• 제목/요약/키워드: Self-management course

검색결과 166건 처리시간 0.031초

초등학교 비만아동을 위한 26주-비만관리프로그램이 비만지수와 자아존중감, 자기효능, 및 신체상에 미치는 효과에 미치는 효과 (Effects of the 26-weeks Obesity Management Program on Obesity Index, Self-esteem, Self-efficacy, and Body Image among Obese Elementary School Children)

  • 이진희;오상은
    • 한국산학기술학회논문지
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    • 제17권9호
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    • pp.83-93
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    • 2016
  • 본 연구는 초등학교 비만아동을 위한 '26주-비만관리프로그램'을 개발하여 비만지수(체질량, 체지방률, 중성지방)와 자아존중감, 식이자기효능, 운동자기효능, 신체상에 미치는 효과를 검정한 비동등성 대조군 전후설계에 의한 유사실험 연구이다. 연구대상자는 초등학교 4~6학년 학생 중 체질량 $20kg/m^2$ 이상인 46명 아동으로 실험군 23명과 대조군 23명이었다. '26주-비만관리프로그램'은 12주의 집중관리와 14주의 추후관리로 이루어졌다. 집중관리 12주 동안에 집단교육(비만, 운동, 영양)은 12회, 식이 및 운동은 36회, 심리상담은 5회 진행되었고, 이어서 추후관리 14주 동안에 집단교육은 3회, 식이 및 운동실천 점검 3회, 심리상담은 1회 실시하였다. 수집된 자료의 분석은 Kolmogorov-Smirnov test, chi-square test, Fisher's exact probability, t-test, ANCOVA를 사용하였다. 연구결과 실험군에서 체질량($20kg/m^2$), 체지방률(15-20%), 중성지방($90mg/d{\ell}$)이 정상기준치 이상이었으나, 실험군의 체질량(F=94.869, p<.001), 체지방률(F=37.361, p<.001), 중성지방(F=7.907, p= .007)이 대조군보다 유의하게 감소하였다. 이어서 실험군의 자아존중감 점수(F=19.661, p<.001), 식이자기효능감 점수(F=16.942, p<.001), 운동자기효능 점수(F=9.363, p= .004), 신체상 점수(F=9.782, p= .003)가 대조군보다 유의하게 더 높았다. 이러한 결과를 통해 본 연구에서 개발된 '26주-비만관리프로그램'은 초등학교 비만아동들의 비만지수와 심리적 변인의 관리에 대한 효과적인 간호 중재임이 확인되었다.

재가 뇌졸중 환자를 위한 자조관리프로그램이 일상활동, 근육 강도, 우울 및 삶의 만족도에 미치는 효과 (The Effects of Community based Self-help Management Program on the Activity of Daily Life, Muscle Strength, Depression and Life Satisfaction of Post-stroke Patients)

  • 김금순;서현미;강지연
    • 재활간호학회지
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    • 제3권1호
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    • pp.108-117
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    • 2000
  • Stroke is one of the leading causes of death in Korea. Because of their sequelae, strokes are categorized as a sudden-onset, constant course chronic illness which needs continuous efforts for rehabilitation. Unfortunately, there are few community based rehabilitation program for post-stroke patients who stay at home. The authors developed a community based selp-help management program for post-stroke patients to enhance their rehabilitation process. The program consists of five sessions and each session contains health education. ROM exercise, ADL training, and stress management like foot reflexology. A professor and two graduate students of nursing college coordinated the program. To test the effects of the program we conducted a 5 week program to the 10 conveniently selected post-stroke patients who were living in Kang-buk district of Seoul. The Questionnaires about ADLs, IADLs, depression and life satisfaction were asked to the all subjects before and after program. The hand grisp power and muscle strength of four limbs were measured at the end of each sessions. The analysis of data revealed that the program was effective to increase the ADLs, IADLs, and muscle strength and to decrease the depression levels of subjects. However, there was no significant difference between pre and post hand grisp power and life satisfaction. Because the program was effective to Improve the physical and psycholocial function of subjects, we suggest continual development and Implementation of community based self-help management programs.

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포트폴리오 과정 및 평가에 대한 학생의 만족도조사 (A Survey of Student Satisfaction with a Portfolio Process and Assessment)

  • 유동미;한재진;어은경
    • 의학교육논단
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    • 제16권1호
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    • pp.42-49
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    • 2014
  • The purposes of this study were to identify and analyze students' attitudes and satisfaction to the portfolio process and assessment for the Introduction to Clinical Medicine course at Ewha Womans University School of Medicine in Seoul, Korea. The subjects consisted of 64 medical school students. Questionnaires consisting of 20 5-point Likert-type items were developed, including three question domains: 1) orientation, 2) portfolios in general, 3) individualized feedback. The mean and median were found and frequency analysis was performed to identify the common characteristics of the participants. A major finding was that 54.7% of the respondents felt that the self-reflection involved in building the portfolio was a valuable learning experience. Plus, the majority of respondents perceived that the individualized feedback had a positive tone and its contents were specific, practical, and constructive. The students perceived that building and writing portfolios heightened their understanding of exit learning outcomes and enhanced their reflective thinking and self-directed learning skills. Meanwhile, some students perceived that there was too much paperwork in the portfolio process and that the process was time consuming. Furthermore, 32.8% of the respondents said that they had difficulty establishing their learning strategies by themselves and self-directing their learning during the portfolio process. In conclusion, it is expected that building a portfolio can help students not only to enhance their ability to accumulate and use their personal learning resources but also to develop the professional qualities required by doctors, such as self-directed learning, self-reflection, lifelong learning, team work, organizational skills, time management and prioritization, and professional thinking and behavior.

호텔.레스토랑 전공 대학생들의 자기효능감과 수학실력의 관계에서 수학불안의 매개역할에 관한 연구 (A Study on the Mediating Role of Mathematics Anxiety in the Influence of Self Efficacy on Mathematics Skills of College Students Majoring in Hospitality Management)

  • 김민정;김현정;김동진
    • 한국조리학회지
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    • 제18권4호
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    • pp.59-69
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    • 2012
  • 본 연구는 호텔 외식을 전공하는 대학생들의 자기효능감과 수학실력의 관계에서 수학불안이 갖는 매개역할을 조사하기 위해 수행되었으며, 이를 위해 Baron RM과 Kenny DA(1986)가 제시한 3단계에 걸친 일련의 회귀분석을 실시하였다. 본 연구는 미국 특정 대학 내 조리 관련 과목을 수강하고 있는 호텔 레스토랑 학과 학생들을 대상으로 진행되었다. 자료분석을 위하여 SPSS 19.0을 이용한 기술통계, 주성분분석, 신뢰도분석, 회귀분석이 사용되었다. 자료수집을 위해 자기효능감척도(GSES)와 수학불안척도(MARS)가 이용되었으며, 신뢰도분석 결과 내적일관성이 각각 ${\alpha}$=.906과 ${\alpha}$=.890으로 신뢰도가 높은 것으로 나타났다. 분석결과 자기효능감은 수학불안에 유의적인 음의 영향을 미치는 것으로 나타났다. 또한 자기효능감이 높은 학생들은 낮은 학생들에 비해 수학실력이 높은 것으로 나타났다. 그러나 수학 불안을 매개변수로 포함하여 분석한 결과 자기효능감이 수학실력에 미치는 영향은 유의적이지 않은 것으로 나타나 자기효능감과 수학실력 사이에 수학불안이 미치는 매개효과가 밝혀졌다.

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빅데이터 분석의 역량 강화를 위한 거꾸로 교실 설계 연구 (The Flipped Classroom Design for Capability Enhancement of Big-Data Analysis)

  • 정병호;김병초
    • 디지털산업정보학회논문지
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    • 제13권2호
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    • pp.127-145
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    • 2017
  • The purpose of this study is to empirical case study for the instructional design of flipped classroom by job-capability advancement of IT business majors. A student of IT business school has learned a lot of management educations for four years. But, they don't recognize a connection between school education and business practice. A subject based on the humanities, and social sciences consisted of mostly the memorization. The undergraduate class lack a practice's curriculum by a creative-oriented lesson rather than memorization-oriented. In particular, An IT business is now recognized as a significance emerging IT investment, the Internet of Things, information security, big data and strategy's ERP. For these reasons, it is important for an instructional design for understanding business practices of the students. Accordingly, Flipped classroom with participatory class be needed increasingly for students' practical sense. We will propose a design method of flipped classroom for inspiring business education. In this, new instructional design overturned traditional teaching method. After the student conducts a prior learn at home, school will accomplish a problem solving through question and answer. This design effected a boredom suppress and creative enforcement of student and an intimacy increase of instructor. In addition, A participatory class and reciprocal peer tutoring will be possible by a spontaneous self-directed learning of student. We were designed course of project type based on big data theory and application to target the fourth-year course. In conclusion, the new instruction provided a help to learning synergy between student and lecturer. During the lessons, the student showed improvement of business sense and enhanced problem solving capability. The lecturer has the intimacy through communication interaction with students.

체중감량 이후 장기적인 유지를 위한 다양한 행동전략 (Behavioral Strategies for Weight Loss Maintenance)

  • 조영혜
    • 비만대사연구학술지
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    • 제2권1호
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    • pp.6-10
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    • 2023
  • Compensatory changes in energy consumption and neuro-hormonal changes following weight loss make it difficult to maintain the reduced weight and may cause weight regain. Therefore, establishing a long-term weight control plan and strategy starting from the initial weight loss period is necessary. Both the patient and doctor should know that weight loss cannot occur continuously, and that maintaining weight after the weight loss period is the basic course of obesity treatment. No single dietary pattern is effective for weight maintenance, and a variety of dietary control methods - such as calorie restriction and healthy proportions of carbohydrates, proteins, fats, and meal replacements - should be used to target an integrated and healthy dietary habit. An increase in physical activity is needed for weight loss and maintenance; however, rather than recommending an excessive amount of exercise, it is better to set realistic and long-term achievable goals. It is necessary to reset the goal according to the patient's weight maintenance stage and continuously apply behavioral therapies, such as self-monitoring and stress management. In previous studies, since the degree of weight loss and changes in behavioral patterns over the course of one year were important factors in maintaining long-term weight loss, obesity therapists should closely examine patient data and behavioral patterns across a period of one year and actively intervene when needed.

대학 플립드러닝에서 수업성과에 영향을 미치는 요인과 학습실재감의 매개효과 규명 (Investigating factors influencing Educational Performanceand mediating effects of learning presence of University Flipped Learning Classroom)

  • 전정아;이정민;배윤주
    • 디지털융복합연구
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    • 제17권12호
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    • pp.1-11
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    • 2019
  • 본 연구는 대학 플립드러닝에서 수업 성과에 영향을 미치는 요인이 무엇인지 규명하고 학습실재감의 매개효과를 규명하는데 목적이 있다. 이를 위해 학습자 변인으로 자기조절과 학습실재감, 협력지향성을 선정하였으며, 학습성과 변인으로는 지각된 학업성취와 학습참여를 선정하였다. 변인 간 관계를 규명하기 위하여 대학생 39명을 대상으로 16주간 플립드러닝 수업을 실시하고 설문조사를 진행하였으며, 수집된 데이터를 다중회귀분석 및 매개분석으로 분석한 결과는 다음과 같다. 첫째, 학습실재감과 자기조절은 학습참여에 유의한 영향을 미치는 것으로 나타났으며, 더 나아가 학습실재감은 자기조절과 학습참여 관계를 유의하게 매개하는 것으로 나타났다. 둘째, 지각된 학업성취의 경우 학습실재감만이 유의하게 영향을 미치는 것으로 나타났다. 본 연구결과는 향후 대학 플립드러닝의 성과를 높이기 위해서는 자기조절, 학습실재감, 학습참여를 고려한 다양한 교수 학습전략이 필요함을 시사한다.

초등학생의 자기효능감과 건강증진행위와의 관계 (Relation between self-efficacy and health promotion behavior of elementary school students)

  • 강문정;박영수
    • 한국학교ㆍ지역보건교육학회지
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    • 제5권
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    • pp.43-70
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    • 2004
  • This research was conducted to provide basic document on efficient health promotion behavior program that elementary school students can use from elementary school course to enhance health promotion behavior for healthy life by checking out the degree of the most influential factor for health promotion behavior about elementary school students who establish lifelong health habit, and by checking out the relation between the degree of self-efficacy and health promotion behavior. The number of subjects of this research was 598. They were all elementary school students from the sixth grade students of the 5 cities of the Kyeong Nam province. We conducted questionnaires and did statistical analyses by using 592 papers which were suitable for date analyses with SPSS. The conclusions were as follows; A. The degree of self-efficacy The degree of self-efficacy of elementary school students was more than average. The degree of self-efficacy on physical activity was the highest and the degree of self-efficacy on self-fulfillment was the lowest. The degree of self-efficacy of girl students was comparatively higher than that of boy students. When their parents got higher education, made a lot of money and kept harmony with their children, the degree of self-efficacy became high. Furthermore, when their parents or themselves have a lot of interest in health, they feel that they are healthy, and they feel that they are satisfied with their bodies, the degree of self-efficacy was high too. B. The degree of health promotion behavior Although the degree of health promotion behavior of elementary school students was a bit lower than the degree of self-efficacy, it was higher than average. The degree of health promotion behavior on physical activity was the highest. But the degree of health promotion behavior on health of their own was the lowest. The degree of health promotion behavior between girl students and boy students was the same. When their parents got higher education, made a lot of money and kept harmony with their children, the degree of self-efficacy became high. Furthermore, when their parents or themselves have a lot of interest In health, they feel that they are healthy, and they feel that they are satisfied with their bodies, the degree of self-efficacy was high too. C. The relation between self-efficacy and health promotion behavior When the degree of self-efficacy was high, the degree of health promotion behavior was high too. So there was high positive relationship between self-efficacy and health promotion behavior. Physical activity showed the highest relationship. The order of strong relationship run as follows. Relationship with others, self-fulfillment, management of stress. The higher self-efficacy which was a recognizable factor on health behavior, the higher the degree of health promotion behavior. It is being revealed that many modem chronic diseases are cause by accumulated careless attitude on harmful health habit and lack of self-control. The behavior of keeping healthy and enhancing health is more firm when they have high self-efficacy which is believing their own conviction. So, When we teach elementary school students health promotion education at school, we should try to enhance their own self-efficacy rather than just instill simple information about health. By doing so, we can help them change their attitude on health. Then, they could enjoy life-long healthy life.

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융복합 의사소통 훈련 프로그램이 간호대학생의 의사소통 자기효능감, 의사소통 능력 및 대인관계에 미치는 효과 (Effect of the Convergence Communication Training Program for Communication self efficacy, Communicative competence, and Interpersonal relations of Nursing students)

  • 정추영;서영숙
    • 디지털융복합연구
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    • 제15권5호
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    • pp.271-280
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    • 2017
  • 본 연구는 융복합 의사소통 훈련 프로그램을 적용한 인간관계와 의사소통 교과목을 운영하여 간호대학생의 의사소통 자기효능감, 의사소통 능력 및 대인관계에 미치는 효과를 알아보고자 시도하였다. 연구방법은 비동등성 대조군 전후 설계의 유사실험 연구이며, 자료수집 기간은 2016년 9월 5일에서 12월 13일까지이다. 연구대상자는 D시 소재의 1개 대학교 1학년 중 실험군 41명, 대조군 42명으로 총 83명이다. 자료분석 방법은 SPSS/WIN 21.0 program을 이용하여 기술통계, ${\chi}^2$ test 및 t-test,로 분석하였다. 연구결과는 융복합 의사소통 훈련 프로그램을 적용한 인간관계와 의사소통 교과목 운영 실시 전후 두 집단 간 차이를 분석한 결과, 의사소통 자기효능감(t=15.23, p<.001), 의사소통 능력(t=11.42, p<.001) 및 대인관계(t=19.24, p<.001)는 통계적으로 유의미한 차이가 있었다. 이러한 결과를 바탕으로 인간관계와 의사소통 교과목 운영에 융복합 의사소통 훈련 프로그램을 적용하여 간호대학생의 의사소통 자기효능감, 의사소통 능력 및 대인관계 향상에 도움이 되기를 기대한다.

Cardiac dose reduction with breathing adapted radiotherapy using self respiration monitoring system for left-sided breast cancer

  • Sung, KiHoon;Lee, Kyu Chan;Lee, Seung Heon;Ahn, So Hyun;Lee, Seok Ho;Choi, Jinho
    • Radiation Oncology Journal
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    • 제32권2호
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    • pp.84-94
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    • 2014
  • Purpose: To quantify the cardiac dose reduction during breathing adapted radiotherapy using Real-time Position Management (RPM) system in the treatment of left-sided breast cancer. Materials and Methods: Twenty-two patients with left-sided breast cancer underwent CT scans during breathing maneuvers including free breathing (FB), deep inspiration breath-hold (DIBH), and end inspiration breath-hold (EIBH). The RPM system was used to monitor respiratory motion, and the in-house self respiration monitoring (SRM) system was used for visual feedback. For each scan, treatment plans were generated and dosimetric parameters from DIBH and EIBH plans were compared to those of FB plans. Results: All patients completed CT scans with different breathing maneuvers. When compared with FB plans, DIBH plans demonstrated significant reductions in irradiated heart volume and the heart $V_{25}$, with the relative reduction of 71% and 70%, respectively (p < 0.001). EIBH plans also resulted in significantly smaller irradiated heart volume and lower heart $V_{25}$ than FB plans, with the relative reduction of 39% and 37%, respectively (p = 0.002). Despite of significant expansion of lung volume using inspiration breath-hold, there were no significant differences in left lung $V_{25}$ among the three plans. Conclusion: In comparison with FB, both DIBH and EIBH plans demonstrated a significant reduction of radiation dose to the heart. In the training course, SRM system was useful and effective in terms of positional reproducibility and patient compliance.