• Title/Summary/Keyword: Self-Help

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Effects of Tai Chi combined with Self-help Program on Arthritic Symptoms and Fear of Falling in Women with Osteoarthritis (골관절염 여성에게 적용한 타이치 운동과 자조관리 프로그램의 관절염증상 및 낙상공포감에 대한 효과비교)

  • Song, Rha-Yun;Eam, Ae-Yong;Lee, Eun-Ok;Lam, Paul;Bae, Sang-Cheol
    • Journal of muscle and joint health
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    • v.16 no.1
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    • pp.46-54
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    • 2009
  • Purpose: The purpose of the study was to compare the effects of the Tai Chi self-help program with a self-help program on pain, stiffness, physical functioning, and fear of falling in women with osteoarthritis. Method: Total of 82 women with Osteoarthritis recruited from outpatient clinics or community health centers were randomly assigned either to a Tai Chi self-help group or a self-help group. Thirty subjects in the Tai Chi self-help group and 39 in the self-help group completed posttest measures(pain, stiffness, physical functioning, and fear of falling) at 6 months. Results: After the 6 month study period, the subjects in the Tai Chi self-help group reported significantly less difficulties in performing daily activities(mean difference=-0.16 vs. 6.19 for the self-help), and less fear of falling(mean difference=-3.20 vs. 0.27 for the self-help) than those in the self-help group. There were no significantly differences in pain and stiffness between the groups. Conclusion: The Tai Chi combined with self-help program was more effective than the self-help only program in reducing difficulties in performing daily activities and fear of falling in women with Osteoarthritis. Whether these changes prevent fall episodes requires further study.

Relation between the Help Seeking Behaviors, Self-disclosure and Self-consealment in Female College Women (여대생의 도움추구 행위, 자기개방성 및 자기은폐 간의 관계)

  • PARK, Jeong-Eon;PARK, Euna
    • Journal of Fisheries and Marine Sciences Education
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    • v.28 no.1
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    • pp.47-58
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    • 2016
  • The college students were faced with not just technical challenges that require skill acquisition but adaptive challenges that require transforming one's mindset to a more complex way of making meaning. The purpose of this study was confirmed the relations among the help-seeking behavior, self-disclosure and self-concealment of 343 female college students'. As a result of data analysis, positive help seeking attitude was higher when the level of self-concealment was lower and self-disclosure, but regarding help-seeking intention, consultation intention was shown to be higher in the case of lower self-disclosure and higher self-concealment. Therefore, female college students need to visit college consultation centers more often while attending college and it needs to provide those students with mediation so that they can use mental health consultation services easily.

Analysis of Knowledge and Attitude of Applicants of Trainers for Self-help Program of Arthritis Patients (관절염 환자의 자조관리과정 강사지원자의 지식 및 태도 분석)

  • 대한류마티스 건강전문학회 교육부
    • Journal of muscle and joint health
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    • v.6 no.2
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    • pp.310-316
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    • 1999
  • The purpose of this study is to analyze the knowledge and attitude of applicants on self-help teacher's program for arthritis patients. Subjects of the study constituted 407 applicants who attended the self-help teacher's program for arthritis patients. Self report questionnaires were used to measure the knowledge about arthritis and the attitude toward self-help education. In data analysis, SPSS PC 9.0 Program was utilized for descriptive statistics and one-way anova analysis. The results were as follows : Average age of the participants were 37, while 62% married, 62% had 4-year or above education, and 32.7% had experience of community health nursing. The mean score of knowledge about arthritis was 17.99/28 ; the mean score of applicants' appraisal on the arthritis patients' ability of self-help was 31.66/40 ; the mean score of applicants' attitude toward self-help education for arthritis patients was 35.64/56. According to regions of education for applicants' self-help program, there were not significant differences in applicants' knowledge and appraisal and attitude on self-help program.

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The Effects of Students' Self Efficacy, Classroom Contextual Characteristics and Help-avoidance Attitudes on Academic Help-seeking Behavior (자기효능감 및 교실맥락, 도움회피 태도가 초등학생의 도움요청 행동에 미치는 영향)

  • Lee, Hee-Joo
    • Korean Journal of Child Studies
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    • v.28 no.5
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    • pp.209-220
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    • 2007
  • This study explored the effects of self efficacy, classroom contextual characteristics and help-avoidance attitudes on academic help-seeking behavior. Participants were 210 4th grade students. Data were analyzed by Pearson's correlation coefficient and multiple regression analysis through the SPSSWIN 12.0. Results showed that students' self efficacy, perception of teacher behavior and goal orientations were positively related to help-seeking behaviors. Help-avoidance attitudes were negatively related to help-seeking behaviors. Cognitive efficacy and social-emotional efficacy facilitated help-seeking behaviors. Help-seeking behaviors were influenced by teacher's supportive help and expectation. Mastery goal orientations and performance-approach goal orientations promoted help-seeking behaviors but performance-avoidance goal orientations impeded help-seeking behaviors. Autonomous intention attitudes expedited help-seeking behaviors but intention based on ability diminished help-seeking behaviors.

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The Effect of a Community-Based Selp-Help Management Program for Patients with Diabetes Mellitus (당뇨병 환자를 위한 지역사회 중심 자조관리 프로그램의 효과)

  • Kim, Eun-Young;So, Ae-Young
    • Research in Community and Public Health Nursing
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    • v.20 no.3
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    • pp.307-315
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    • 2009
  • Purpose: This study was done to assess the effects of a self-help intervention on clinical, lifestyle and psycho-social outcomes in patients with Type II diabetes. Methods: Eligible adults with Type II diabetes were randomly assigned to either the intervention group receiving the diabetes self-help or the control group receiving usual care. Of the 36 patients who completed the study, 15 were in the intervention group and 21 were in the control group. The self-help group consisted of six weekly sessions covering aspects of diabetes self-care and using continuing education, discussion, and structured social activities. Outcomes included changes in glycemic control, knowledge, self-management behaviors, diabetes-related self-efficacy, and health-related quality of life. Analysis of covariance was used to compare outcomes between the groups, adjusting for baseline measures. Results: After the six week intervention, significant improvements from the baseline were observed in the measurements of self-management behaviors, diabetes-related self-efficacy, and health-related quality of life for the intervention group. Conclusion: The findings provide preliminary evidence that a diabetes self-help group intervention can benefit diabetes patients in self-management behaviors, diabetes-related self-efficacy, and health-related quality of life. However, larger longitudinal studies are needed to determine the most efficacious self-management methods to sustain long-term glycemic control and psychological well-being.

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The long-term Effects after Self-help Program for Fibromyalgia (섬유조직염환자를 위한 자조관리과정 지속효과에 관한 연구)

  • Han, Sang-Sook
    • Journal of muscle and joint health
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    • v.9 no.2
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    • pp.154-165
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    • 2002
  • Purpose: The purpose of this study was to find out long-term effects of the self-help program including the stretching exercise of patient with fibromyalgia, Our findings will have the way for the nursing intervention for reduction of fibromyalgia symptoms and physical disability. Method: The research design was pre-post test design of an experimental group. 41 subjects with fibromyalgia were subjected to our study. Participants of this program were participated with a group of 8 to 12 members with duration of two and half hours for two years(March. 1998 to January. 2000). The Self-efficacy was measured by the Self-efficacy scale. Symptom was converted to scores based on visual analog scale. Physical disability was measured with questionnaires prepared by researchers of this study. Data were collected by the structured interview using questionnaires after self-help program and after 8 months. Data were analyzed by frequency, $x^2$-test and repeated t-test using SPSS 11.0 for windows. Result: Daily activities were not changed but self-described symptom was changed after 8 months. After 8 months, exercise performance along with taking drugs showed significantly lowering trend with respect to self-help program. Relieved symptom of patient with fibromyalgia has continued until 8months after 6weeks program of self-help. Also Promoted self-efficacy of patient with fibromyalgia continued after 8months. After 8 months, in self-described physical disability has showed significantly worse off than after self-help program. Conclusion: In this study, the long-term effects after self-help program for fibromyalgia have showed all symptoms and self-efficacy except exercise performance and physical disability. Therefore, it will be desirable that application of the follow up program with peer group meeting.

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A study on current situation of self-help group program in community-based home visiting health service (보건소 방문건강관리사업의 자조집단 운영 현황)

  • Park, Jeong Sook;Kwon, Sang-Min
    • Journal of Digital Convergence
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    • v.12 no.8
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    • pp.449-458
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    • 2014
  • The purpose of this study was to examine and analysis self-help group program performed in community-based home visiting health service. The data was collected public servants from the Home Visiting Health Care Service of 253 public health centers all over the country and was analyzed by SPSS/Win 17.0 program. 43.1% of self-help program was performed and 56.9% was not from year 2007 to 2010. As the years passed, the number of self-help group program was getting increased. The action for activating self-help programs was voluntary participation of clients, enthusiasm of management practitioner, and encouragement about self-help group. Self-help group programs based on public health center are insufficient. Self-help programs should be activated for clients of home visiting health care service. A systematic operating model of self-help group is also needed to develop and apply in consideration of these findings.

Effects of Self-Help Program in Daily Living and Self-Care Activities, Flexibility, Grip Strength and Depression in Patients having Chronic Arthritis (자조관리과정이 만성관절염 환자의 일상생활과 자기간호활동, 유연성, 악력 및 우울에 미치는 효과)

  • Kim, Chang-Sook;Kim, Ran;Kim, Young-Jae;Park, In-Soon;Park, Myung-Hee;Park, In-Hyae
    • Journal of muscle and joint health
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    • v.10 no.2
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    • pp.131-141
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    • 2003
  • The purpose of this study was to examine the effects of self-help program on patients with chronic arthritis. This study was performed from 13th of August to 29th of October 2002. 30 arthritis patients with an average age of 56 years were participated in the self-help program. At the completion of 6 weeks, 23 patients completed both pretest and posttest, overall dropout rate was 23%. Outcome measures were status of daily living, self-care activities, flexibility, grip strength and depression. Data were analysed by percentage, paired t-test, Pearson's correlation coefficient. There were statistically significant in self-care activities, flexibility, grip strength after the self-help program. However no significant differences were found in daily living and depression. There were significant relationships between daily living and depression. There were significant relationships between right flexibility & left flexibility and right and left grip strength. In conclusion self-help program was proved to be an effective nursing intervention to increase the self-care activities, flexibility and grip strength. These results of this study suggested that the follow-up program after the self-help program should be run to help the physical psychological wellbeing of arthritis patients.

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The Effect of Self-help Programs for Hypertensives in Community Areas (고혈압환자를 위한 자조관리 프로그램의 효과)

  • 박남희
    • Korean Journal of Health Education and Promotion
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    • v.20 no.3
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    • pp.207-219
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    • 2003
  • This study was conducted to identify the effects of the comprehensive nursing aided self-help program for hypertensives. The program educates hypertensives in community areas about blood pressure, self-care, health promoting behaviors, and life satisfaction. For this purpose a one group time series design was used. Sixteen subjects were evaluated from S Community Health center of B city. Self-help programs developed by the author were given to the subjects. The program consisted of group education on hypertension and self-care including blood pressure self-monitoring, recording of self-care activities, and encouraging and reinforcing self-help. The whole program was carried out from October to December in 2002. Data was analyzed by repeated measure ANOVA, and post-hoc Turkey. The results were as follows: There were significant relationships between changes in systolic pressure(F=10.638. P=.000), diastolic pressure(F=6.783. p=.013), self-care(F=13.506. p=.000), and health promoting behavior(F=9.067. p=.001) at the 6th week and the 9th week. There were no significant relationships between changes in life satisfaction at the 6th week or 9th week. From these results, it can be concluded that the self-help program is an effective nursing strategy to promote self-care of hypertensives in community areas.

Comparing Effects of Tai Chi Exercise, Tai Chi Self-help Program, and Self-help Management Program for Osteoarthritis Patients (골관절염 환자를 위한 타이치, 타이치-자조관리 및 자조관리과정의 효과 비교)

  • Cho, Kyung-Sook;Kang, Hyun-Sook;Kim, Jong-Im;Bak, Won-Sook;Song, Rha-Yun;Ahn, Yang-Heui;Lim, Nan-Young;Lee, In-Ok;Choi, Sun-Ha;Han, Sang-Sook
    • Journal of muscle and joint health
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    • v.14 no.1
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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.

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