• Title/Summary/Keyword: family-based intervention program

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Analysis of Psychosocial Factors Affecting Health Behavior Adherence among Community-dwelling Older Adults undergoing Percutaneous Coronary Intervention (관상동맥중재술을 받은 지역사회 거주 노인의 건강행위 이행에 영향 미치는 심리사회적 요인 분석)

  • Jeon, Hye-Won;Chang, Hee-Kyung
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.231-244
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    • 2020
  • This study is a descriptive research to analyze psychosocial factors affecting health behavior adherence among community-dwelling older adults undergoing Percutaneous Coronary Intervention. Data were collected with structured questionnaires from 126 patients discharged after hospitalization from a university hospital in J city, Gyeongnam, from July 15 to October 2 in 2018, and analyzed using SPSS/WIN 21.0. The result shows that the general characteristics, such as existence of spouse, education level, subjective health status, and subjective life satisfaction, have a significant influence on health behavior adherence. The research also identifies that medical support and resilience are positively correlated with health behavior adherence. In contrast, perceived stress, 3 sub-categories from perceived stress such as, family relations, anxiety and withdrawal, poverty and finance, and depression are negatively correlated. In the multiple regression analysis, resilience, perceived stress from poverty and finance, education level, and subjective life satisfaction explained 27.9% of health behavior adherence among older adults undergoing Percutaneous Coronary Intervention. Based on the results of this study, it is necessary to develop and apply a nursing intervention program to improve the health behavior adherence of local older adults who had Percutaneous Coronary Intervention.

The Effect of Education on the Knowledge and Attitude toward Child Sexual Abuse in Kindergarten Teachers in Korea (어린이 성폭력 예방 교육이 유치원 교사의 지식 및 태도에 미치는 효과)

  • Bae, Jeong-Iee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.2
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    • pp.254-263
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    • 2001
  • The Purpose of this study was to find out the effects of education for prevention of sexual abuse (rape, sexual assault, sexual harassment etc.) of children in kindergarten teachers. Incidences of sexual abuse in Korea is ranked 3rd in the world. Sexual abuse of children, particularly, is one of the most serious crimes that affect both the victimized children and their family. The issue related to sexual abuse of children has been ignored, and there is a lack of systematic education to prevent sexual abuse of children either for children or their parents in Korea. Furthermore, lack of knowledge and poor attitude of teachers limit their capability to provide education for sexual abuse prevention to the children. The education for kindergarten teachers may change their knowledge of the sexual abuse and their attitude toward it and improve their capability in helping children. 114 Korean kindergarten teachers participated in this study. Research design was one group pretest-posttest design. The education given to the subjects included 2 hours of lecture. The education program was developed based on a survey. Preschool-aged-children, parents, and teachers were interviewed to reveal their educational needs based on their experiences related to sexual abuse. This program includes such as safety education, crisis management, resource person(s), and phone numbers of available hospital. Data was collected before and after the education was given to the subjects, to assess their knowledge and attitude toward child sexual abuse. Two instruments were used in this study. Using Cronbach's ALPHA validity and reliability of 2 instruments were tested. The analysis of the data was done with Window SPSS 10.0 for descriptive statistics, t-test and ANOVA. The results of this analysis were as follows : 1. After education, the score of kindergarten teachers knowledge was higher than before (t=-4.409, p=0.002). 2. After education, the score of kindergarten teachers attitude was higher than before (t=3.065, p=0.003). The findings from this study will provide an intervention strategy for prevention of sexual abuse in children.

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A Meta Analysis on Variables related to Death Anxiety of Elderly in Korea (한국 노인의 죽음불안과 관련된 변인의 메타분석)

  • Kim, Sinhyang;Park, Kyung Sook
    • Korean Journal of Adult Nursing
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    • v.28 no.2
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    • pp.156-168
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    • 2016
  • Purpose: The purpose of this study was to provide basic data by surveying the literature for the past fifteen years (2001-2015). The focus of the search was death anxiety among the elderly. Methods: Sixty-two published works including graduate theses were selected for the Meta-analysis. Results: Study results showed that variables related to familial factors were the most often cited in the review of the manuscripts as relevant to death anxiety among the elderly. Specifically family support was most important. The other variables reported in the literature review were classified into four other groupings: social, physical, psychological, and demographics. The significant variable in the social grouping was religious activities, health promotion in the physical grouping and ego integrity in the psychological group. Conclusion: This study could provide effect sizes of variables based on materials, which are needed to make an intervention program that is related to death anxiety of the elderly. Since this study identified major variables as significant to death anxiety, several distinctions within these variables can be further studied as these relate to death anxiety.

Knowledge of Stroke Symptoms and Risk Factors among Older Adults (노인의 뇌졸중 증상과 위험요인에 대한 지식정도)

  • Han, Nam-Yi;Ko, Eun-Ah;Hwang, Seon-Young
    • Korean Journal of Adult Nursing
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    • v.21 no.3
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    • pp.314-323
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    • 2009
  • Purpose: This descriptive study was conducted to identify the level of knowledge of stroke symptoms and risk factors among older adults. Methods: A total of 200 older adults over 65 years of age were conveniently recruited from out patient departments of two hospitals and a health care center from October to November 2008. The level of knowledge was assessed using both open-ended questions and a structured questionnaire based on semi-structured interviews. Data were analyzed by t-tests and ANOVA using the SPSS program. Results: 52.5% of the sample had hypertension and 30% had diabetes. The mean knowledge scores for symptoms and risk factors were $8.4{\pm}3.1$ (out of 15) and $9.5{\pm}3.9$ (out of 16), respectively. The older adults who had lower education, lower family income, and who lived in rural areas were more likely to have less knowledge of stroke symptom and risk factors (p < .05). There was no significant knowledge difference between the older adults who had at least one risk factor and those who had no risk factor for stroke. Conclusions: Educational intervention should be focused on informing older adults who are at risk for stroke about the early symptoms and management of risk factors, especially those who have low education and low social status.

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Factors Influencing Smartphone Using Time among Korean Adolescents (청소년의 스마트폰 이용시간 영향 요인)

  • Lee, In Sook
    • Journal of Home Health Care Nursing
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    • v.25 no.2
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    • pp.197-208
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    • 2018
  • Purpose: This study investigated the smartphone using time, troubles with smartphone usage, and related factors in Korean adolescent smartphone users. Methods: Data were obtained from 54,603 subjects aged 13 to 18 years in the 2017 13th Korea Youth Risk Behavior Web-based Survey Results: The study analyzed the school type, academic achievement, residence type, weekly average allowance, and usual counselor, perceived stress, happiness, and depression of the subjects showed a significant difference in the variable of troubles experienced by the smartphone user. Multiple sample logistic regression analysis showed that adolescents with low academic achievement (weekday, weekend OR = 1.78, 1.65), low economic status (weekday, weekend OR = 1.17, 1.37), friends with distress counselors (weekday, weekend OR = 1.29, 1.24), weekly average allowance (weekday, weekend OR = 1.85, 1.50), stressed (weekend OR = 1.25), depressed (weekday, weekend OR = 1.26, 1.14), family troubles (weekday, weekend OR = 1.14, 1.15), friendship troubles (weekday, weekend OR = 1.70, 1.38), and academic performance troubles (weekday, weekend OR = 1.28, 1.38) spent more than the average using time on their smartphones. Conclusion: To prevent overdependence on smartphone use among adolescents, a nursing intervention program that relieves stress and lowers depression should be developed.

CVD-related Knowledge, Perception, Belief and Prevention Behaviors of Korean Blue-collar Workers: Needs Assessment for Developing the Intervention Program through Qualitative Approach (한국 생산직 근로자들의 심혈관질환 관련 지식, 인식, 신념 및 예방행위: 내용분석을 통한 심혈관질환 위험 감소 중재 프로그램 개발을 위한 요구사정)

  • Hwang, Won Ju;Park, Yunhee
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.4
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    • pp.362-372
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    • 2016
  • Purpose: This study intended to grasp real context of Cardiovascular disease (CVD)-related factors of Korean blue-collar workers, especially CVD-related knowledge, perception, beliefs, benefits and barriers of behaviors according to the health belief model. Methods: We interviewed twenty two workers working in two small-sized companies and performed two series of focus group interviews. Data were analyzed by deductive content analysis approach based on Elo & $Kyng{\ddot{a}}s$. Results: Excepting participants who have CVD risk factors, most participants had lower level of CVD risk perception. The level of CVD knowledge was low but there was difference by gender. CVD-related beliefs were 'fatal disease', 'caused by lifestyle' and 'difficult to prevent by themselves'. The risk reduction behaviors were motivated by current or family history of hypertension. But there were barriers to interfere practice of preventive behaviors such as poor quality of food provided by cafeteria in the workplace, frequent overtime, victim mentality as one of vulnerable social group, housework and financial burden, lack of facilities for rest and physical activity in the workplace. Conclusion: To develop intervention for reducing CVD risks in Korean blue-collar workers, we need to focus on improving CVD knowledge and perception and modifying work-related environments such as low quality of food and lack of facilities for rest and physical activity in the workplace.

A Study on the Effect of Caregiver Burden on Suicidal Ideation among Caregiver for the Elderly with Dementia (치매노인의 증상정도가 부양자의 자살생각에 미치는 영향에 대한 연구: 부양부담의 매개효과를 중심으로)

  • Kim, JaeYop;Kim, JoonBeom;Jang, DaeYeon;Song, InHan
    • 한국노년학
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    • v.36 no.3
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    • pp.883-903
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    • 2016
  • The purpose of the study is examining the mediation effect of caregiver burden's segmentalized sub factors between dementia caregivers on the relationship between Symptom extent of dementia patients and Suicidal Ideation of dementia caregiver, and suggesting social welfare intervention methods for dementia caregiver The survey is targeted to demented elderly people and caregivers, and currently using medical care institution and day care center in Seoul, Gyeonggi Province and Pusan city. As a result of the survey, 415 cases were collected for the final analysis. In data analysis process, we used SPSS 21.0 for the mediation effect of conversational satisfaction and its significance, and the results are following. First, 21% of the caregivers responded that they had thoughts of suicide in the past year. Second, Symptom extent of dementia patients was positively related to caregiver burden. Third, worse in family relationships, which is sub factors of mediate variable, has partial mediate effect on the model. Based on these outcomes, we suggest the importance and necessity of improved approach about dementia elderly and caregiver between elderly couple as way to reduce caregiver burden and proposed social work-based intervention program for enhancing this.

Factors Affecting the Life Satisfaction of Hemodialysis Patients by Gender (성별에 따른 혈액투석 환자의 삶의 만족도에 미치는 영향요인)

  • Cho, Yun-Hee;Park, Yeon-Suk
    • The Journal of the Korea Contents Association
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    • v.17 no.8
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    • pp.631-643
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    • 2017
  • The purpose of this study is to examine factors affecting the life satisfaction of patients with hemodialysis in order to improve the quality of life for patients with hemodialysis. The subjects of this study are 168 patients who have undergone hemodialysis treatment in the hemodialysis rooms in D-city and C-providence. The data are collected between August 20th to September 5th, 2015. By using SAS 9.3 statistics program for data analysis, frequency, ${\chi}^2$-test, variance analysis and multiple regression analysis are conducted. Based on the analysis, it is found that family support(t=5.33, p<.001) and self-efficacy(t=3.52, p<.001) are statistically significant to the quality of life for male patients. Family support(t=2.58, p<.012) and adherence to self-care(t=4.08, p<.001) are statistically significant to the quality of life for female patients. With the study results, it suggests that nurses can help improve the affective and psychological stability of patients with hemodialysis by recognizing the factors affecting the life satisfaction of patients with hemodialysis by gender, developing and utilizing a nursing intervention.

Subjective Health Status, Mental Health and Internet Addiction Tendency of Adolescents in Multi-cultural Families Compared to General Families (일반가정과 다문화가정 청소년의 주관적 건강상태, 정신건강과 인터넷 중독 성향)

  • Chae, Myung-Ock
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.383-393
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    • 2018
  • The purpose of this study was to examine impact of multi-cultural family on subjective health status, mental health and internet addiction tendency compared to general family in Korean adolescent. The data were derived from the 13th Korea youth risk behavior web-based survey 2017 in Korea and analyzed considering complex samples analysis. The subjects were general families 61,320(98.5%) and multi-cultural families 956(1.5%). Multi-cultural youth had higher rates of unhealthy and unhappy and the percentage of depression, suicidal ideation, weekday and weekend smartphone overdependence, experience problems with using smartphone in friend than general youth. In addition, suicidal ideation 1.270 times, weekday and weekend smartphone overdependence 1.359 times and 1.297 times respectively and experience problems with using smartphone in friend 1.603 times was increased in multi-cultural youth compared to general youth. Therefore, it is very meaningful that this study provided basic data of intervention program to improve mental health and internet addiction tendency of multi-cultural youth.

The Relationship between Health Belief.Self-efficacy and Exercise.Diet Compliance in Coronary Heart Disease Patients (관상동맥질환자의 건강신념 및 자기효능감과 운동 및 식이요법 이행과의 관계)

  • Nam, Myung-Hee;Kim, Chung-Nam;Oh, Yun-Jung
    • Research in Community and Public Health Nursing
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    • v.8 no.2
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    • pp.262-276
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    • 1997
  • This study evaluates the relationship between health belief. self-efficacy and exercise and diet compliance in coronary heart disease patients. The study subjects were 96 CHD patients who visited the outpatient clinic at 3 general hospitals in Taegu city from April 3, 1997 to May 3, 1997. Data was collected by the researcher and two registered nurses who work at a cardiac outpatient clinic. Face-to-face interview was conducted. Moon's health belief scale(l990) and Hicky and others' Cardiac Diet Self-Efficacy Instrument (CDSEI, 1992), Cardiac Exercise Self-Efficacy Instrument (CESEI, 1992) were used. The instrument developed by the researcher based on the reference review was used to measure exercise and diet compliance. The data were analyzed by using descriptive statistics, Pearson correlation coefficient, t-test, ANOVA, Tukey verification and Stepwise multiple regression with the SAS program. The results of this study were as follows; 1. The degree of health belief(score range: 1-4) perceived benefit: 3.06 barrier: 2.04 severity: 2.93 2. The degree of self-efficacy(score range: 1-5) exercise self-efficacy: 2.91 diet self-efficacy: 3.32 3. The degree of compliance (score range: 1-4) exercise compliance: 2.34 diet compliance: 2.95 4. The exercise compliance had a positive correlation with perceived benefit(r=0.5327, p=0. 0001), severity(r=0.2780, p=0.0061), exercise self-efficacy(r=0.6675, p=0.0001), and a negative correlation with barrier{r= -0.4236, p=0.0001). The diet compliance had a positive correlation with perceived benefit (r=0.6439, p=0.0001), severity(r=0.4244, p=0.0001), diet self-efficacy(r=0.6629, p=0.0001), and a negative correlation with barrier{r= -0.5098, p=0.0001). 5. According to pt's education level, (F=3.02, p=0.0336), received massage from mass media on exercise and diet(t=3.81, p=0.0002), presence of cardiac patients in the family members or friends(t=2.00, p=0.0478), created significant differences in exercise compliance. According to occuption(F=3.03, p=0.0215), hospitalized experience(t=4.59, p=0.0000), presence of chest pain(t=3.63, p=0.0005), there was also a significant difference in diet compliance. 6. The combination of exercise self-efficacy, perceived benefit and pt's education level explained 50.18% of the variance in exercise compliance. The combination of diet self-efficacy, perceived benefit and barrier explained 56.76% of the variance in diet compliance. On the basis of the above findings, the follow ing recommendations are suggested: 1. To promote the exercise. diet compliance for CHD patients, a well organized health teaching and nursing intervention program should be developed. 2. More research is needed to investigate other variables affecting exercise and diet compliance of CHD patients. 3. To promote self-efficacy and a positive health belief in CHD patients, a well organized and an approachable nursing intervention program should be developed. 4. Factors other than diet. exercise compliance should be evaluated to discover the impact on CHD patients.

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