• 제목/요약/키워드: Self-Help Groups

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지지 전화를 이용한 자조타이치 프로그램 적용 효과 (Effects of the Self-help Tai Chi Program for Arthritis with Supportive Follow up Phone-Calls)

  • 최정숙;이은희;소애영;이경숙
    • 근관절건강학회지
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    • 제16권2호
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    • pp.174-183
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    • 2009
  • Purpose: The purposes of this study were to develop and examine the self-help and Tai Chi program for arthritis, and to identify the effect when combined with a supportive follow up phone-calls. Method: The design for this study was a 3*2 quasi-experimental design. Sixty-six participants were recruited in W-city, and assigned to Exp 1 group (n=21) or Exp 2 group (n=24) according to supportive follow-up phone call method, or to the control group (n=21). Fifty-two subjects (17 and 20 in Exp 1 and 2, and 15 in the control group) completed pretest and posttest. Both experimental groups participated in the self-help and Tai Chi program for arthritis once a week for 8 weeks. Exp 1 received automated follow up phone-calls made up in KT-SHUT program, and Exp 2 received follow up phone-calls made up by researchers. The control group received no education and no phone call. Measures used to examine the effect self-help and Tai Chi program for arthritis were joint flexibility, hand muscle strength, balance with closed eyes and self-efficacy. The final analysis of the post-test measures was conducted by ANCOVA with age and self efficacy as covariates. Results: Both experimental group had significantly increased right shoulder flexibility (p=.002), left shoulder flexibility (p=.000), right hand grip (p=.024), and self efficacy (p=.008) compared with the control group. But there were no significant differences between two experimental groups in any physical indicators and self efficacy. Conclusion: Automated follow up phone-call would be helpful in managing the self-help and Tai Chi program for arthritis as well as researcher's phone call. The automated follow up phone-call program which was a new method could be recommended for use to encourage home exercise practice and the program participation.

남편의 도움이 산모의 산후우울과 자기효능감에 미치는 영향에 관한 예비연구 (Effects of husband's help on the mother's postpartum depression and self-efficacy : A pilot study)

  • 정인숙
    • 융합정보논문지
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    • 제7권6호
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    • pp.45-52
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    • 2017
  • 본 연구의 목적은 남편의 도움이 산모의 산후우울과 자기효능감에 미치는 영향을 확인하고, 연구설계의 문제점을 파악하여 추후 시행될 실험연구의 실행 가능성을 알아보기 위함이다. 실험처치 전 각각 10쌍의 산후산모와 남편으로 구성된 실험군과 대조군의 일반적 특성에 유의한 차이가 없어 두 군의 동질성을 확인하였다. 산후 1주에 측정된 연구대상자의 산후우울 유병률은 45%였고, 실험군 산모에 대한 남편의 도움 수행의 평균은 4점 만점에 3.2점이었다. Mann-Whitney U test에서 남편의 도움은 실험군 산모의 산후우울감소의 순위 평균값을 유의하게 낮추었고(p<.001), 산후자기효능감 순위 평균값이 대조군보다 높았으나 유의한 차이를 보이지는 않았다. 본 예비연구 중 산후산모에 대한 연구에서는 대조군이 실험처치의 혜택 없이 설문 응답을 해야 하는 부담을 가지므로 향후 본 실험연구의 설계를 수정할 필요가 있다.

골관절염 환자를 위한 점진적 운동강화 자조관리 프로그램 개발 (Development of a Progressive Exercise Program for Older Adults with Osteoarthritis)

  • 박인혜;이은남;박상연
    • 근관절건강학회지
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    • 제15권2호
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    • pp.155-165
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    • 2008
  • Purpose: The purpose of this study was to develop a progressive exercise program based on clinical guidelines for exercise prescription for older adults with osteoarthritis, which was planned to improve the existing arthritis self-help program. Method: We analyzed the contents of the arthritis self-help program and closely reviewed the guideline of exercise prescription for elderly with osteoarthritis. Results: The major contents of the revised arthritis self-help program are as follows: 1) The weekly education is composed of one-hour exercise and one-hour health education about various subjects. 2) The weekly main exercise is composed of muscle strengthening and endurance exercise. 3) Endurance exercise consists of three steps. 4) Muscle strengthening exercise is performed by gravity at first, and then the Thera-Band muscle strengthening exercise is followed on the 4th week. Conclusion: It is necessary to verify the effect of the progressive exercise program for older adults with osteoarthritis. It is thought that this revised program could be adopted as a rehabilitation program for older adults with osteoarthritis.

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Immediate Effect of Pressure Pain Threshold and Flexibility in Tensor Fascia Latae and Iliotibial Band According to Various Foam Roller Exercise Methods

  • Kim, Ho;Shin, Wonseob
    • 국제물리치료학회지
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    • 제10권4호
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    • pp.1879-1888
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    • 2019
  • Background: The treatment of pain in the iliotibial band friction syndrome has been difficult to determine, according to studies to date. However, recent studies have suggested that flexibility in the subacute stage of pain in the iliotibial band friction syndrome may help reduce pain. Objective: To investigate the immediate effect on pressure pain threshold and flexibility of the tensor fascia latae and iliotibial band by applying static and dynamic myofascial release foam rolling and self-stretching to adults with shortening iliotibial band. Design: Randomized controlled trial Methods: In this study, 50 subjects who were selected in advance as a randomized controlled trial were randomly allocated using a R Studio program. The included subjects were randomly allocated to three intervention groups. The static self-myofascial release 18 people, dynamic self-myofascial release group 16 people separated the self-stretching group 16 people and conducted a homogeneity check in advance. Before the start of the experiment, after of the experiment, 5 minutes after the end of the experiment, the pressure pain threshold and flexibility change for each part were measured. Results: The results of this study showed that the static self-myofascial release showed a significant difference in the pressure pain threshold in the tensor fascia latae and middle, lower part of the iliotibial band, compared with the other intervention groups (p<.05). In change of flexibility, the static self-myofascial release was significantly different than the other intervention groups (p<.05). Conclusion: The result of this study suggest that static self-myofascial release using foam roller may help to improve the pain and flexibility of the iliotibial band and to apply it as a more discerning intervention.

유아의 성별과 연령 및 부모의 식사지도유형이 유아의 자조기술에 미치는 영향 (The Effects of Children's Sex, Age and Parental Feeding Styles on Children's Self-help Skills)

  • 이정민;김진경
    • 가정과삶의질연구
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    • 제28권1호
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    • pp.37-49
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    • 2010
  • This study investigated the effects of three factors - children's age, sex and parental feeding styles - on children's self-help skills. The subjects were 213 children and their parents who lived in Kwanak-ku, Seoul. The three-way analysis of variance was employed. The main results were as follows: 1. Children's autonomy was varied significantly according to their sex. Girls do better by themselves than boys do in toileting, washing and drying hands, putting on and buttoning up a coat, putting on clothes, washing and drying their faces. Children's autonomy also varied significantly according to age. A majority of the autonomy subsets increased as the children's ages increased. However, drying their hands with a towel, removing their coats, and drinking water did not vary by age. 2. Children's autonomy also varied significantly according to their parents' feeding style. A responsive feeding style encouraged children to drink water by themselves. 3. The group with the highest score in self-help skills in toileting was 6-year-old girls, and the group with the lowest score was 3-year-old boys. Additionally, the groups with the highest scores in toileting were 4-year-old girls whose parents demonstrated a neglective feeding style, 5-year-old girls whose parents demonstrated an authoritative feeding style, 5-year-old girls whose parents demonstrated a responsive feeding style, 3-year-old boys whose parents demonstrated a responsive feeding style and 6-year-old boys whose parents demonstrated a neglective feeding style. Conversely, the groups with the lowest scores in toileting were 3-year-old girls whose parents demonstrated an authoritarian feeding style, 5-year-old girls whose parents demonstrated a neglective feeding style, and 3-year-old and 6-year-old boys whose parents demonstrated an authoritarian feeding style. 4. The group with the highest score in removing their coats was girls whose parnets demonstrated authoritative, responsive or neglective feeding styles. The group with the lowest score in removing their coats was boys whose parents demonstrated authoritative or neglective feeding styles.

자기효능 증진 방법을 사용한 자조관리 과정이 관절염 환자의 건강증진에 미치는 효과 (The Effects of Self-Help Education Increasing Self-Efficacy on the Health Promotion for the Arthritis Patients)

  • 이은옥;박상연;김종임;김인자;김명자;송경애;이은남;최희정;박정숙;서문자;김명순;소희영;이미라
    • 근관절건강학회지
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    • 제4권1호
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    • pp.1-14
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    • 1997
  • It is reported that self-help education is effective to increase self-efficacy for the patients with chronic illness. Also self-efficacy Is proved to be an Important variable to effect the physical and psychological health state. Based upon this theoretical framework, KRHPS (Korean Rheumatology Health Professions Society) has administered for 2 years the self-help education increasing self-efficacy for the patients with arthritis. The group had a weekly session for 6 weeks. During the session, self-efficacy was increased by 1) actually performing a behavior, 2) listening to other patients talking about a successful experience or seeing other patients performing a behavior, 3) Instructor's or another patient's verbal persuasion, and 4) physiological cues experienced by themselves. Every group had 4-15 participants and 2 instructors. Data were collected by self-administered questionaire for 211 out of 361 participants. One hundred and fifty two subjects were analyzed because of missing values. As a result, it was confirmed that self-help education was effective to increase self-efficacy and self-efficacy was an important variable to Improve pain, depression, and ADL. Also it may fairly be said that nurses were right health-professionals to lead self-help groups for the patients with chronic illness. So it is important to facilitate many other self-help education for the patients with chronic illness.

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자살예방 10가지 자가 수칙의 개발 : 델파이 연구 (Development of 10 Self-Help Guidelines for Suicide Prevention : A Delphi Study)

  • 이효철;안지현;이경은;김해수;홍창형;오강섭;홍진표
    • 대한불안의학회지
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    • 제13권2호
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    • pp.74-85
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    • 2017
  • Objective : A variety of approaches are needed to solve high suicide rates in Korean society. Although suicide prevention education has been provided for the public and suicide risk groups in Korea, a systematic discussion of simple, effective suicide prevention guidelines for the general public has yet to be made. Self-help guidelines for suicide prevention, which can help prevent suicide in at risk individuals, will be developed through expert questionnaires. Methods : In order to develop the draft guidelines, suicide prevention self-help phrases were gathered and compiled from homepages and publicity materials of domestic and international suicide prevention and related organizations. A panel of 16 suicide prevention experts conducted primary and secondary surveys using the Delphi method, which derives results from consensus among expert groups. The validity and appropriateness of the guidelines was analyzed using content validity ratios (CVR). Results : Of 33 candidate phrases selected for the suicide prevention guidelines, 9 showed high CVR after the secondary Delphi round. The highest level of support with total agreement was given to 'Do not be alone, stay with someone'. However, more than half of the panelists evaluated 14/27 of the primary Delphi round and 12/26 of the secondary Delphi round phrases as invalid. The researchers completed 10 self-help guidelines for suicide prevention, after eliminating 1 redundant phrase and including 2 additional phrases that showed relatively high CVR. Conclusion : We have developed 10 self-help guidelines for suicide prevention through the consensus of experts. Further studies on the effects of the guidleines relative to suicide rates are needed after widespread dissemination.

암을 앓고 있는 청소년의 자아상 (Self-image of Adolescents with Cancer)

  • 손선영;오가실
    • Child Health Nursing Research
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    • 제11권4호
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    • pp.465-471
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    • 2005
  • Purpose: The purpose of this study was to identify the self-image of adolescents with cancer. Method: This study was a descriptive study. The participants in the study were 75 adolescents recruited from four medical centers in Seoul and all were receiving cancer therapy Korean Offer Self-Image Questionnaire was used and data were analyzed using the SPSS program. Result & Conclusions: The self-image of adolescents with cancer exists within the average range, but all groups of adolescents with cancer had a more positive self-image than Korean reference groups. The reason why adolescents with cancer showed a relatively positive self-image despite their painful experiences, is because they developed new value systems and view point through their experiences and teaming to cope with their situation. This research revealed that relapse affects the self-image of adolescents and therefore it is important to note that adolescents with relapses need more intensive interventions to maintain their positive self-image. In order to help with their coping process, further research on the factors that affect self-image in adolescents with cancer is also needed.

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Horticultural Therapy Program for Multicultural Groups

  • Kim, H.D.;Kim, K.J.;Yoo, E.H.
    • 한국유기농업학회지
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    • 제19권spc호
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    • pp.67-70
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    • 2011
  • In 2006, 41% of newly-married Korean men living in agriculture or fishery area were married to foreign wives. These foreign wives suffer social, cultural, and psychological maladjustment. They need support in understanding Korean culture & language, economic independence, and mental health. This horticultural therapy program (HT program) was practiced to help the foreign wives gain emotional stability, to help them adapt to rural society, and to help them improve the relationship with their families. The participants of this HT program were 10 foreign wives, 5 Chinese, 2 Vietnamese, 1 Japanese, 1 Thai, and 1 Filipina. Total sessions were 12, and each session lasted for two hours. This program started April and ended July in 2007. After this program, self-esteem of participants increased from 29.6 to 33.5, and stress decreased from 77.3 to 64.7. Participants also expressed sense of satisfaction and accomplishment after the program.

행동수정프로그램과 에어로빅운동이 비만여중생의 비만도, 식이행동, 우울 및 자아존중감에 미치는 효과 (Effects of Behavior Modification and Aerobic Exercise on the Degree of Obesity, Eating Behavior, Depression and Self Esteem in Obese Adolescent Girls)

  • 정승교
    • 기본간호학회지
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    • 제4권1호
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    • pp.103-117
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    • 1997
  • This study was designed to investigate the effects of behavior medication and aerobic exercise on the degree of obesity, eating behavior, depression and self esteem among adolescent girls who were overweight and obese. Forty seven subjects were selected from one girl's middle school located in Seoul. Seventeen girls received the behavior modification program by joining 60-90 minute group session weekly. Behavior modification, in this study, consisted of self-monitoring, changing patterns of life style and attitudes, teaching nutrition and physical activities, and asking personal help. The aerobic exercise program was given to 16 girls 3 times per week with 60 minutes each time. Forteen girls received both behavior modification and aerobic exercise. These interventions continued for 8 weeks. Changes after intervention were examined twice after 4 weeks and 8 weeks for degree of obesity and once after 8 weeks only for eating behavior, depression and self esteem. The results were as follows ; 1. Degree of obesity was significantly decreased after 4 weeks and 8 weeks in 3 groups. Degree of obesity after 4 weeks and 8 weeks were not significantly different among 3 groups. 2. The mean score of eating behavior related to obesity decresed significantly after intervention in the behavior modification group only. There was significant difference in eating behavior among 3 groups after intervention. 3. The behavior modification group showed no significant changes in depression and self esteem after intervention. In the aerobic exercise group and group who participated in both behavior modification and aerobic exercise, the level of depression decreased significantly and the level of self esteem increased significantly. There were no significant differences in the level of depression and self esteem among 3 groups after intervention. These findings indicate that behavior modification might be effective in decreasing degree of obesity and eating behavior related to obesity, aerobic exercise be effective in decreasing degree of obesity and the level of depression, and also in increasing the level of self esteem.

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