• Title/Summary/Keyword: Self-care activities

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Study on the Determination of Nursing Hours by Self-Care Status of Patients (환자의 신체기능적 능력(Self-Care Status)별 소요되는 간호시간 결정에 관한 연구)

  • 박정숙;김주희
    • Journal of Korean Academy of Nursing
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    • v.12 no.2
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    • pp.57-66
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    • 1982
  • This study was undertaken to delineate the relationship between numerical score and the amount of nursing hours required in the nursing process. Score was a numerical description of the patients functional nursing needs. Therefore this study focused on standard nursing hours required by patient's self-care status. This study observed the 62 patients and 15 R.N. in H. university hospital from Aug. 7, 1982 to Aug. 13, 1982. 1. For the first time, each head nurse assessed self-care status by Schoening's self-care score-Minimal care patient (self-care score: 23, 24) was placed in Group Ⅰ, intermediate care patient (self-care score: 11∼22) was Group Ⅱ, and special care score: 0∼10) was Group Ⅲ. 2. We observed and recorded the nursing care received from nurses according to patient's group. (8AM∼4PM) 3. And, We observed and recorded the activities of nurses in order to determine standard nursing hours required. (8AM∼4PM) 4. If we apply the content of paragraph 3 to paragraph 2, we will predict the number of patient that nurse can care during day time by self-care status. The following results were obtained: 1) Patient's mean self-care score were Group I : 23.9 score Group Ⅱ:17.8 score Group Ⅲ : 1.6 score 2) Nursing hours required by patient's physical function(self-care status) status were Group I : 35 min. Group Ⅱ: 47.5 min. Group Ⅲ : 104.6 min. 3) Nurse's nursing time and distribution required in nursing activities during day duty were A.D.L. : 84.3min. (17.56%) Functional nursing activities : 279.9min. (58.31 %) Education & Emotional support : 11.3min. (2.35%) Task unrelated patients : 54min. (11.25%) Non Productive nursing care : 50. 5min. (10.52%) 4) Mean nursing hours required by each patient and the number of patient that nurse can rare during day duty by self-care status were Group I : 38.6min. 11.1 patients/1 nurse Group Ⅱ : 51.1min: 8.4 patients/1 nurse Group Ⅲ: 108.2min. 4 patients/1 nurse It seems reasonable that this could be done effectively as each-unit has an established standard for hours required, This not only allows time for planning of staff but helps to avoid the very human inclination to predict excessive staffing requirements by placing the majority of patients in high care group.

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The Validity and Reliability of a Korean Version of the Summary of Diabetes Self-Care Activities Questionnaire for Older Patients with Type 2 Diabetes (제2형 당뇨노인을 대상으로 한 당뇨 자가 관리 측정도구(The Summary of Diabetes Self-Care Activities Questionnaire, SDSCA) 한국어 버전의 타당도와 신뢰도 검증)

  • Chang, Sun-Ju;Song, Mi-Soon
    • Korean Journal of Adult Nursing
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    • v.21 no.2
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    • pp.235-244
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    • 2009
  • Purpose: This research was carried out to evaluate the validity and reliability of the Korean version of the Summary of Diabetes Self-Care Activities Questionnaire (SDSCA) for Korean older adults with type 2 diabetes. Methods: Translation and back-translation were performed to develop the Korean version of the SDSCA. Then the Korean version SDSCA was applied to a sample of 112 older adults who had participated in diabetes self management education in Seoul. The internal consistency and the test-retest reliability were examined to test the reliability. Factor analysis was used to examine the construct validity. Results: The internal consistency measured with Cronbach's alpha was .77 and the total test-retest reliability was .68 with items ranging from .21 to 1.00. As the result of the factor analysis, six factors -foot care, diet, exercise, blood sugar test, medication, and smoking- were revealed as the original instrument subcategories. These six factors explained 81.17% of total variance. Conclusion: The reliability and validity of the Korean version SDSCA Questionnaire was supported for use in older patients with type 2 diabetes in Korea.

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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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The Effects of Self-Care Activities on the Physical and Mental Health of Primary Caregivers of Functionally Impaired Elderly (기능손상 노인을 돌보는 주보호자의 자기 돌봄 활동이 자신의 신체·정신건강에 미치는 영향)

  • Kim, Jeong Eun;Choi, Hae Kyung
    • Korean Journal of Family Social Work
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    • no.55
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    • pp.157-188
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    • 2017
  • The purpose of this study was to examine the effects of self-care activities on physical and mental health of primary caregivers of functionally impaired elderly. Data were collected from 185 primary caregivers who were caring for their spouses or parents with functional impairment at home in Daejon. SPSS 21.0 software was used for descriptive analysis and hierarchical regression analysis. The results showed that (1) primary caregivers reported their physical health status as poor (2) the domains of health responsibility, physical activity in their self-care activities were significant predictors of their physical health level (3) primary caregivers reported very high level of depression (4) their mental health was significantly influenced by spiritual growth among self-care activities. Based on these findings, social work intervention and policy suggestions were discussed.

A Study on the Degree of Self-care Activities of Stroke Patients, the Family Burden, and the Educational Needs of Primary Caregivers (뇌졸중 환자의 자가간호 수행과 가족 부담감 및 교육적 요구에 관한 연구)

  • Cho, Bok-Hee;Kim, Mi-Hyang;Seo, Nam-Sook;So, Hyang-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.2 no.2
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    • pp.243-256
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    • 1999
  • The purpose of this study was to identify the degree of self-care activities of stroke patients, the family burden, and the educational needs of primary caregivers. A descriptive survey research was conducted in 97 stroke patients and their respective primary caregivers. Data were collected by the interviews using a structured questionnare from July 26th to August 5th, 1999. NIH stroke status was $12.15{\pm}8.40$, the degree of self-care activities of stroke patients was $26.85{\pm}9.39$. The score of objective burden of primary caregivers was $31.24{\pm}4.81$ and subjective burden was $24.30{\pm}6.99$. The score of the educational needs was $89.78{\pm}9.99$. We present several imformations about clients from these scores as follows: The patients were convalescent and their depentant level of self- care was middle range; The objective burden was higher than the subjective burden; And the educational needs of family caregivers were very high. The Elain Mattis Educational Wants of Family Caregivers of Disabled Adults Questionnaire was used to assess the educational needs of primary caregivers of stroke patients. The results of this research are offered to help nurses understand the feelings of uncertainty about the new and unexpected role that family caregivers face and to help nurses meet the needs of families preparing to care stroke survivors at home.

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A Study of the Conditions of Cooperative Child-care Places in Jeju Self-Governing Province (제주 지역 공동육아나눔터 운영 실태 연구)

  • Cha, Sung-Lan
    • Journal of Family Resource Management and Policy Review
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    • v.22 no.2
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    • pp.1-24
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    • 2018
  • Communal places for parents to take child-care are very important in activating cooperative child-care(CCC). Therefore, Jeju Special Self-Governing Province has been operating Cooperative-Childcare-Places(CCPs) since 2016. This study analyzed the operational status of the CCPs and presented the model type to provide data for the activation of CCC. Qualitative analyses were applied to the results of interviews with 10 staff members. The common task they considered difficult was recruitment, and there was a big difference in the operation of the regular program depending on the competence of the staff in charge. The lack of support systems, such as education and consulting, has made it difficult for the staff to do their work. Additionly, four models of CCPs were found, a resident self-governing type, a workplace type, an institutional type, and a rural complex type. In conclusion, CCP spaces should be planned and facilities created with a focus on the needs of child-care activities. Second, the role of staff in helping to organize the parents' self-governing committee is crucial. Third, it needs to establish a support system to strengthen the capacity of the staff members.

The effect of the program for sensory activities devised to encourage spirituality on children self-efficacy (감각적 영성 활동이 유아의 자기 효능감에 미치는 효과)

  • Son, Eunhye;Kim, Youngjoo;Song, Yeonsook
    • Korean Journal of Childcare and Education
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    • v.6 no.2
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    • pp.117-133
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    • 2010
  • The purpose of this research is to find out whether children's self-efficacy can be improved by sensory activities devised to encourage spirituality. The survey involved 36 children aged 4 to 5. To measure the subjects' self-efficacy, Jeon Inok(1996)'s tool was used. The 18 members of the experimental group attended a program which was dedicated to promoting spirituality by using sensory activities. The program was administered three times a week for four weeks, totaling 12 sessions, each of which contained a type of activity and lasted about fifty minutes. To the 18 members of the control group, the standard child care curriculum was applied. The levels of the subjects' self-efficacy were measured twice, both in the same way, before and after the children participated in the program. The finding reveals that the program which was designed to boost children's spirituality through sensory activities has positive effect on children's self-efficiency - cognitively, socially, emotionally, and physically. The self-efficiency level in the experimental group significantly increased by t=7.17(df=34, p<.001) compared to the control group. So, it can be said that the program dedicated to improving spirituality using sensory activities is more effective than the standard child care curriculum.

Diabetic Neuropathy Symptoms and Self-Care Activities in Hypertensive Type-2 Diabetic Patients (고혈압을 동반한 당뇨병 환자의 자율신경병 증상과 자가관리활동)

  • Kim, Young-Hee;Cho, Ok-Hee
    • Journal of Home Health Care Nursing
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    • v.22 no.2
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    • pp.206-215
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    • 2015
  • Purpose: This study aimed to provide basic data to enhance self-nursing ability by investigating the symptoms of autonomic neuropathy and self-management activities in patients with diabetes accompanying hypertension. Methods: Subjects were 113 type-2 diabetic patients who were diagnosed as hypertensive in two primary medical institutions and taking anti-hypertensive treatments. The existence of postural hypotension was evaluated by blood pressure and pulse rate, and the subjective symptoms of autonomic neuropathy and self-management activities were checked by structured questionnaires. The collected data were analyzed by chi-square test, Fisher's exact test, t-test, Wilcoxon rank sum test and analysis of covariance. Results: Postural hypotension occurred in 4.4% of the subjects. Urinary frequency and dizziness during postural changes were the most frequent symptoms of autonomic neuropathy, and 57.5% of the subjects complained of symptoms in two or more domains. The group with autonomic neuropathy symptoms showed higher age, higher living stress, and fewer self-management activities in the diet and foot management domains as compared to the group without autonomic neuropathy symptoms. Conclusion: From these results, we learned that strengthening education on self-management for diet and foot management and customized interventions considering age and living stress are required through early identification of the symptoms of autonomic neuropathy in patients with diabetes accompanying hypertension.

A Survey on Health Promoting Lifestyle Patterns and Self-Care Activities of Patients with Rheumatic Disease (류마티스 환자의 건강증진 생활양식과 자기간호행위)

  • Sohng Kyeong Yae;Moon Jung Soon;Park Ho Ran;Lee So Young
    • Journal of Korean Public Health Nursing
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    • v.16 no.2
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    • pp.337-345
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    • 2002
  • This study was designed to explore health promoting lifestyle patterns (HPLP) and self-care activities and identify related variables of patients with rheumatic disease. One hundred fifty rheumatic patients were recruited from two university based rheumatic centers according to selection criteria. Collected data were analyzed using SAS program through which with a structured questionnaire. T-test. ANOVA, and Pearson correlation coefficients were tested. The results were as follows: 1. The mean HPLP score of the subjects was 2.71, showed significant differences with economic condition and educational level. The better economic condition and more educated, showed the higher HPLP score. 2. They showed the highest practices in nutrition(mean score=3.11), and the lowest practices in exercise(mean score = 1.99). 3. The mean self-care activity score of the subjects was 3.36, showed significant differences with economic condition and educational level. The better economic condition and more educated, showed the higher self-care activity score. 4. The HPLP score of the subjects showed positive correlations with self-care activity score(r= .66). Developing health promotion programs focused on exercise and stress management is recommended not only for better health practices of patients with rheumatic disease but also for enhancing their level of well-being and life satisfaction.

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Sex differences in Risk of Cardiovascular Disease, Depression and Self-Care Activities in Type 2 Diabetes with Metabolic Syndrome (대사증후군을 동반하는 당뇨병 환자의 심혈관 위험도, 우울과 자가 관리활동 - 성별비교 -)

  • Kim, Chun-Ja
    • Korean Journal of Adult Nursing
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    • v.20 no.1
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    • pp.33-43
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    • 2008
  • Purpose: This study was to investigate the sex differences in risk of cardiovascular disease(CVD), depression and self-care activities in type 2 diabetes with metabolic syndrome. Methods: The descriptive correlational design was conducted using a convenient sample. One hundred and twenty-nine diabetic patients with metabolic syndrome were recruited in a university hospital. The data were analyzed using descriptive statistics, the Pearson correlation coefficient, Students' t-test, one way ANOVA, and stepwise multiple regression with SPSS/WIN 12.0. Results: The risk of CVD in diabetic patients with metabolic syndrome indicated a significantly negative correlation to self-care activities and age, and positive correlation to waist_C, SBP, DBP and TG. The metabolic syndrome is associated with an approximate 1.7-fold increase in the relative risk in CVD in diabetic women. The main significant predictors influencing CVD risk of diabetes with metabolic syndrome were age, waist_C, SBP and TG, which explained about 29.7%. Conclusion: These results indicate that patients with diabetes with metabolic syndrome with a high degree of waist_C, SBP and TG are likely to be high in risk of CVD.

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