• 동서간호학연구지
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• 제18권1호
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• pp.9-17
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• 2012

Purpose: The purpose of this study was to identify the effects of an individual educational program on self-care knowledge and self-care behavior in kidney transplantation patients. Methods: The kidney transplantation patients were recruited from a transplantation center, at a university hospital located in Korea. Data were collected from June 1, 2010 to January 31, 2011. The research design was a nonequivalent one group pre-post test. Forty-two subjects were participated two times individually in an educational program given by the researcher. Results: After the intervention, the participants showed a significant increase in self-care knowledge(t=-4.10, p=.000) and self-care behavior (t=-6.07, p=.000) than before the intervention. Conclusion: This results suggest that the program developed in this study can be considered an effective nursing intervention for health promotion, prevention of complication and self-care behavior in kidney transplantation patients.

• Journal of Korean Biological Nursing Science
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• 제26권2호
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• pp.123-135
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• 2024

Purpose: The purpose of this study was to examine the effects of self-care intervention using a mobile instant messenger on hemodialysis patient's knowledge, self-efficacy, self-care behavior and physiological indices. Methods: A non-equivalent control group pretest-posttest design was used. The participants consisted of 38 patients who had a regular hemodialysis of Seoul National University Hospital. They were assigned to one of two groups; an experimental group (n = 19) that had self-care intervention for 8 weeks and a control groups (n = 19) that had routine hemodialysis treatment. The data collection was conducted from September 5, 2022 to October 29, 2022. The date were analyzed by Chi-square test, Independent t-test, and Fisher's exact test using SPSS Win 29 program. Results: There was a significant difference in self-efficacy (t = 3.42, p = .002) between experimental and control groups. There was no significant differences between the two groups in knowledge (t = 0.80, p = .428), self-care behavior (t = 0.09, p = .929), potassium (t = -0.82 p = .416), phosphorus (t = -0.03, p = .974), weight gain (t = 0.16, p = .867). Conclusion: Based on above results, it was verified that self-care intervention in this study was an effective indicator in improving the self-efficacy. There is a requirement to formulate comprehensive interventions capable of enhancing various indicators.

• 한국치위생학회지
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• 제16권6호
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• pp.1093-1104
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• 2016

Objectives: The purpose of this study was to examine the impact of chronic disease on oral health behavior. Methods: The subjects were 317 adults over 30-years old living in urban and rural areas. They were selected by convenience sampling method and filled out the self-reported questionnaire. The questionnaire consisted of general characteristics, dental treatment, chronic disease, and oral health behavior including oral health self-care behavior and professional oral health care. Results: The self-care oral health behavior and the professional oral health care had a negative correlation with the chronic diseases. Especially, the self-care oral health behavior and the professional oral health care had a statistically significant negative correlation with hypertension and osteoporosis. Multiple regression analysis was performed after including general characteristics, dental treatment, chronic disease. Meanwhile the presence of chronic disease had a significant influence on the self-care oral health behavior and the professional oral health care. Hypertension and Osteoporosis were the most influential factors of chronic diseases and had a significant influence on the oral health behavior. In conclusion, the chronic diseases aggravated the oral health behavior practice. Conclusions: presence of chronic disease affects oral health behavior. Therefore, the effective intervention and education programs related to oral health care are necessary to enhance adult's oral health behavior and total health. The continuous follow-up study will determine the causal relationship between oral health behavior and the presence of chronic disease.

• 대한간호학회지
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• 제34권8호
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• pp.1402-1408
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• 2004

Purpose: The purpose of this study was to analyze the concept of self-care in elders with dementia through a review of nursing literature and to provide more understanding of the definition and perspectives of the concept of self-care notion in elders with dementia. Methods: The technique developed by Walker and Avant was used as a guide in analyzing the concept of self-care. Results: Attributes of self-care in dementia may include a single or group of actions needed for sustaining life, a personal effort to maintain functional independence while minimizing other's assistance, an outcome behavior from the person's interaction with inter-personal and/or contextual environment, and a functional ability that may decline in parallel to cognitive impairment. Antecedents of self-care in dementia may include at least presence of a certain degree of cognitive appraisal for the self-care needs, self-willingness for the self-care action, spatial and visual orientation, cultural pre-conception of the self-care behavior, presence of environmental context/equipment available for self-care, and sufficient time available. The consequences may include sustaining of life, feel of satisfaction, achieving independence, extended life expectancy, increased self-confidence, decreased caregiver distress and/or burden, savings in health care costs. Discussion: Defining attributes and antecedents and consequences of self-care in dementia identified in this study provided empirical ground of a middle-range theory of self-care for a clinical population with dementia and generated possible hypotheses to be tested in future studies.

• 종양간호연구
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• 제11권2호
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• pp.136-146
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• 2011

Purpose: The purpose of this study was to examine the effects of self-efficacy promotion programs on self-efficacy, self-care behavior, and quality of life in breast cancer patients receiving radiation therapy. Methods: This study was conducted from November 1, 2009 to December 10, 2010. A total of 39 breast cancer patients, who received radiotherapy in a University hospital located in city B, participated in the study and were divided into two groups (experimental group 17 and control group 22). The data were analyzed with the ${\chi}^2$-test and ANCOVA using the SPSS/Win 17.0 program. Results: Self-efficacy promotion programs aimed at self-management were effective in enhancing concrete self-efficacy but not effective in promoting general self-efficacy, self-care behavior, and quality of life among breast cancer patients who have received radiotherapy. Conclusion: Organizing a support group for the breast cancer patients seems to be highly necessary to help themselves obtain higher level of specific self-efficacy, self-care behavior, and quality of life in general. It will also be beneficial for the breast cancer patients to understand their unique situations and improve their health problems for themselves.

• 성인간호학회지
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• 제27권6호
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• pp.613-623
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• 2015

Purpose: This study was designed to construct a predictive model to explain quality of life of stomach cancer patients with gastrectomy. Methods: Data were collected from July 10 to August 30, 2013 through survey using self-reported questionnaires. A total of 218 patients with gastrectomy was recruited from three different hospitals. Outcome variables were exogenous ones (self efficacy and social support) and endogenous ones (depression, perceived health status, self care behavior, and quality of life). Results: Goodness-of-fit of the hypothetical model was $x^2=143.37$, RMSEA=.07 CFI=.95, TLI=.93 SRMR=.05. Self care behavior, depression and perceived health status had significant direct effects on quality of life. Self efficacy and social support were affected quality of life indirectly. These variables explained 67.9% of total variance of quality of life, and self-care behavior was the most influential factor for quality of life. Conclusion: The findings of this study suggested that self care behavior must be considered as an intervention strategy to improve quality of life. Also a development of a specific intervention program to promote self efficacy and control depression for patients with gastrectomy is essential to facilitate their self care behaviors.

• 성인간호학회지
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• 제20권1호
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• pp.102-112
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• 2008

Purpose: The purpose of this study was to examine self care behaviors according to the risk levels of vascular complications in elderly women with hypertension. Methods: The subjects of this study were 162 women living in the community who had been diagnosed with hypertension in clinics. The data were analysed by the SPSS 10.0 program using descriptive statistics, t-test, and ANOVA with Scheff$\dot{e}$ post-hoc test. Results: The average self care behavior score of the elderly women was 2.79. Total self care behavior was significantly different depending on the risk levels of vascular complications such as systolic blood pressure, diastolic blood pressure, ankle-brachial index, and the framingham point score. Among sub-scores of self care behaviors, exercise management was the poorest performance compared with other self care behaviors. Conclusion: This study proved the differences in self care behaviors according to the risk levels of vascular complications. To decrease the prevalence of vascular complication, it is necessary to develop programs specifically to enhance self care behaviors of elderly women with hypertension.

• 임상간호연구
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• 제22권1호
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• pp.28-37
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• 2016

Purpose: This study was to investigate the relationships between among health literacy, knowledge and self-care behavior in elderly patients with heart failure(HF). Methods: 166 patients (age ${\geq}65$ years) with HF were recruited in a cardiovascular center of an university affiliated hospital. The structured questionnaire included Health literacy, Dutch Heart Failure Knowledge Scale, European Heart Failure Self-care Behavior, Self-Care of Heart Failure Index. Data were analyzed by descriptive statistics, Chi-test, Pearson correlation analysis, t-test and ANCOVA using SPSS/WIN version 21.0. Results: Participants with the high level of health literacy were more likely to be younger (p=.001), men (p=.001), with more education (p<.001), and have a job (p=.004), and with a higher economic status (p=.005). The positive correlations between the level of health literacy, knowledge, and self-care behavior were confirmed (p<.001). Participants with the high level of health literacy showed higher level of knowledge, more self-care behavior for health maintenance, and confidence. Conclusion: This study shows that the level of health literacy may influence knowledge and self-care behavior in elderly patients with HF. In order to improve self-care behaviors in elderly patients, a strategic nursing approach based on the level of patients' health literacy needs to be considered.

• 한국산학기술학회논문지
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• 제20권7호
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• pp.182-191
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• 2019

본 연구의 목적은 고혈압 노인의 사회적 지지, 회복탄력성 및 자가간호행위의 관계를 파악하고 자가간호행위에 미치는 영향을 파악하기 위함이다. 본 연구는 C 지역에 위치한 3곳의 노인복지회관을 이용하는 고혈압 노인 183명을 대상으로 수행된 서술적 조사연구이다. 자료 수집은 설문지를 이용하였으며, 자료수집 기간은 2018년 8월 20일부터 8월 31일 까지였다. 수집된 자료는 t-test, ANOVA, Pearson's correlation coefficient, stepwise multiple regression를 이용하여 분석하였다. 연구 결과, 대상자의 사회적 지지 정도는 5점 만점에 평균 $3.79{\pm}0.78$점, 회복탄력성 정도는 5점 만점에 평균 $4.10{\pm}0.71$점, 자가간호행위 정도는 5점 만점에 $3.93{\pm}0.51$점이었다. 자가간호행위는 사회적 지지(r=.204, p<.001) 및 회복탄력성(r=.405, p<.001)과 정적 상관관계가 있었다. 자가간호행위에 유의한 영향을 미치는 요인은 회복탄력성(${\beta}=.36$, p<.001)과 운동의 규칙성(${\beta}=.17$, p=.019)으로 확인되었으며, 이들 변수들은 자가간호행위의 18.9%를 설명하였다(F=21.02, p<.001). 본 연구 결과 회복탄력성, 운동의 규칙성은 고혈압 노인의 자가간호행위에 영향을 미치는 주요한 요인임을 확인하였다. 따라서 고혈압 노인의 자가간호행위를 증진시키기 위해서는 운동을 규칙적으로 수행하도록 권고하고 회복탄력성을 증진시킬 수 있는 간호중재 개발 및 평가가 이루어져야 할 것으로 생각된다.

• Journal of Korean Biological Nursing Science
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• 제22권3호
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• pp.192-203
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• 2020

Purpose: The purpose of this study was to identify the influencing factors of oral environment and self-care behavior on the oral health-related quality of life in the elderly with diabetes. Methods: The participants were 110 elderly patients with diabetes and follow-up care on their outpatient clinic in D and G city. Data were collected September-December 2018, using questionnaires of the Oral Health Impact Profile (OHIP-49) and Kim's Self-care Behavior, measuring with the tooth-pick (Premiers Dental), Halitosis Checker (HC-212M), and Moisture Checker for Mucus (MCM) for oral environments. The data were analyzed the by independent t-test, oneway ANOVA, Pearson's correlation, and stepwise multiple regression analysis using an IBM SPSS Statistics 25.0 Program. Results: There was positive correlation between oral health-related quality of life and self-care behavior (r= .61, p< .001), negative correlations among halitosis (r = -.34, p< .001), gingival index (r = -.31, p= .001) and plaque index (r = -.32, p= .001). Self-care behavior (β= .46, p< .001), subjective health status (good) (β= .23, p= .002), halitosis (β= -.16, p= .030), and plaque index (β= -.15, p= .041) explained 46.0% of the variance in the oral health-related quality of life. Conclusion: It is necessary to develop nursing care for elderly patients with diabetes that can enhance the self-care behavior and subjective health status, and lower halitosis and plaque index, the factors influencing the oral health-related quality of life in elderly patients with diabetes.