacy, and intention. Conclusion: The theoretical framework described here includes the key factors of successful diabetes self- management intervention. However, the concept of motivation needs further exploration and clarification for operationalization.

• 한국의류학회지
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• 제38권4호
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• pp.528-539
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• 2014

This study analyzed the influence of self-construal on sociocultural attitude toward physical appearance, body satisfaction, and appearance management behavior through a structural equation model. The empirical study was based on the response of 369 adult females between the ages of 20 and 49 in Seoul. Self-construal was presented as an independent self-construal and interdependent self-construal, respectively. The sociocultural attitude toward physical appearance as an intermediate variable in the research model was composed of two sub-factors that included internalization and awareness. The other (body satisfaction) was measured by two factors (body and face). Appearance management behavior (as a final outcome variable) were composed of various factors that included clothing concern, skin care, hair care, and weight training. The findings of this study were: 1) the effect of independent self-construal on the sociocultural attitude toward physical appearance was not significantly meaningful; however, interdependent self-construal influenced it positively. 2) Sociocultural attitude toward physical appearance appeared to have a negative effect on body satisfaction. 3) The body satisfaction also had a negative effect on appearance management behavior in this study.

• 재활간호학회지
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• 제18권2호
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• pp.75-87
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• 2015

Purpose: The purpose of this study was to develop a home-based self-management support intervention (SMSI) for enhancing pulmonary rehabilitation (PR) in patients with chronic obstructive pulmonary disease (COPD) in Korea. Methods: This methodological study was conducted by following these 4 steps: constructing the preliminary draft of a home-based SMSI from existing recommendation and a literature review on PR and self-management interventions; testing content validity with 6 experts in COPD; exploring clinical applicability of the intervention by applying it to 4 COPD patients; determining the final intervention. Results: The final intervention included 4 components and contents identified from the literature review as essentials for self-management of COPD patients: education; exercise training and practice including breathing, muscle strengthening and aerobic exercises; cognitive behavioral strategies including informative self-decision making, collaborative goal setting and supportive advice; and action planning for exacerbation. The intervention was designed to be run by a trained nurse and had 8 weekly sessions consisting of three 60-minute face-to-face sessions and five 20-minute phone-call sessions. Conclusion: The intervention developed in this study incorporates essential components of self-management, i.e. action plan and cognitive behavioral strategies, and will contribute to enhancing and maintaining effects of PR by increasing self-management in COPD patients.

• International Journal of Contents
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• 제17권2호
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• pp.41-47
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• 2021

The coronavirus pandemic has brought about dramatic changes in education, evidenced most clearly by the increase in e-learning. Thus, to identify how learners' attitudes toward e-learning are affected by diverse factors, this study examined the effects of perceived system quality and usefulness, the self-management of learning, and self-efficacy. A total of 236 college students participated in the survey. Multiple regression analysis was performed to test the study's proposed hypotheses. The study findings suggested that learners' attitudes toward e-learning are positively influenced by perceived e-learning usefulness, self-management of learning, and self-efficacy. However, the perceived system quality had no influence and no statistical significance.

• 성인간호학회지
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• 제22권3호
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• pp.271-280
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• 2010

Purpose: The purpose of this study was to examine relationships among blood glucose, HbA1c, and self management comparing these with general and illness characteristics of subjects with Type II Diabetes living in the community. Methods: Using a comprehensive survey developed for the study, data were collected from 82 type II diabetes patients who were registered at five community health departments. The variables of self management, blood glucose and HbA1c were assessed by nurses. Data were analyzed with descriptive statistics including t-test, ANOVA and Pearson's correlation coefficient to compare self management and level of HbA1c by subject's general and illness characteristics and to examine the relationships among variables. Results: About 73.2% of the subjects' HbA1c were 7.0% or higher and 54.9% of subjects' blood glucose were 200 mg/dL or higher. The level of self management was moderate. Most frequently perceived reasons for failure of blood glucose control were dietary failure (32.9%). There was significant relationship between self management and HbA1c(r=-.223, p=.040). The mean score of self management were higher among female (t=-2.37, p=.021), who are not on diabetes medication (t=6.70, p=.011). Conclusion: Comprehensive intervention is needed to improve dietary self management, especially for male and those who is on diabetes medication.