• 제목/요약/키워드: The self-management program

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간호대학생의 감성역량증진 프로그램 개발 및 효과: 비동등성 대조군 전후설계 (The development and effects of an emotional competency promotion program for nursing students: A nonequivalent control group pretest-posttest design)

  • 강혜원;배정이
    • 한국간호교육학회지
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    • 제27권4호
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    • pp.369-380
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    • 2021
  • Purpose: The objectives of this research are to verify the development and effectiveness of a nursing student emotional competency promotion program that is important in professional nursing strategies for strengthening the psychological well-being of patients. Methods: This research was done by developing an emotional competency promotion program for nursing students according to the analysis, design, development, implementation, evaluation (ADDIE) model. Apply the program to students and evaluate their effects on their self-awareness, self-management, social awareness, relationship management and self-efficacy using a nonequivalent control group pretest-posttest design. The subjects of this research were 48 nursing students enrolled in the department of nursing of D College; 24 students were placed in the experimental group and 24 students were in the control group. The experimental group participated in the developed program from December 18, 2017 to January 12, 2018, for a total of 8 sessions. Each session was 120 minutes long. For data collection, a pretest, posttest 1 and 2 were performed using an independent t-test and repeated measure ANOVA using SPSS/WIN 22.0. Results: The experimental group who participated in the emotional competency promotion program showed higher self awareness (F=5.65, p=.005), self management (F=11.12, p<.001), social awareness (F=5.02, p=.009), relationship management (F=11.22, p<.001) and self-efficacy (F=14.24, p<.001) than the control group. These results were supported by a statistically meaningful difference in the time period and the interaction between the time period and the two groups. Conclusion: The study's findings indicate that the emotional competency promotion program developed through this study is effective at increasing the self-awareness, self-management, social awareness, relationship management and self-efficacy of nursing students.

대상자 중심의 만성질환 자가관리 프로그램: 고혈압, 당뇨병을 중심으로 (Client-Centered Self Management Program for Chronic Disease Patients: Focusing on Hypertension, Diabetes Mellitus)

  • 송연이;이강숙;조현영;이빛나
    • 보건교육건강증진학회지
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    • 제31권4호
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    • pp.93-106
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    • 2014
  • Objectives: The aim of this study was to develop the efficient program protecting shift to cerebrovascular disease as complication for patients with diabetes and hypertension. Methods: Chronic disease self management program(CDSMP), implement manual, action plan, Q&A card and motivation methods were suggested based on Bandura's social learning theory through reviewing various literatures and cases. Results: This program can increase self-efficacy, individual health behavior change and quality of life and it makes to continuous care of chronic disease. Conclusion: In order to operate chronic disease self-management program, standardized education courses training of specialist leaders and expert patients leaders would be required. And the development enlargement of self-management program for various other chronic disease such as arthritis, back pain, atopy, asthma would be required in the future.

뇌졸중 자조교실 프로그램이 재가 뇌졸중 환자의 질병 관련 지식, 자기효능감 및 자아존중감에 미치는 효과 (The Effects of Self-help Management Program on Knowledge about Stroke, Self-efficacy and Self-esteem in People with Stroke)

  • 장경오;박정연
    • 근관절건강학회지
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    • 제20권1호
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    • pp.1-9
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    • 2013
  • Purpose: The purpose of this study was to examine the effects of self-help management program on knowledge about stroke, self-efficacy, self-esteem and family support in people with stroke. Methods: With a quasi-experimental design, 44 persons with stroke were assigned into an experimental group (n=21) or a control group (n=23). The knowledge about stroke, self-efficacy and self-esteem were measured at both before and after the self-help management program. Date were analyzed with SPSS/WIN using descriptive statistics, t-test, and $x^2$-test. Results: There was a significant increase in knowledge about stroke, self-efficacy and self-esteem in the experimental group. Conclusion: Self-help management program can be an effective nursing intervention to improve the knowledge about stroke, self-efficacy and self-esteem for patients with stroke.

폐경관리를 위한 교육프로그램 개발과 그 효과에 관한 연구 (Development of an Educational Program for the Management of Menopause and It로s Effect)

  • 송애리
    • 대한간호학회지
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    • 제28권2호
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    • pp.280-290
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    • 1998
  • The two objectives of this study were 1) to develop an educational program based on the Self-Efficacy Theory(SET) of Bandura, and 2) to investigate the effects of the educational program on the management of menopause. The investigation process of this study was done in two phases. The first phase was to development an educational program through video tape. A telephone coaching program served as a follow-up to the educational video program and provided encouragement and support to the subjects. The second phase was the experimental stage. This experimentation was conducted to determine whether an educational program based on theory of Bandura would increase self-efficacy and management of menopause. Results : The developed video consisted of 2 parts. Part one discussed symtoms and management of menopause. Part two reflected the vicarious step-by-step success of middle-aged women's of menopause through the effective use of the 5 factors mentioned above. Telephone coaching program served as a followed to the educational video program and provided encouragement and support to the subjects. Total length of video is 32 minutes. Hypothesis stated in phase two were supported by the following result. Experimental group increased general-self-efficacy scores. Experimental group increased concrete-self-efficacy scores. Experimental group increased objective and subjective management of menopause scale.

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당뇨환자를 위한 웹 기반의 유헬스 자가영양관리 프로그램 개발 (Development of Web-based u-Health Self-nutrition Management Program for Diabetic Patients)

  • 안윤;배제헌;김희선
    • 대한지역사회영양학회지
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    • 제19권4호
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    • pp.372-385
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    • 2014
  • Objectives: The purpose of this study was to develop web-based self-nutrition management u-Health program for diabetic patients (DMDMG: Diabetes Mellitus Dietary Management Guide) for achieving systematic self-management of diet. Methods: The program consisted of five parts with different contents according to the results of needs assessment. Five major parts were 1) meal management part which contains calorie prescription, meals recording and dietary assessment, 2) prevention of disease part with information of diabetes and assessment of dietary behavior, 3) dietary behavior modification part with an education on dietary behavior modification plan and dietary behavior plan, 4) meal plan containing a training section for meal plan and self constructing part for meal planning by making tables, and 5) information about myself which composed with general and physical information. The system proposed in this study provides nutrients intake results right after input of diet intake, which is possible with simultaneous calculation of input data in the server with 3,495 food and 1,821 meal data base. The nutrients analysis program was evaluated with 26 diabetic patients with two-day 24 hr recall. Results: The differences of nutrients intakes between DMDMG and CANPRO 3.0 ranged from 13.5-16.5%, which was caused by the differences of databases of the two programs. The characteristics of DMDMG were; 1) it can provide an interactive tailored nutrition management, 2) it is a practical tool of diabetes nutritional management, 3) the program gives motivation for the dietary behavior modification. Conclusions: The effectiveness of whole program needs to be conducted, but the program was an innovative tool for self-management of nutrient intakes, diet behaviors, meal management and tailored nutrition education.

의사결정 틀을 이용한 만성 심부전 환자의 자기관리프로그램이 자기효능, 자기관리 이행에 미치는 효과 (Self-efficacy and Compliance in Patients with Chronic Heart Failure: The Effect of a Self-management Program using Decision Tree)

  • 김조자;김기연;장연수
    • 성인간호학회지
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    • 제16권2호
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    • pp.316-326
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    • 2004
  • Purpose: The purpose of this study was to identify effects of a self-management program on self-efficacy and compliance in patients with CHF. Hypothesis: 1) Patients with CHF who are provided with a self-management program will show higher self-efficacy scores than a control group. 2) Patients who are provided with a self-management program will show higher compliance scores than a control group. Method: This study was designed as a nonequivalent non-synchronized pre-posttest control group. There were eight patients in the experimental group, and twelve in the control group. According to NYHA classification, all patients belonged under the classesII to IV. Data were collected using the instruments developed by the researchers. Data were analyzed using descriptive statistics and Mann Whitney U test. Result: There were significant differences in self-efficacy scores and compliance scores between the experimental and control group. Conclusion: By utilizing the program, patients were able to monitor their symptoms routinely, comply with therapeutic regimen, and feel better able to positively influence their disease. Therefore, better compliance means fewer readmissions of patients with CHF.

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혈액투석 환자를 위한 통합적 관리 프로그램의 개발 및 효과 (Development and Evaluation of Integrated Management Program for Hemodialysis Patients)

  • 김보라;유하나
    • 가정∙방문간호학회지
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    • 제31권1호
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    • pp.66-76
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    • 2024
  • Purpose: This study aimed to develop and evaluate an integrated management program to enhance self-efficacy, compliance with sick-role behaviors, symptom management, and biomarker indication in hemodialysis patients. Methods: The integrated management program was developed through a systematic review of literature, analysis of relevant online data, and expert validation. It comprised 480 min of video-based education delivered eight times over four weeks, supplemented by weekly phone consultations and text message support from a nurse. To evaluate the program's effectiveness, it was administered to 44 patients with hemodialysis in a single group in a pre-post test experimental study. Changes in self-efficacy, sick-role behavior compliance, dialysis symptom index, and biomarkers were assessed. Results: The program yielded statistically significant improvements in self-efficacy (t=-7.13, p<.001), sick-role behavioral compliance (t=-7.35, p<.001), dialysis symptom index (t=4.32, p<.001), and blood urea nitrogen levels (t=2.55, p=.014) among the participants. Conclusion: The integrated management program is an effective intervention for improving hemodialysis patients' self-efficacy, compliance with sick-role behaviors, and experience of symptoms. Additionally, it is considered an intervention with high clinical applicability and efficiency through video reproducibility.

자활사례관리가 정서적 자활에 미치는 영향: 자활사례관리 수행에 대한 자활참여자의 인식을 중심으로 (Effects of the Self-Sufficiency Case Management on the Emotional Self-Sufficiency: Focusing on the Perceptions of Self-Sufficiency Program Participants)

  • 이은지;조준용
    • 디지털융복합연구
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    • 제17권2호
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    • pp.19-29
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    • 2019
  • 본 연구는 근로능력이 미약한 빈곤층을 대상으로 하는 자활사례관리가 자활참여자의 정서적 자활에 미치는 영향에 대한 실증연구이다. 이를 위해 이론적 개입관점과 참여자의 인식에 기반한 자활사례관리 척도를 구성하고, 춘천지역에서 시장형 및 비시장형 자활사업단 참여자 142명에 대해 대면 설문조사를 실시하였다. 이후 확인적 요인분석을 통해 자활사례 관리를 사회적 지지망과 임파워먼트 요인으로 구성한 뒤, 이에 따른 정서적 자활에 미친 영향을 분석하였다. 위계적 회귀분석 결과, 자활사례관리, 그중에서도 특히 사회적 지지망 유형의 사례관리가 자활 참여자의 정서적 자활에 영향을 미치는 것으로 나타났다. 그러나 사업단 유형에 따른 자활사례관리의 차별적 결과는 나타나지 않았다. 이러한 연구결과는 변화하는 자활환경에서 갈수록 강조되는 자활사례관리의 효과성에 대한 실증자료를 제공하고, 사업단 유형을 뛰어넘는 사회적 지지망 중심의 자활사례관리 확대의 필요성을 제기하고 있다.

골관절염 환자를 위한 타이치, 타이치-자조관리 및 자조관리과정의 효과 비교 (Comparing Effects of Tai Chi Exercise, Tai Chi Self-help Program, and Self-help Management Program for Osteoarthritis Patients)

  • 조경숙;강현숙;김종임;박원숙;송라윤;안양희;임난영;이인옥;최선하;한상숙
    • 근관절건강학회지
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    • 제14권1호
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    • pp.77-84
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    • 2007
  • Purpose: The purpose of the study was to compare the effects of Tai Chi exercise, Tai Chi self help program, and self help management program on arthritic pain, stiffness, fatigue and difficulties in performing daily activities in patients with osteoarthritis. Method: The pre-post experimental design was utilized with convenient sampling at Public Health Centers. Total of 38 subjects agreed to participate in the study with the inclusion criteria of being diagnosed as osteoarthritis and no previous regular exercise. The 12 subjects were assigned to Tai Chi exercise group, 13 subjects to Tai Chi exercise combined with self help management program, and the other 13 to self help management program. Tai Chi exercise group performed exercise twice a week for one hour per each session. Tai Chi self help management group came to the class twice a week, one hour for Tai Chi exercise, and another hour for self help management program. The third group came to the class once a week for one hour to participate self help management program. At the completion of 6 week programs, 10 subjects from Tai Chi exercise, 9 from Tai Chi self help, another 10 from self help management groups completed the post-test measures. The data were analyzed by SPSSWIN 11.0. The homogeneity tests for three experimental groups were conducted by $X^2-test$, Fisher's exact test, Kruskal-Wallis test. The final analysis of the post-test measures was conducted by ANCOVA with fatigue, pain, stiffness, and difficulties in daily activities of the pretest measures as covariates. Results: The results were as follows. There were no significant differences in fatigue, pain, and difficulties of daily activities among three groups for the pretest measures. The score of arthritic stiffness was significantly different among groups after controlled for covariates, but the post-hoc tests showed no group differences. Conclusion: The nursing interventions applied for osteoarthritis patients have been previously tested to show the cost effectiveness of symptoms management of this population.

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자가관리프로그램이 슬관절염환자의 신체기능 및 삶의 질에 미치는 영향 (The Effects of a Self-Management Program on Physical Function and Quality of Life of Patients with Knee Osteoarthritis)

  • 천의영
    • 대한간호학회지
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    • 제35권3호
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    • pp.514-525
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    • 2005
  • Purpose: This study was to examine the effects of a Self-management program on physical function and quality of life of women with knee osteoarthritis. Method: The participants for this study, who had knee osteoarthritis, were recruited from an arthritis clinic, at a university hospital located in S city, Korea between February 16, 2004 and June IS, 2004. Seventeen subjects in the control group received no intervention and 18 subjects in for experimental group received an individual Self-management program. The self-management program consisted of dietary education and home-based exercise; walking and resistance exercise. The subjects performed this program 5 times per week during 8 weeks and recorded a diary for diet and exercise. In order to verify the effects of the Self-management program, physical function and Quality of life as a dependent variable were measured at three points in time: before, week4 and week8 after the interventions. Result: There were significant increases on physical function (F=5.08, p=.002) and significant interaction effects (F=7.42, p=.002) in the intervention group over the three measurement points in time. In addition, there were significant increases on quality of life (F=8.08, p=.002) and significant interaction effects (F=4.89, p=.016) in the intervention group over the three measurement points in time. Conclusion: This study revealed that a Self-management program can be used as an efficient nursing intervention for women with knee osteoarthritis.