• 제목/요약/키워드: Self-Help Groups

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한국대학생의 정신건강 원조체계 활용에 영향을 미치는 요인 (Factors Influencing Use of Mental Health Helping Systems among College Students in Korea)

  • Lee, Sun-Hae;Chung, Sul-Ki
    • 보건교육건강증진학회지
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    • 제25권5호
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    • pp.21-38
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    • 2008
  • 목적: 이 연구는 한국 대학생의 정신건강 원조체계 활용을 고찰하는데 일차적 목적을 두곤 보건의료서비스 이용에 관한 모델을 적용하여 다양한 정신건강 원조체계의 활용에 영향을 미치는 요인들을 파악하고자 했다. 방법: 수도권에 위치한 4년제 대학 4곳에서 총 454명의 학생들이 본 연구를 위한 설문에 참여했다. 자기응답식 설문지를 사용하여 공식적 보건의료 및 정신보건서비스, 비공식적 원조체계, 동년배 집단, 가족지지로 구분되는 다양한 원조체계와 관련된 도움요청 행위(help-seeking behavior)에 관한 자료를 수집했다. 결과: 조사 응답자들은 심리정신적 어려움에 처했을 때 흔히 도움을 요청하는 대상으로 가족이나 동년배 집단에 속하는 다양한 유형의 대상을 꼽았으며, 이들 다양한 유형의 자원에 도움을 구하는데 영향을 미치는 요인으로 나이, 성별, 심리정신적 증상, 정신질환에 대한 지식, 태도가 유의미하게 나타났다. 나이와 심리정신적 증상이 높을수록 공식적 서비스를 활용할 가능성이 높았으며, 증상이 심한 경우 비공식적 자원(종교인, 교수 등)에 도움을 요청할 가능성이 낮았다. 남학생의 경우와 정신질환에 대해 부정적 지식과 태도를 갖고 있는 경우는 동년배(선후배, 동성 및 이성친구 등)에게 도움을 요청할 가능성이 낮았다. 결론: 비공식적 자원이나 동년배 집단은 발달적으로 청소년후기 및 청년전기에 속하는 대학생 집단에 있어 사회적 지지로서, 전문적 도움의 관문으로서 중요한 역할을 할 수 있음에도 불구하고 그 역할이 제한적이므로, 동년배상담자 훈련이나 자조집단 육성 등을 비롯한 대학 상담부서의 적극적인 정신건강 아웃리치(outreach) 노력이 필요하다.

신장운동을 포함한 자조관리프로그램이 섬유조직염환자의 증상완화에 미치는 효과 (Effects of a Self-Help Program including Stretching Exercise on Reduction of Symptom in Patients with Fibromyalgia)

  • 한상숙
    • 근관절건강학회지
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    • 제5권1호
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    • pp.39-56
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    • 1998
  • This study was an quasi-experimental study, done to identify factors Influencing the reduction of symptoms in patients with fibromyalgia. The primary purpose of the study was to develop a Self-Help Program suitable for patients with fibromyalgia in Korea. The secondary purpose was to identify the effects of a Self-Help Program which included stretching exercise. This study was carried out between Feb. 24 and July 8, 1997 and patients in the study Included out patient diagnosed with fibromyalgia based on the criteria developed by the American College of Rheumatology(1990) and H, University which is a tertiary patient care clinic for Rheumatism. The experimental group included 38 patients who were residents of Seoul or Kyungi province, and a control group of 38 patients who were residents of other areas. The control patients were matched to the experimental group patients and they were selected considering the number of tender points on the Fibromyalgia Impact Questionnaire score and a score of self-efficacy. The experimental group participated in a Self-Help Program based on the American Arthritis Foundation(1995) guidelines. The program participants participated in a small group which consisted of 12-15 members attending the program once a week, for 6 weeks with each program lasted two to two and a half hours. The stretching exercise was carried out in each patient's home every day following the video tape exercise provided by the researcher, and the researcher provided encouragement and concern to the patients by calling them once a week. The number times the exercise was performed was divided by the number of participants to calculate the percentage of performance and determine the amount of exercise. Self-efficacy was measured by the Self-Efficacy Scale developed by Lorig et al. (1989) for arthritis patients. The degree of pain was converted to scores based on the Visual Analog Scale, the number of tender points was converted to scores based on the criteria of the ACR(1990) and of Yunus. Depression was measured by CES-D and physical disability, sleep disturbance, fatigue, and anxiety of patients with fibromyalgia were measured by the Fibromyalgia Impact Questionnaire. The level of the exercise performance was converted to scores using the number of times the exercise was performed following the video tape prepared by Association of Rheumatology Health Professionals. Data were analyzed by SPSS windows and the results ire described below. 1. The experimental group which participated in the Self-Help Program showed higher efficacy scores than the control group when both groups were analyzed for depression and the number of tender points as common variables(F=9.146, p=.003). 2. The experimental group which participated in the Self-Help Program showed lower scores than the control group, for pain, the number of tender points, depression, physical disability, fatigue, sleep disturbance and anxiety. These symptoms of fibromyalgia can all be seen to have subsided(F=9.483, p=.003 : F=32.680, p=.001 ; F=11.104, p=.001, F=5.344 : p=.024, F=7.630 : P=.007, F=15.6512, p=.003 : F= 7.5412, p=.008). 3. In the experimental group, the self-efficacy score for the first three weeks showed a positive correlation with the exercise-performance score for four to six weeks (r=.387, p=.043). 4. In the experimental group, the relationship between the level of exercise-performance and the reduction of symptoms showed a significant correlation only to physical disability(r= -.500, p=.001). 5. In the experimental group, the relationship between the self-efficacy score and pain, the number of tender points, depression, physical disability, fatigue, sleep disturbance and anxiety score showed inverse correlations and thus, a reduction of symptoms occured when the self-efficacy score increased(r=-.325, p=.004 ; r= -.253, p=.027, r=-.452, p=.001 : r=-.434, p=.001 ; r=-.316, p=.005 ; r=-.460, p=.001 ; r=-.397, p=.014). Therefore, self-efficacy improved following the Self-Help Program including the stretching exercise. It was also found that physical symptoms (pain, number of tender points, level physical disability) and psychological symptoms (depression, fatigue, sleep disturbance, anxiety) were reduced. Moreover, It was found that the higher the self-efficacy, the the higher the degree of achievement of goals set for the stretching exercises. In addition, the level of exercise-performance influenced the level of physical disability, one of the symptoms of fibromyalgia. Accordingly, the conclusions from this study are that exercise-performance and the reduction of symptoms is achieved through promotion of self-efficacy. Therefore, it is proposed that are the Self-Help Program including stretching exercises is an appropriate nursing intervention for the reduction of symptoms of fibromyalgia.

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9주간의 자조관리.수중운동 프로그램이 골관절염환자의 통증, 유연성, 균형감, 피로감 및 자기효능감에 미치는 효과 (Effects of a 9-week Self-help Management.Aquatic Exercise Program on Pain, Flexibility, Balance, Fatigue and Self-efficacy in the Patients with Osteoarthritis)

  • 정영희;김종임
    • 근관절건강학회지
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    • 제17권1호
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    • pp.47-57
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    • 2010
  • Purpose: The purpose of the study was to identify the effects of a 9-week self-help management aquatic exercise program on pain, flexibility, balance, fatigue and self-efficacy in the patients with osteoarthritis living in the suburban area. Methods: Utilizing a quasi-experimental design, 43 osteoarthritis patients consisted of the experimental group (n=20) and the control group (n=23). Due to the busy schedule of the patients working in the farm, the program was provided for 9 weeks instead of 12 week program under the guidance of professional advice. The questionnaires and physical measurements were used to measure the outcome variables before and after the program. Data were analyzed with the SPSS WIN using descriptive statistics, t-test and ANCOVA. Results: The age was significantly different between the groups. After controlling for the age, pain and fatigue in the experimental group decreased significantly more than the control group. Flexibility, balance and self-efficacy in the experimental group improved significantly more than the control group. Conclusion: This 9-week program could be an effective nursing intervention to be used especially for osteoarthritis patients in the suburban area during the leisure seasons of the farmers to improve their arthritic symptoms and self-efficacy.

수중 운동 프로그램이 퇴행성 관절염 환자의 통증, 신체지수, 자기효능 및 삶의 질에 미치는 영향 (The effect of Aquatic Exercise Program on Pain, Physical Index, Self-Efficacy, and Quality of Life in Patients with Osteoarthritis)

  • 김종임;강현숙;최희정;김인자
    • 근관절건강학회지
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    • 제4권1호
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    • pp.15-25
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    • 1997
  • The purpose of this study was to explore the effect of aquatic exercise program combined with self-help group on pain, weight, body mass index, self-efficacy, quality of life in osteoarthritis patients. This program was carried out three times a week for 6 weeks by 4 small groups of patients among 21 patients in regular swimming pool. Data were analyzed by paired t-tests for pre and post comparison. Study results indicate that all patients participated aquatic exercise program improved Pain, body weight, body mass index, self-efficacy, and quality of life. These results Indicated that the aquatic exercise program combined the self-help group can be recommended to the osteoarthritis patients as well as the rheumatic arthritis patients.

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자립적 식사 향상을 위한 조사연구: 식사보조도구를 중심으로 (A Cross-Sectional Survey for the Improvement of Self-Feeding: Focusing on Assistive Eating Devices)

  • 이영아;최연숙;이경희
    • 한국보건간호학회지
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    • 제37권2호
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    • pp.261-274
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    • 2023
  • Purpose: This study aims to understand the current use of and demand for assistive eating devices. These device improve the self-feeding abilities in older adults. Methods: This study used a cross-sectional study design. Descriptive statistics were performed using SPSS 22.0 for Windows. The survey participant of 282 older people(47.7%), 42 family caregivers(7.4%), and 266 staff members(44.9%). Results: Whereas most of the older adults living in their home(87.3%) did not experience difficulty while eating, older adults residing in facilities(26.4%) expressed difficulty with the process of putting food into a spoon. The difference between the two groups was statistically significant(p<.001). Wile the older adults living in home considered assistive eating devices(34.5%) as the most important requirement for self-feeding, older adults in facilities considered receiving help(39.3%) as their biggest requirement(p<.009). Older adults, family caregivers, and nursing home staff were not familiar with assistive eating devices and were not aware of their necessity. Conclusion: The study could help increase awareness about assistive eating devices and the importance of self-feeding in research and nursing educational settings. Improvement in self-feeding ability may future enhance the daily quality of life of older adults.

대전 일부 지역 장애아동어머니의 우울수준 및 부모효능감에 관한 연구 (A study on the level of depression and parent efficacy of the mothers of children with disabilities in some areas of Daejeon)

  • 김미란;김나영
    • 디지털융복합연구
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    • 제11권8호
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    • pp.303-313
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    • 2013
  • 본 연구는 장애아동을 둔 어머니의 우울수준과 부모효능감에 관한 연구로 지적장애아동의 어머니와 뇌병변장애 어머니의 우울수준을 비교했으며, 두 집단에 모두 가벼운 우울상태를 보였으나 통계학적 유의미한 차이는 없었다. 두 집단의 부모효능감 또한 유의미한 차이를 보이지는 않았으나 인구사회학적 특성에 따른 부모효능감 관계에서 가족수와 자조 모임 참여여부 변인이 유의미한 차이를 나타냈다. 지적장애아동 어머니 중에서 자조모임에 참여하는 경우가 참여하지 않은 경우보다 부모효능감이 더 높게 나타났으나 뇌병변장애 아동 어머니 중에서 자조모임에 참여하지 않는 어머니의 부모효능감이 더 높게 나타났다. 우울수준과 효능감의 상관관계에서는 부모효능감이 높을수록 우울수준이 낮은 것으로 나타났으며, 부모효능감을 하위유형인 좌절감과 관심으로 나누어 비교하였을 때 부모효능감이 높을수록 좌절감은 낮고, 관심은 높은 것으로 나타났다.

소아암 부모모임 리더들의 자조집단 참여 경험 (A Grounded Theory Approach to the Experience of Leaders in Self-help Group for Parents of Children with Cancer.)

  • 김진숙
    • 한국사회복지학
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    • 제57권2호
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    • pp.405-434
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    • 2005
  • 본 연구는 '소아암 부모모임 리더들의 자조집단 참여 경험은 무엇인가'라는 연구질문을 가지고 소아암 부모모임 리더들의 경험을 심층적으로 탐색한 것이다. 이를 위해 소아암 부모모임의 리더 15명을 심층면접 한 후, Strauss와 Corbin(1998)의 현실기반이론 방법을 활용하여 분석하였다. 분석결과 소아암 부모모임 리더들이 경험한 중심현상은 '등떠밀려 나섬'인 것으로 나타났다. 이에 대한 인과적 조건은 '유대감 형성'과 '정신을 추스림', '부모모임의 필요성 느낌'이며, 맥락적 조건은 '돕고싶음', '소명의식', '치료환경에 대한 불만'으로 나타났다. 소아암 부모모임 리더들은 등떠밀려 나섬에 있어 '활동에 대한 자기반성', '가족들의 반응', '발전시키고 싶음'에 의해 중재받아 '발로 뛰기'와 '경험을 축적함', '역할범위 설정하기'의 전략을 활용하는 것으로 나타났다. 그 결과는 '위안받음', '긍정적인 자기인식', '보람', '그만두고 싶음'으로 파악되었다. 이러한 결과를 통해 핵심범주는 '등떠밀려 나서서 모임 이끌어가기'로 구체화되었고, 이 경험은 '헌신적가족형', '순수봉사자형', '모범적참여자형', '사회운동가형'으로 유형화되었다. 또한, 이들의 경험과정은 소아암 부모로서의 정체성 유지 단계, 문제의식 단계, 뛰어들기 단계, 경험축적 단계, 긍정적인 변화 단계의 과정을 거치는 것으로 나타났다. 이와 같은 연구결과는 소아암 부모들에게 긍정적인 모델이 되리라 여겨지는 리더들의 경험과정을 이해함으로써 향후 국내 자조집단에 관한 연구 및 실천에 함의가 클 것으로 여겨진다.

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A Cross-cultural study of Body Image Perceptions between Korean and British University Students

  • Kim, Bu-Yong;Lee, Seunghee
    • 패션비즈니스
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    • 제19권6호
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    • pp.14-27
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    • 2015
  • This study explores the comparison of body image, body satisfaction, and clothing behaviors between Korean and British young women. Body image was measured by two methods: visual and verbal. For the data analysis, the Statistical Package for Social Science (SPSS) Version 16.0 for Windows was used to provide descriptive statistics, an independent sample t-test, and paired sample t- tests were applied in this study. Our results show that Korean and British female college students perceived ideal-body images that were smaller than their self defined body images. The ideal and self-images were significantly different in both groups. Both groups were dissatisfied with their own body size. The study was limited to a small sample size. Future studies using more participants from a more diverse age group and ethnic groups are recommended. The study will help marketers and retailers develop new products and new markets aimed at Korean and British women related to body image and body satisfaction.

여대생의 금연행위에 영향을 미치는 요인에 관한 연구 (Determinants of Smoking-Cessation Behaviors in Female University Students)

  • 김혜원
    • 대한간호학회지
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    • 제29권1호
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    • pp.48-60
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    • 1999
  • This study was done to determine the factors influencing smoking-cessation behavior in female university students. A total of 534 students participated in this cross sectional study by answering a questionnaire. The data collection was done between September 1 and October 31, 1997 The measurement tools used in this study were the self help change process scale (Cronbach's alpha=.9930 : developed by Oh & Kim, 1996) for smoking-cessation behaviors, the self efficacy scale(Cronbach's alpha=.8250 : developed by Sherer et al, 1982), the sex role acceptance scale (KR-20=.7757 : developed by Kim, 1991) and the social support scale(Cronbach's alpha=.9172 : developed by Park, 1985). The summarized results are follows : 1. The mean scores for smoking-cessation behaviors in smokers (N=150) was 91.72 that was considered a middle score compared to the total possible score of measurement tool (150.0). The mean score for smoking-cessation behaviors by smoking-cessation step showed significant different between the groups(F=11.71, p=.000). 2. The group with no experience in smoking(N=332) showed a high general self efficacy score (t=5.24, p=.000), and more openness to sex role acceptance(t=-2.15, p=.032) compared to the group with smoking experience (N=202). 3. General self efficacy, sex role acceptance, and social support were not different significantly between the groups according to the steps in smoking-cessation. 4. Significant factors influencing smoking-cessation behavior (total, sub concepts) were religion, sex role acceptance, social support, smoking duration, smoking attitude, time of smoking onset, amount of smoking, drinking, and perception of health status. 5. Smoking-cessation behaviors which explained 11% of the variance were smoking attitude, and smoking duration. In conclusion, this study identified factors influencing smoking-cessation behavior. Thereby it will help in the development of smoking-cessation intervention strategies. For future research, exploration other determinants of smoking cessation behaviors, evaluation of intervention efficiency, and comparative study by gender characteristics are needed.

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소비자의 사전 목적달성에 귀인되는 원인과 자기보상자격 그리고 탐닉소비 (Causes Attributable to Achieving Consumers' Personal Goals in Advance, Deservingness and Indulgent Consumption)

  • 최낙환
    • 유통과학연구
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    • 제15권4호
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    • pp.79-89
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    • 2017
  • Purpose - Previous studies have not paid attention to pride type and effort type when consumers feel pride. In the present paper, the pride was divided into the two types such as hubristic pride and authentic pride. The causes attributed to achieve the goals when consumers achieved their personal goals, which could induce their pride were divided into trait, special effort, and universal effort, gratitude. This research attempted to investigate the mediation role of self-reward deservingness in finding the differences of inclination to indulgent consumption among the traits or special effort, the universal effort, and other's help. Research design, data, and methodology - In the empirical study, 'general flour food restaurants, Kimbabchunkuk, Edya, etc.' and 'VIPS, Outback, Starbucks, etc.' were taken as the two groups of subjects as empirical brand goods since they presented good contrast with each other. The single-factor design between subjects was adopted in this study by classifying the causes attributable to achieving the pre-goals of consumers into 4 categories: one attributable to trait; one attributable to special effort; one attributable to universal effort; one attributable to other's help. Results - The outcomes from the empirical analysis are as followings. First, the consumers who attributed to trait or special effort for achieving their personal goals in advance turned out to show stronger inclination toward direct indulgent consumption than those who attributed to universal effort or other's help for achieving the goals, without regard to self-reward deservingness. Second, those consumers who attributed to special effort for achieving their personal goals in advance revealed stronger inclination toward indulgent consumption with mediation of self-reward deservingness than those who attributed to trait or universal effort. And those who attributed to special effort or trait for achieving the goals revealed stronger inclination toward the consumption with the mediation of the deservingness than those who attributed to other's help. Conclusions - The present study is contributing to the progress of theories concerning hubris pride, authentic pride, and indulgent consumption. Marketing managers should endeavor to find pride type consumers felt according the causes attributed to for achieving important goals in advance, and make an efforts to develop messages that could appeal to the pride type.