• Research in Community and Public Health Nursing
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• v.6 no.2
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• pp.234-249
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• 1995

Essential hypertension, one of the leading primary cause of death in Korea, is a typical chronic disease requiring adequate and continuous management. Though these hypertensives need to maintain desirable health practice by themselves for their life time, many previous studies indicated that most of the essential hypertensives have no specific symptoms and thus, reluctant to follow appropriate medical regimens causing the condition further aggravated and complicated. Thus the comprehensive self-regulation program was conducted as a nursing intervention on the promotion self-care 'performance and improvement in physical parameters of hypertensives. For this purpose, a one group quasi -experimental research with pre and post test design was used. And the whole program was carried out from October, 1993 to February, 1994. Self-regulation program was consisted with group education on hypertension and self-care, self-regulation including the blood pressure self-monitoring and recording, recording of daily self-care activities, and encouraging and reinforcing self-efficacy through verbal persuation and enactive attainment. The subjects were asked to measure their own blood pressure by themselves twice per day and to record blood pressure and the daily self-care performance according to the instructions provided during the whole period of 9 weeks. The data was analyzed by experimental stages: the first week, the fifth week, and the ninth week since the experimental imput began. Data were analyzed by the SPSS PC+ program with paired t -test and F-test, and multiple correlation to determine the variables affecting the effect of program. The results were as follows : 1) Subjects in J company were significantly lower diastolic blood pressure than K company after the program (t=2.39, p=.024). Level of cholesterol was significant difference according to position(t=2.23, p=.034), family history (t=-2.66, p=.013), diagnosis duration, and career(t=2.88, p=.055). Perceived self-efficacy was more significantly increased among the group with family history(t=-3.00, p=.013). 2) Before the program, there were significant positive correlation among the variables: internal-LOC and self-efficacy(r=.3952, p=.015), external-LOC and barriers (r=.6515, p=.000), chance-LOC and Barriers(r=.4133, p=.012). However there were significant negative correlation between internal-LOC and barriers (r=-.3236, p=.041, external-LOC and self -efficacy(r=-.3517, p=.028), self-efficacy and barriers(r=-.6654, p=.000). 3) There were significant relationships between changes in self - care performance and self-efficacy at 5th week (r=.5313, p=.001) and changes in self-efficacy at 9th week(r=.4586, p=.005). 4) After the program, internal health locus of control and perceived benefits showed significant correlation(r=.5673, p=.001, but perceived barriers was negative correlation with perceived self-efficacy (t=-4242, p=.01). From the above results, it can be concluded that the self-regulation program is an effective nursing strategy through the change of variables to promote self-care performance of hypertensives and to increase the self-efficacy. Thus this program can be recommended in the management of the hypertensives in workplaces and community settings.

• Journal of Korean Public Health Nursing
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• v.27 no.1
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• pp.50-63
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• 2013

Purpose: The purpose of this research was to develop and evaluate the effects of an empowerment program. Method: We developed an 8-week empowerment program to decrease cancer symptoms and increase self-efficacy, self-esteem, and empowerment. This program includes aspects concerning self-knowledge and management, self-help groups, self-advocacy, resource network, and laughter therapy. We evaluated the effects of this program on 32 home-based cancer patients (one group pretest-posttest design). The data collection was performed from August 22, 2011 to October 13, 2011. Data were analyzed using the SPSS/WIN 18.0 program. Result: There were significant differences in self-esteem derived from the empowerment program. However, there were no significant differences in cancer symptoms, self-efficacy, and empowerment after the program. Conclusion: More research, using a control group pretest-posttest design that considers an appropriate intervention duration, is needed to more accurately examine the effects of the program. We expect this intervention to improve the empowerment of home-based cancer patients.

• Journal of muscle and joint health
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• v.12 no.2
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• pp.97-108
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• 2005

Purpose: The purpose of this study was to identify the effects of Self-help group program including Elastic band exercise on ADL and ROM of hemophilia patient. Method: A quasi -experimental design was used. The subjects were 40 young adults with hemophilia (21 experimental group, 19 control group). The subjects of experimental group were participated self-help group program in which five sessions for 5 weeks. The program consisted of health education on hemophilia, elastic band exercise, and therapeutic recreation and its outcomes have been evaluated on ADL and ROM of extremities. The obtained data were analyzed by using the Mann-Whitney U test and ANCOVA of SPSS. Result: 1) The score of ADL increased significantly in the experimental group as compared to the control group. 2) The degree of range of motion of extremities improved in the experimental group as compared to the control group. Conclusion: Considering these research results, the program including elastic band exercise was effective in improving self-management ability and range of motion of extremities. Therefore this program including elastic band exercise could be implemented it as self-management for the hemophilia clients.

• Journal of Korean Academy of Nursing
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• v.41 no.2
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• pp.165-174
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• 2011

Purpose: This study was done to identify effects of a fall prevention program on physical fitness and psychological functions in community dwelling elders. Methods: A quasi-experimental study was carried out with a nonequivalent control group pre & post-test design. The program, which included exercises and education, consisted of a 12-week group program and an 8-week self-management program using a health calendar. An experimental group (32) and a control group (21) participated. Results: There were significant differences in SPPB (t=-3.92, p<.001), TUG test (t=4.94, p<.001), standing with right leg (t= -3.60, p=.001), standing with left leg (t=-3.74, p<.001), front and rear maximum step length test (t=-4.34, p<.001), right-left maximum step length test (t=-2.65, p=.011), and fall efficacy (t=-2.42, p=.019). Fall efficacy, fear of falling and depression showed significant differences following the 12-week exercise program and 8-week self-management program in the experimental group. Conclusion: Study findings indicate that the fall prevention program is an effective nursing intervention to enhance physical fitness and psychological functions for elders. Using a health calendar, the self-management program was more effective for psychological functions compared to only the group program. Therefore, health providers should develop diversified fall prevention programs which include motivation plans to encourage clients in participating.

• Child Health Nursing Research
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• v.23 no.1
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• pp.48-60
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• 2017

Purpose: This study was conducted to develop and test effects of a child health management program based on cooperative learning for mothers of preschool children. Methods: For this quasi-experimental study, a nonequivalent control group pretest-posttest design was used. Outcome measures were level of child health management self-efficacy, child health management practices, child's health behavior. Participants were 55 mothers (experimental group 28, control group 27). The program was composed of 6 categories of home health management for preschool children, and provided for three 120-minute sessions. Data were collected from September to October, 2015, at 3 times: baseline, 3 and 6 weeks after beginning the intervention. Data were analyzed using SPSS/WIN 21.0 program. Results: After 3 and 6 weeks, there were significant differences between the two groups in child health management self-efficacy (F=18.33, p<.001), child health management practices (F=8.91, p<.001), and child's health behavior (F=9.91, p<.001). Conclusion: Study findings indicate that this child health management program based on cooperative learning is effective and can be recommended as an intervention for mothers of preschool children. It will contribute to enhanced child health management self-efficacy and health management practices and improved child's health behavior.

• Journal of Industrial Convergence
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• v.20 no.9
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• pp.119-129
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• 2022

The purpose of this study was to investigate the relationship between self-management, stress coping, and physical self-concept of health exercise participants. To this end, a total of 274 questionnaire results were obtained by visiting 12 fitness center in the metropolitan area that is running a health exercise program. This was analyzed through the SPSS program, and the following results were obtained. It showed a significant explanatory power in the relationship between self-management and stress coping of health exercise participants. In addition, it also showed significant explanatory power in the relationship between self-management and physical self-concept. Finally, it showed significant explanatory power in the relationship between stress coping and physical self-concept. Through this study, it was found that there was a significant causal relationship between self-management, stress coping, and physical self-concept of healthy exercise participants. In follow-up studies, an in-depth analysis of self-management is required through the causal relationship with environmental factors related to self-management.

• Korean Journal of Adult Nursing
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• v.14 no.2
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• pp.306-314
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• 2002

Purpose: This study was intended to examine the effects of a telephone consulting program on self-efficacy and self-care in NIDDM patients. Method: Sixty-eight NIDDM patients participated. Thirty-six were assigned to the experimental group and received the telephone consulting program from one to two times per week for 4 weeks. This program was undertaken by base on small booklet relating to diabetic disease summary, diet, drug, exercise, foot management, prevention and treatment of complications, and insulin injection methods. Result: 1. Hypothesis 1 that "the experimental group who receives the telephone consulting program will have higher self-efficacy score than the control group who does not have the telephone consulting" was supported (t=5.12, p= .000). 2. Hypothesis 2 that "the experimental group who receives the telephone consulting program will have higher self-care score than the control group who does not have the telephone consulting" was supported(t=5.29, p= .000). Conclusion: The telephone consulting program improved self-efficacy and self-care in NIDDM patients. Accordingly, this program can be adopted as an effective nursing intervention in the care of the diabetic patients.

• The Journal of Korean Academic Society of Nursing Education
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• v.14 no.1
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• pp.12-19
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• 2008

Purpose: This study was performed to explore the effects of an admission-education program on knowledge, self-efficacy, self-care and glucose control in type 2 diabetes patients. Method: A single group pre-post test design was used. Twenty-one patients participated in this program during 6 days which consisted of education and practice about exercise, diet, self-care and prevention of complications. Variables at baseline, 3 months, and 6 months were measured. Results: Knowledge level, self-care level and self-efficacy were significantly increased over time after the admission-education program. The $HbA_1C$ level and glucose level in urine were significantly decreased over time after the admission-education program. Conclusion: The admission-education program can increase levels of knowledge, self-care, self-efficacy and decrease glucose levels. Therefore, this admissioneducation program was shown to have a positive effect on the management of diabetes.

• Women's Health Nursing
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• v.9 no.2
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• pp.152-160
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• 2003

The purpose of this study is to determine the effect of a health management program on body composition(body weight, body fat mass, body fat ratio, lean body mass, abdominal fat ratio), self-efficacy and health promotion behavior in middle-aged women. This 6-week long program containing exercise and health education was developed by researchers. The study design was one group pretest-posttest design. Data for the study was collected from August 1 to September 15, 2002. The participants consisted of 15 middle - aged women living in the community. The collected data was analyzed using Wilcoxon Matched - Signed - Ranks Test by SPSS/WIN program The results are as follows : 1. There was a significant difference in body composition at week 6 compared to week 1. The body weight, body fat mass and body fat ratio significantly decreased(Z= -2.533, p=. 011 ; Z= -2.023, p= .043; Z= -2.023, p= .043). But the lean body mass significantly increased(Z= -2.226, p= .026). 2.There was a significant improvement in self-efficacy at week 6 compared to week 1(Z= -3.434, p= .001). 3.There was a significant improvement in health promotion behavior at week 6 compared to week 1(Z = -3.305, p= .001). In conclusion, health management program promoting self - efficacy for middle-aged women was effective in improving health promotion behavior. Further study with a longer follow up period is necessary in order to test the long term effect of the program.

• Journal of Korean Academy of Nursing
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• v.30 no.4
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• pp.1066-1077
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• 2000

The purpose of this study is to develop self-efficacy promotion program and to test its effects on self-efficacy, self-care, physiologic index of hemodialysis patients after applying this program to them. Preliminary study was carried out to identify the levels and types of self-care, self-efficacy of hemodialysis patients. To develop self-efficacy promoting program, several discussions with nursing professors and nurse specialists on hemodialysis patients were made after in-depth literature review on the area. Through these processes, the self-efficacy promoting program including 20 minutes long videotape and other counciling documents were completed. This videotape consisted of specific self-care techniques for hemodialysis patients including management of fistula, measurement of blood presure and body weight, special diets, medications, exercise and rest, management of physical problems and social adjustment. Two group equivalent pre and post test quasai-experimental research design was used in this study. The total subjects were 34 hemodialysis patients who received hemodialysis three time per week at 1 university hospital. Seventeen experimental group subjects were matched with control group subjects in sex and age. Data were analysed with the SPSS window program. Homogeniety between experimental and control group pretest data was tested by x$^2$ and t-test. There were no significanct differences in general characteristics, illness history, specific self-efficacy and self-care between the two groups. The differences of general self-efficacy of two groups were tested with the Repeated Measure ANCOVA because of significant differences of pretest data of general self efficacy between two groups. The differences of self-efficacy and self-care of two groups were tested with Repeated Measure ANOVA and the differences of physiologic indecies including blood potassium level and blood phosphorus level and interdialytic weight gain were tested by t-test. The results were as follows: 1. There was no significant difference in general self-efficacy between the two groups over four different time, and no interaction by groups and by time. 2. There was significant difference in specific self-efficacy between the two groups over four different time, and interaction by groups and by time. 3. There was significant difference in self-care between the two groups over four different time, and interaction by groups and by time. 4. There were no significant differences of blood potassium level and blood phosphorus level, but there was significant difference of interdialytic weight gain between the two groups. From the results above, it can be concluded that the self-efficacy promotion program for hemodialysis patients was effective to improve degree of specific self-efficacy and self-care and to decrease interdialytic weight gain. Considering results, the followings are recommended: 1) Repeated studies are needed for another hemodialysis patients. 2) This program can be used for improving degree of self-efficacy and self-care of hemodialysis patients by nurse practitioner and nurse educator.