• Research in Community and Public Health Nursing
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• v.32 no.1
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• pp.86-94
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• 2021

Purpose: This descriptive study investigated the effects of self-efficacy and self-stigma on self-care in people with diabetes. Methods: The study included a total of 377 patients with diabetes enrolled in university hospitals in D city and public health centers in S city. Data were collected from 1 July to 31 August, 2017, and were analyzed using descriptive statistics, t-test, analysis of variance, Pearson's correlation coefficient, and hierarchical multiple regression. Results: Diabetes self-care was positively correlated with diabetes self-efficacy, whereas it was negatively correlated with diabetes self-stigma. Participants' education level, marital status, perceived health status, type of medication, self-efficacy, and self-stigma explained 42.4% of the variance in diabetes self-care. Conclusion: The findings indicate that diabetes self-efficacy and self-stigma are important factors for improving self-care in patients with diabetes. Therefore, systematic programs for enhancing self-efficacy and reducing self-stigma of these individuals should be developed.

• Journal of the Korea Fashion and Costume Design Association
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• v.14 no.2
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• pp.33-47
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• 2012

The purposes of this study were to investigate the differences of self-efficacy and appearance management behavior according to demographic variables, to disclose the relationship between self-efficacy and appearance management behavior, and to examine the characteristics that affect appearance management behavior of male and female college students. The research method was a survey method using a questionnaire. The subjects were 632 college students (male: 302, female: 330) living in Seoul area. Statistical analysis methods were factor analysis, Cronbach's ${\alpha}$-reliability coefficient, t-test, ${\chi}^2$-test, one-way ANOVA, Duncan's multiple range test, Pearson's product-moment correlation coefficient, and multiple regression analysis. The self-efficacy factor derived four categories including self-control efficacy, social self-efficacy, physical self-efficacy, and task difficulty preference. The college students who were in higher social stratification and older had more appearance management behavior, and those who had lower task difficulty preference and lower physical self-efficacy had more plastic surgery management. Both men and women who had higher self-control efficacy had more clothing management. Women who had higher self-control efficacy, social self-efficacy, and task difficulty preference had more appearance management expenses.

• Journal of Fisheries and Marine Sciences Education
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• v.28 no.3
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• pp.848-860
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• 2016

The purpose of this study was to help children with poor learning capacity to enhance their sense of self-efficacy by providing them the tea-culture education program. It had been executed for the target participants of 11 in 2012, 19 in 2013 and 24 in 2014 respectively during 3 years the participants who were recruited by 00 District office Dream start. The scores of pretest and posttest for the item of self-efficacy by gender did not show a significant meaning in 2012, while the scores of self-efficacy of female students were identified as higher than those of male students in 2013 and 2014. As the result of applying the tea-culture education program, there was no meaningful difference in the item of social self-efficacy among the sub-components of typical self-efficacy in 2013, but all has been revealed as improved in 2012, 2013, and 2014 including sub-variables such as learning self-efficacy, social self-efficacy and emotional self-efficacy as well as the general self-efficacy. Thus, the results of this investigation show that the tea-culture education program were effective in developing the self-efficacy of learning maladjusted children.

• Journal of the Korea Fashion and Costume Design Association
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• v.16 no.2
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• pp.163-175
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• 2014

The purpose of this study was to investigate the effect of self-efficacy and appearance interest on appearance management and clothing purchase behavior of new silver generation. The research method was a survey method using a questionnaire. The subjects were 300 new silver woman(aged from 50 to 64) living in the large city. Statistical analysis methods were factor analysis, Cronbach's ${\alpha}$ and multiple regression analysis. The results of this study were as follows. The self-efficacy factor divided into three categories including self-control efficacy, social self-efficacy and physical self-efficacy. And appearance interests were divided into four categories including weight control interest, outfit management interest, interest in clothing and disinterest in appearance. Self-efficacy had significant effect on various appearance interests. Especially physical self-efficacy was the important factor which could describe the appearance interests more effectively. Self-efficacy and appearance interests had significant effect on appearance management and clothing purchase behavior. Social self-efficacy could describe more appearance management behavior, while on the other side self-control efficacy could describe the clothing purchase behavior more effectively.

• Journal of Korean Academy of Nursing
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• v.29 no.5
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• pp.1087-1102
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• 1999

Diabetes mellitus, a universal and prevalent chronic disease, is projected to be one of the most formidable worldwide health problems in the 21st century. For those living with diabetes, there is a need for self-care skills to manage a complex medical regimen. Self-efficacy which refers to one's belief in his/her capability to monitor and perform the daily activities required to manage diabetes has be found to be related to self-care. The concept of self-efficacy comes from social cognitive theory which maintains that cognitive mechanism mediate the performance of behavior. The literature cites several research studies which show a strong relationship between self-efficacy and self-care behavior. Meta-analysis is a technique that enables systematic review and quantitative integration of the results from multiple primary studies that are relevant to a particular research question. Therefore, this study was done using meta-analysis to quantitatively integrate the results of independent research studies to obtain numerical estimates of the overall effect of a self-efficacy with diabetic patient on self-care behaviors. The research proceeded in three stages : 1) literature search and retrieval of studies in which self-efficacy was related to self-care, 2) coding, and 3) calculation of mean effect size and data analysis. Seventeen studies which met the research criteria included study population of adults with diabetes, measures of self-care and measures of self-efficacy as a predictive variable. Computation of effect size was done on DSTAT which is a statistical computer program specifically designed for meta-analysis. To determine the effect of self-efficacy on self-care practice homogeneity tests were conducted. Pooled effect size estimates, to determine the best subvariable for composite variables, metabolic control variables and component of self-efficacy and self-care, indicated that the effect of self-efficacy composite on self-care composite was moderate to large. The weighted mean effect size of self-efficacy composite and self-care composite were ＋.76 and the confidence interval was from ＋.66 to ＋.86 with the number of subjects being 1,545. The total for this meta-analysis result showed that the weighted mean effect sizes ranged from ＋.70 to ＋1.81 which indicates a large effect. But since reliabilities of the instruments in the primary studies were low or not stated, caution must be applied in unconditionally accepting the results from these effect sizes. Meta-analysis is a useful took for clarifying the status of knowledge development and guiding decision making about future research and this study confirmed that there is a relationship between self-efficacy and self-care in patients with diabetes. It, thus, provides support for nurses to promote self-efficacy in their patients. While most of the studies included in this meta-analysis used social cognitive theory as a framework for the study, some studies use Fishbein & Ajzen's attitude model as a model for active self-care. Future research is needed to more fully define the concept of self-care and to determine what it is that makes patients feel competent in their self-care activities. The results of this study showed that self-efficacy can promote self-care. Future research is needed with experimental design to determine nursing interventions that will increase self-efficacy.

• Research in Community and Public Health Nursing
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• v.10 no.2
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• pp.347-361
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• 1999

This study was undertaken in order to determine the relationship among a health locus of control. self-esteem. perceived health status. and health promoting behavior in order to determine factors affecting health promoting lifestyle in college students. The subject were 137 students of one university in Kyungsan. The analysis of data was done with a mean. percentage. Pearson correlation coefficient. and Stepwise multiple regression with an SAS program. The result of this study ware as follows: 1. Performance in health-promoting behavior was significantly correlated with self-efficacy and self-esteem 2. Performance in self-achievement was significantly correlated with self-efficacy, self-esteem, and perceived health status. Performance in health responsibility was significantly correlated with self-efficacy and self-esteem Performance in exercise was significantly correlated with self-efficacy and perceived health status. Performance in nutrition was significantly correlated with self-efficacy. self-esteem. and perceived health status. Performance in interpersonal support was significantly correlated with self-efficacy. internal locus of control. and self-esteem Performance in stress management was significantly correlated with self-efficacy, self-esteem. and perceived health status. 3. Self-efficacy was the highest factor predicting health promoting lifestyles. 4. Self-efficacy was the highest factor predicting self-achievement. health responsibility. exercise. nutrition. and stress management. Self-esteem was the highest factor predicting interpersonal support. From this research findings, we need to develop health promoting program and health education focusing on exercise, health responsibility for college students.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.19 no.1
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• pp.74-86
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• 2012

Purpose: The purpose of this study was to develop a comprehensive self-management program promoting self efficacy for Type 2 diabetic patients. Methods: The study was a methodological research design in which previous related research was reviewed to develop the comprehensive self-management program promoting self efficacy using self efficacy theory. Results: Comprehensive self-management programs promoting self efficacy included the whole range of eight self-management domains: diet, exercise, medication, self-testing of blood glucose, complication or foot, stress, time, and general health, and consisted of four sources of self efficacy: enactive mastery experience, vicarious experience, verbal persuasion, and physiological and affective states, as strategies to promote self efficacy. Developmental methods included, in addition to large and small group education, individual education or counseling, and telephone counseling. Conclusion: Further studies are needed in community health centers or hospitals to establish the effects on self-management compliance and glycemic control of the comprehensive self-management program promoting self efficacy.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.16 no.3
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• pp.307-315
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• 2009

Purpose: This study was done to investigate the relationship of self efficacy, self-directedness and practice satisfaction to clinical practice for nursing students. Method: The participants were 122 nursing students in clinical practice. They responded to questionnaires that included measures of self efficacy, self-directedness and clinical practice satisfaction. Results: The average self efficacy score was 3.70, self-directedness, 3.66 and clinical practice satisfaction, 3.44. Self efficacy showed a significant difference according to gender with men having higher scores (t=-2.82, p= .005). Clinical practice satisfaction showed a significant difference according to motivation for nursing (F=3.86, p= .011), and location of clinical practice (F=3.73, p= .006). Self efficacy had a significant positive correlation to self-directedness (r= .755, p< .001) and clinical practice satisfaction (r= .379, p< .001). Self-directedness had a significant correlation with clinical practice satisfaction (r= .412, p< .001). Conclusion: After clinical practice, self efficacy, self-directedness and clinical practice satisfaction in nursing students were relative higher. Self efficacy, self-directedness were affected by clinical practice satisfaction.

• Korean Journal of Adult Nursing
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• v.20 no.4
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• pp.526-536
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• 2008

Purpose: This study examined the effect of a self-help management program which strengthens self-efficacy on the self-efficacy and the activities of daily living(ADL) in stroke patients. Methods: A quasi-experimental nonequivalent control group, pre and post design was used. The subjects consisted of 47 stroke patients. Twenty-six patients were assigned to the experimental group and 21 patients were assigned to the control group. The self-help management program by strengthen self-efficacy and general hospital care were carried out on the experimental group. General hospital care was performed on the control group. The data was collected before and 5 weeks after the program. All subjects were questioned about the self-efficacy and ADL before and after the program. Results: The scores of the self-efficacy and ADL in the experimental group were higher than those in the control group. Conclusion: The self-help management program by strengthen self-efficacy is effective in increasing the self-efficacy and ADL. Therefore this program may be a useful intervention to increase the ADL in stroke patients.

• Korean Journal of Adult Nursing
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• v.14 no.1
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• pp.114-124
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• 2002

Purpose: This study was conducted to investigate whether a self-efficacy information resources program based on the self-efficacy theory of Bandura (1986) would increase self-efficacy and self-care in patients with CAD. Method: The study was a one group, pretest-posttest pre-experimental design research. The Self-Efficacy Information Resources Program was composed of a video tape program and a telephone coaching program and based on vicarious experiences and verbal persuation. The Program was used as an experimental treatment from February 27. to May 27, 1999. Twenty patients participated from a university hospital located in Seoul. Three days later after a pretest the telephone coaching program was given. It was repeated weekly during a 3 week period. At the end of this period post-test data were collected by mail. Data were analyzed with a random permutation test using SAS program. Result: 1) Scores on self-efficacy after the Self-Efficacy Information Resources Program were significantly higher than before the program (p=0.06). 2) Scores on self-care after the Program were significantly higher (subjective self-care, p=0.0005; objective self-care, p= 0.0002) than before the program. Conclusion: The Program was found to be an effective nursing intervention for increasing self-efficacy and self-care. When nurses who care for CAD patients plan to increase their patients' self care ability, they should always consider the concept of self-efficacy.