• Title/Summary/Keyword: Self-care ability

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Variations and Outcomes in the After-School Care of children from Low-Income Families (저소득층 아동의 학업, 및 사회성 발달 : 부모보호와 자기보호 비교)

  • Ok, Kyung Hee;Kim, Mee Hae;Chun, Hui Young
    • Korean Journal of Child Studies
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    • v.22 no.2
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    • pp.91-111
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    • 2001
  • The present study investigated differences in children's school achievement and emotional and social development by type of after-school care: self-care and mother-care. It also examined relationships between children's developmental outcomes and ecological variables, including individual, familial, and environmental variables by care methods. The data of 330 mother-care and 161 self-care children was provided by teachers, mothers, and the children themselves. The analyses of the data were conducted by t-test, correlation, and regression. Findings were that mother-care children had higher scores in grades, school adjustment and teacher relationship and lower depression and withdrawn behaviors than self-care children; after-school activities and peer support predicted the developmental outcomes of mother-care children; gender, autonomous ability, and behavior control predicted the development of self-care children.

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A Study on Development of Health Care Service for the Elderly - Focus on Rural Community - (농촌지역 노인에 대한 보건의료서비스 개발을 위한 연구)

  • Hyun In-Sook
    • Journal of Korean Public Health Nursing
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    • v.11 no.2
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    • pp.57-72
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    • 1997
  • The objectives of this study are : 1) To understand self-care ability, living habits, utilization patterns of medical facililties for the elderly in Puk-Cheju county which has the highest percent age of senior citizens among Cheju rural community: 2) To identify factors which influence living quality and long life for the eldely 3) To develop health care service with a view to guaranteering living quality The eldely population of Puk-Cheju county was $10.8\%$ in 1995. It will be increasing and is projeted $23.0\%$ by 2030. The result indicated that utilizations rate by out-patient were 5.89 claims and utilizations rate by in-patient were 0.17 claims per person. The highest disease among respondents were disease of musculoskeletal system and connective tissue. A total of 310 elderlys were responded to analyze self-care ability and health behavior. The most important factors of long life were to have peaceful mind$(50.0\%)$. The common disease of acute and chronic disease was musculoskeletal system disease. $66.8\%$ of respondents went to hospital and local clinic when they got sick. The most needed health care service was home visiting service among public health center, representing $31.4\%$. The repondent's self-care ability and self-efficacy were relatively superiority. A total of 92 elderlys were conducted the intelligence test for the rate of dementia and their average age was 74.3. The result of Minimental State Scale indicated that 25% of respondents were suspected to be dementia. The followings are recommendations based on the survey result. 1) Concidering every conditions of self-care ability and health status for elderly. It is important to embody appopriate health care service. 2) Considering concrete method, it is necessary to establish health service, which match health status and self-care ability, and various planning for sepecial facilities for the elderly. 3) It is desiable to make actual programs for the elderly in each community level. 4) It must be develop the better use of volunteers and programs for prevention of dementia. Finally, Concerning the orgarnization of public health center, community health center need to be reorganized for health service for the elderly. It is important to develop and operate health promotion for the elderly, and it is necessary to form the foundation for the support of facilities equipments. This contribute to promote health status for the rural elderly.

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Effect of Standardized Oral Health Care Program by Dental Hygiene School Students (표준화된 치위생학과 계속구강건강관리 프로그램의 효과)

  • Noh, Hie-Jin;Kim, Mi-Na;Ahn, Yong-Soon
    • Journal of dental hygiene science
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    • v.12 no.3
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    • pp.287-294
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    • 2012
  • The aim of this study was to investigate the effect of standardized oral health care program by dental hygiene school students. Target population was 100 University students who attended standardized oral health care program by a dental hygiene school students. Present study was conducted during first and second semester in 2011 at E dental hygiene school. We analysed students' oral health related knowledge, attitude, behavior, and self-oral hygiene care ability after the program. Univariate analysis, Chi-square test and paired t-test were conducted using SAS version 9.2. University students' who attended standardized oral health care program by dental hygiene school students oral health related knowledge, attitude, behavior, and self oral-hygiene care ability were significantly improved whether they have attended oral health related lectures or not(p<.05). It is recommended provide standardized oral health care program to university students by dental hygiene school students to promote their oral health related knowledge, attitude, behavior, and self-oral hygiene care ability.

Analysis of Adaptation and Self-Consciousness between Supervised and Unsupervised Children (가족구조에 따른 자기보호아동과 성인보호아동의 학교적응 및 자의식 정서)

  • Lee, Jung-Sook;Kim, Eun-Kyung
    • Journal of the Korean Home Economics Association
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    • v.46 no.2
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    • pp.85-96
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    • 2008
  • Given the evolving nature of the family unit, a large number of children are being left unsupervised after school. The purpose of this study is to understand the adaptation ability and emotional capacity of these children. To achieve this objective, we investigated the different characteristics of 708 middle-school students in Seoul, dividing them into two categories adult-care children, for whom adults provide care after school, and self-care children for whom no adult supervision was present. In particular, we examined children's adaptation to the school environment and possible self-consciousness difference between self-care and adult-care children, in consideration of their family characteristic; divorced, separated, widowed parent, remarried parents, ordinary families. The results showed that self-care children tend to have a higher rate of shame-proneness and guilt-proneness compared to adult-care children. Furthermore, self-care children exhibited lower school adaptation rate than adult-care children. There was no significant difference in schoolmate relationships between the two groups. In relation to specific family structures, children from reorganized families showed no significant differences in school adaptation and self-conscious, while self-care children from ordinary families revealed low school adaptation and high self-conscious characteristics. The results of this study are critical in the effective analysis and understanding of children's adaptive and emotional behaviors arising from changes in their family structure.

The Effects of a Self-care Management Program for Patients with Diabetic Foot Ulcers (당뇨병성 족부 궤양을 가진 환자의 자가 관리 프로그램 적용 효과)

  • Kim, Jung Yoon;Cheon, Eui-Young
    • Journal of Korean Biological Nursing Science
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    • v.18 no.2
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    • pp.78-86
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    • 2016
  • Purpose: Diabetic foot ulcers are significant problems in diabetes mellitus and often result in lower extremity amputation. This study was conducted to evaluate the effects of a self-care management program on Korean patient's self-efficacy, self-care behavior, size of the wound, and wound related pain. Methods: This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The intervention strategies of the self-care management program consisted of individual intervention (education, practice and demonstration), computer animation, and face-to-face counseling. There were thirty seven patients, and 20 were assigned to the experimental group while the other 17 were assigned to the control group. The experimental group was given a self-care management program. The control group received information on diabetic mellitus care by means of a leaflet. The data was analyzed using descriptive statistics, a chi-square test, an independent t-test, and a Mann-Whitney test. Results: There were significant differences in self-care behavior and wound related pain. Conclusion: A Self-care program is an effective way to increase patient's self-care ability. This program is highly applicable to diabetic foot ulcer patients in various settings.

Effects of Depression, Social Support of Tuberculosis Patients on Self-care

  • Lee, Go Un;Lee, Hye Kyung
    • Research in Community and Public Health Nursing
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    • v.33 no.4
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    • pp.456-464
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    • 2022
  • Purpose: The purpose of this study was by understanding the correlation between the depression, social support and self-care of tuberculosis patients and by identifying the factors that influence the self-care. Methods: The study subjects were 119 outpatients who were diagnosed with pulmonary and respiratory tuberculosis at a university hospital in D city. The survey questions measured depression, social support, self-care. Using the SPSS/WIN 23.0 program, the collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlations and multiple regression analysis. Results: As a result of correlation analysis, there was a statistically significant negative correlation between self-care and depression (r=-.53, p<.001), and there was a significant positive correlation between self-care and social support (r=.68, p<.001). Factors affecting self-care of the subjects were social support (β=.51, p<.001), depression (β=-.32, p<.001), drug discontinuation experience (β=-.30, p<.001) and drug resistance (β=-.14, p<.001). These factors explained 62% of the variance. Conclusion: In order to improve the self-care ability of tuberculosis patients, it is necessary to develop education and nursing intervention programs that can lower patients' depression and strengthen social support.

Evaluation of a Community Health Practitioner Self-care Program for Rural Korean Patients with Osteoarthritis

  • Lee, Chung Yul;Cho, Yoon Hee
    • Journal of Korean Academy of Nursing
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    • v.42 no.7
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    • pp.965-973
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    • 2012
  • Purpose: The purpose of this study was to evaluate a self-care program for elders with osteoarthritis managed by primary health care workers, Community Health Practitioners (CHPs), in rural Korea. Methods: The self-care program, consisting of 7 areas, was evaluated with a randomized experimental study for patients over age 60 with osteoarthritis in which 150 participants in the experimental group and 140 in the control group were compared. The self-care program was implemented for six weeks, 2 hours per week, at community health posts by CHPs. Data were collected using an interview questionnaire given by the CHPs and laboratory tests before and after the intervention for both groups. Propensity score matching analysis was done to test effectiveness after controlling for confounding variables. Results: The intervention group showed a significant decrease in the number of painful joints (p<.001) and a significant increase in self-care ability (p<.05) compared to the control group. Conclusion: Study results indicate that training and utilizing primary health care workers in rural areas is valuable in increasing the generalization and continuity of intervention programs. As arthritis should be managed life-long, CHP directed self-care programs are useful interventions for rural elders with arthritis to learn self-care management.

Health Pattern of Elderly According to Age Group Who Living Alone in an Urban Area (일 도시 독거노인의 연령 군별 건강양상)

  • Kang Hae-Young;Seo Nam-Sook;Kim Young-Hee
    • Journal of Korean Academy of Nursing
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    • v.34 no.6
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    • pp.1057-1068
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    • 2004
  • Purpose: This study was conducted to identify the differences of health patterns; health-related characteristics, health behaviors, health problems, and self-care levels of elderly, living alone in an urban area according to age roup. Method: The study design was a descriptive survey and the subjects were 1,800 elderly consisting of 937 young old, 704 middle old, and 159 old old. Data was collected from May to July 2003 using the structured questionnaire and analyzed by descriptive statistics, $\chi$$^2$-test, Fisher's exact probability test, ANOVA and Scheffe test using SPSS/PC. Result: The health related characteristics which involved body mass index, mental status, use of assistant devices, perceived health, concern of health, and social support were different among the groups and more aggravated by aging. Health behaviors and health problems were also significantly aggravated in the old old group. The self-care levels measured by ADL, physical activity, and self-care ability scores were also significantly decreased in the old old group. Conclusion: For the level of health status, health behaviors and self-care ability were significantly decreased by aging, health care services for the elderly should be planned considering the difference in the health pattern by age group.

Factors Influencing Self Care Performance in Patients with Parkinson's Disease (파킨슨병 환자의 자가간호수행에 영향을 미치는 요인)

  • Kim, Yu-Ri;Min, Hye-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.13 no.2
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    • pp.140-150
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    • 2010
  • Purpose: This study aims to find the factors that affect the degree of self-care performance in Parkinson's disease (PD) patients. Method: This study used a descriptive correlational design. The data were collected using a sample of 80 PD patients, from the university affiliated Parkinson Center in Busan. Pearson's correlations and multiple regression analyses were conducted using the SPSS 18.0. Results: The mean score of the self-care performance was 3.61 (${\pm}0.40$). The highest score observed of self-care performance subscale was medication subscale ($4.55{\pm}0.50$) and the lowest score was observed in the exercise subscale ($3.03{\pm}0.64$). The self-care performance had significant correlations with depression (r=-.32, p<.01), self-care knowledge (r=.28, p<.05), function of motion (r=.25, p<.05), ability of daily activity (r=.22, p<.05), self-efficacy (r=.24, p<.05), and support from medical staff (r=.24, p<.05). The significant predictors of self-care performance included depression (${\beta}=-.28$), status of employment (${\beta}=-.27$), self-care knowledge (${\beta}=-.21$), support from medical staff (${\beta}=-.28$), and educational level (${\beta}=-.28$), accounting for 34% of the variance in the self-care performance. Conclusion: Depression, self-care knowledge, medical support are significant predictors which affect the self-care performance with PD patients.

The Effect of Transient Tachypnea Newborn Care Simulation Learning on Nursing Students' Critical Thinking Disposition, Clinical Performance ability, and Self- confidence

  • Ju hee Hwang
    • International Journal of Advanced Culture Technology
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    • v.11 no.4
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    • pp.154-162
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    • 2023
  • The purpose of this study is to understand the effects of simulation-based practice education on critical thinking disposition, clinical performance ability, and self-confidence. Using the method of one-group pretest-posttest experimental research, this study selected total 70 nursing students (3rd year) as research subjects. The final research subjects were total 63 students excluding seven people with insufficient responses. From March to April 2023, total eight sessions of simulation practice education (4 hours per session) were conducted once a week. In the effects of the program, the critical thinking disposition, clinical performance ability, and self-confidence were measured. Using the SPSS Window Version 25.0, the critical thinking disposition, clinical performance ability, and self-confidence were analyzed through the mean, standard deviation, and paired t-test. In the results of this study, the critical thinking disposition (t=-10.61, p<.001), clinical performance ability (t=-3.06, p=.003), and self-confidence (t=-15.97, p<.001) were statistically significant. In the results of analyzing the correlations of clinical performance ability, and self-confidence after the simulation practice education, the learning satisfaction showed significantly positive correlation with immersion (r= .647, p<.001). The results of this study verified the improvement of critical thinking disposition, clinical performance ability, and self-confidence of nursing students after the simulation-based practice education. Thus, it would be necessary to develop the educational contents for various subjects, and also to expansively apply the simulation practice education.