• Title/Summary/Keyword: group counselling

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Evaluation of a Premarital Counseling Program for Marital Adjustment (결혼생활 적응을 위한 결혼 전 상담 프로그램 효과검증 연구)

  • Kim, Mi-Kyoung;Song, Jung-Ah
    • Journal of the Korean Home Economics Association
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    • v.44 no.9
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    • pp.77-87
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    • 2006
  • This study focused on a premarital counseling program and examined its effectiveness. The program consisted of eight sessions and was conducted with twelve premarital couples: six in the experimental group and six in the control group. The results were as followings. First, the premarital counselling program influenced the relationships of the premarital couples such as communication, sexual attitude, conflict solution, financial management, openness, interpersonal trust, and intimacy. Second, the male group significantly improved more than the female group in the areas of communication, conflict solution, and sexual attitude. The effects of the program continued to be effective after three months.

The Effects of Solution-Focused Group Counseling on the Stress Response and Coping Strategies in the Delinquent Juveniles (해결중심 집단상담이 비행청소년의 스트레스 반응과 대처방식에 미치는 효과)

  • 고미자;유숙자;김양곤
    • Journal of Korean Academy of Nursing
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    • v.33 no.3
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    • pp.440-450
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    • 2003
  • Purpose: This study was conducted to examine the effects of solution-focused group counseling on the general stress, stress response and coping in the delinquent juveniles. Method: The subjects consisted of a convenience samlple of 60 delinquent juveniles who had been placed under probation in Kwang-ju, and recruited from Oct., 2000 to Dec., 2000. Solution-focused group counseling was conducted for the experimental group once a week for 120 to 180 minutes for 6 week. The control group received no group session. For both groups the level of general stress, stress response and coping were measured before and after the experiment. Result: General stress significantly decreased in the experimental group and increased in the control group, but showed no significant difference between the two groups. Stress response decreased significantly in the experimental group and increased in the control group, but showed no significant difference between the two groups. The problem-focused coping significantly increased in the experimental group and decreased in the control group, and showed a significant difference between the two groups. The emotion-focused coping significantly decreased in the experimental group and increased in the control group, and showed no significant difference between the two groups. Conclusion: This study showed that solution-focused group-counselling has a positive effect on variables like the general stress, stress response, emotion-focused coping and problem-focused coping. Further study needs to be conducted to verify results.

The Effect of (-)-Hydroxycitrate on Weight Control Program in Obese Women -I : Effect on Anthropometric Parameters- ((-)-Hydroxycitrate를 이용한 비만 여성의 체중 조절 프로그램 실시 및 효과 평가에 관한 연구(I))

  • 문수재
    • Journal of Nutrition and Health
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    • v.30 no.2
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    • pp.155-169
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    • 1997
  • This study investigated the effect of weight control by using the commercial appetite suppressant ((-)-hydroxycitric acid(HCA) formula) and nutrition education on 72 obese women over a period of 8 weeks. During the study it conducted nutritional education for women to control their weight, thus analyzed their changes in anthropometric variables. All obese women were randomized in a double-blind method to consume either HCA(HCA group : experimental group) or placebo(placebo group : control group). Two groups were also divided randomly into 2 groups combined with commercial formula diet in 1 meal a day(HD group and PD group : HCA + gormula diet and placebo + formula diet) or not(HO group and conducted with 4 groups(HD, HO, PD, and PO group). All subjects were assigned to consume 800-1500kcal/d balanced diet which is 500kcal less than their usual energy requirement. To evaluate the effect of the weight control program, weight, percent of body fat, waist and hip circumferences, and 5 skinfold thickness were measured up to 5 times in all obese women. The mean weight of the subjects at the onset of the study was 76.5$\pm$10.6kg. The mean body mass index(BMI) wa 30.1$\pm$3.8 and it was in the upper 5 percentile of mean BMI of Korean women. At the end of the program, mean weight loss was 3.5kg after 2 weeks(p<0.001), and 5.8kg after 4 weeks(p<0.001). The waist, hip ratio(WHR) and skinfold thickness measurements of biceps, triceps, subscapular, suprailiac and abdominum showed significant reduction over the entire study period(p<0.05). These outcome were evaluated by effect of nutritional education and counselling. The reduction of % of body fat was significantly different among the 4 groups. Women who administrated HCA demonstrated more change in weight, BMI than the placebo group. There was also significant reduction in body composition (% of body fat, WHR, and skinfold thickness) than the other groups. The HD group which was administrated HCA combined with formula diet was more decreased than other groups. It showed that this program using commercial HCA and formula diet induced not only a change in weight but also a change in body composition. The outcome of this study suggests that HCA has a more effctive change on weight control which is carried out with nutritional education and counselling.

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The Effects of Phone Counseling on Maternal Role in Primiperous Mothers (전화 상담이 초산모의 모성 역할에 미치는 영향)

  • Kang So-Jeong
    • Child Health Nursing Research
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    • v.7 no.4
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    • pp.405-420
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    • 2001
  • The main purpose of this study was to identify the effect of phone counseling carried out to promote the role of the primiperous mothers. The data were collected from march 20 to may 30, 1998. The subjects for the study were the mothers of 60 first bon neonates admitted to and discharged from Sam-sung Medical Center's neonatal ward. Thirty subjects were assigned to the experimental group and thirty to the control group. A measure of maternal identity as well as level of self confidence in taking care of an infant after giving birth was taken. Informational supportive nursing was then provided to the mothers through phone counseling for a total of four times at 2~3 days, 7~8days, 12∼13days and 18∼1days after discharged. The level of self confidence in taking care of an infant was then remeasured. The control group was not provided with supportive nursing through phone counseling instead the level of confidence in taking care of an infant was measured at 3 weeks. Taking previous study documentary evidence into consideration the researcher developed a supportive nursing telephone counseling program that provided both informational and emotional support suitable to primiperous mothers. A semantic differential scale developed according to Osgood and translated and adapted by Koh Hyo-Jung was used as the maternal self identity measurement tool. The tool used to measure self confidence in taking care of infant was the developed by Bak Mi Suk which includes 13 items from Pharis's self confidence scale The data were analyzed using χ²-test, t-test and paired t-test. The result of the study are as follows 1. First hypothesis The level of self confidence in taking care of an infant for the group of primiparas who received phone counseling in the postpartum period would be higher than that of the primiparas who did not receive phone counselling : As the experimental group's level of self confidence in taking care infants was significantly higher than that of the control group this hypothesis is accepted 2. Second hypothesis The level of maternal identity will be higher for the group of primiparas who received phone counseling than that of primiparas who did not received phone counseling As the experimental group's level of maternal identity was significantly higher than that of the control group this hypothesis is accepted In looking at the results of the study as a whole, it can be concluded that emotional and informational nursing support provided through phone counselling is an effective strategy in promoting the role of new mothers.

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Development and Evaluation of the Empowering A Self-Efficacy (EASE) Program for Children with Epilepsy (간질 아동의 자기효능 증진 프로그램의 개발 및 평가)

  • Yoo, Hana;Kim, Hee-Soon
    • Journal of Korean Academy of Nursing
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    • v.45 no.1
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    • pp.54-63
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    • 2015
  • Purpose: The purpose of this study was to verify effects of the Empowering A Self-Efficacy (EASE) program on self-efficacy, self-management, and child attitude toward illness in children with epilepsy. Methods: This was a quasi-experimental study with a non-equivalent control group pre-post test design. Participants were 10 to 15 year old children with epilepsy (11 in the experimental group and 10 in the control group) who were registered at one hospital in S city. The experimental group received the EASE program for 3 weeks. In the first week, a group meeting lasting 570 minutes was conducted on a single day. Over the next two weeks, telephone counselling was conducted twice a week. Data were analyzed using SPSS 18.0. Results: There was a significant difference of pre-post evaluation of the epilepsy self-management scores in the experimental group. However, differences between the experimental group and the control group for seizure self-efficacy and child attitude toward illness were not significant. Conclusion: This is the first study in Korea to develop and evaluate an intervention program for children with epilepsy. Further studies are needed to confirm the effects of the EASE program.

The Effects of Consultation Program upon the Mental Health of Female Victims of Domestic Violence and Psychological·Social Factors (상담프로그램이 가정폭력 피해 여성의 정신건강과 심리·사회적 요인에 미치는 효과분석)

  • Yu, Hae-Sun;Byun, Sang-Hae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.4
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    • pp.2511-2519
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    • 2015
  • This research was executed to develop a consultation program for female victims of domestic violence in the past and appraise its effectiveness. For the research, we selected 30 persons for an experimental group and a control group respectively, and practiced frequency analysis, reliability analysis, homogeneity check and T-test of independent sample by using SPSS 20.0 for Windows. The result of analysis is as follows. First, it was probed that the consultation program had the effect to improve the self-esteem of female victims of domestic violence, and reduce depression levels and anxiety. Second, it appeared that consultation program improved the psychological and social adaptation of female victims of domestic violence positively and cast an affirmative effect on the satisfaction of communication of subdivision and conflict-coping method. Therefore, it app[eared that this program had a close relation with the attitude etc. to solve the issues of interpersonal relations and communication of female victims of domestic violence. That is, it was verified that the program had the effect in that they escaped from the sequela of abuse and adapted themselves to mental society.

Development of Job Description of HIV/AIDS Counselling Nurse in Korea (에이즈 상담간호사 자격제도 개발을 위한 직무 분석 - 포커스 그룹 연구방법과 데이컴 기법을 중심으로 -)

  • Kwon, Young-Mi;Cho, Kyung-Mi;Joo, Hye-Joo;Kim, Sung-Jae;June, Kyung-Ja;Park, Eun-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.1
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    • pp.91-105
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    • 2009
  • Purpose: The aim of this study was to analyze the needs of HIV/AIDS care and to develop the job description of HIV/AIDS Counselling nurse in Korea. Methods: The needs assessment was done by focus group interview with HIV/AIDS care recipients who are 16 persons living with HIV/AIDS and four their family members, seven persons from HIV/AIDS high risk group, and five nurses working on HIV/AIDS clinics. Based on the result of needs assessment, job description was developed using the DACUM. Mail survey was done to identify the frequency, importance, and difficulty of duties, tasks, and task elements. Results: The job description was classified under 8 duties, 36 tasks, and 290 task elements. Duties were categorized as needs assessment, health promotion and quality of life, improvement of treatment compliance, symptom care, health education, resource network, administrative activity, and career development. The importance of all duties and tasks showed high score from the survey, but the frequency and the performance level were middle range. Conclusion: It is suggested that the special training program based on the job description needs to be developed. In the political aspects, the introduction of HIV/AIDS nurse specialist certification could be considered.

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A Comparative Study on the Effects of an Individual Intervention Program and a Group Intervention Program on the Demented Elderly and Their Families (치매환자 및 가족지지 프로그램 효과 연구 : 개별 및 집단프로그램 비교)

  • Oh, Jin-Joo
    • Research in Community and Public Health Nursing
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    • v.19 no.2
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    • pp.205-215
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    • 2008
  • Purpose: This study was to compare the effects of individual and group intervention programs on the demented elderly and their families. Methods: The programs were applied to two groups, one by home visiting and the other by group intervention. The groups were composed of 14 elders and 12 elders, respectively, with their families. The programs were applied twice a week, ninety minutes per session for four weeks. Programs consisted of cognitive therapy, music and art therapy, and massage for the demented elderly, education on dementia, cognitive-behavioral intervention for problematic behavior, methods to lessen stress, and counselling for the families. Results: AER, problematic behavior, QOL of pts and QOL, caregiving burden, and relationship with the pts of caregivers were improved after each program but not significantly except QOL of pts (Z=-3.37, p=.00) in the group intervention. When the two interventions were compared with each other, the group intervention program was more effective than the home visiting program in all variables but not significantly except QOL of pts (U=32.00, p=.00). Conclusion: In summary, both the individual and group intervention programs were helpful to both pts and families, and even though there was no statistically significant difference between the two intervention programs except in QOL of pts, the group intervention was more effective.

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A Survey on Clients' Home Care Satisfaction in Taejon City in Korea (일개 시지역의 가정간호 수혜자들의 만족도 조사)

  • Kim, Sun-Sook;So, Hee-Young;Lee, Tae-Yong
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.5
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    • pp.73-83
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    • 1998
  • This study enrolled one thousand five hundred twenty one clients that were receiving home care services at five health centers and a home care services center in the city of Taejon from November 17 through December 7, 1997. The purpose of this study was to analyze satisfaction levels, general characteristics and efficacies, of the client served home care. The main results were as follows; The age group of most of the subjects was 70-79 years: 76.9% of them were female and 87.3% were over 65 years. In education variables, over 90% of the clients were below primary school. In marital status variables, 63.4% of them had no spouse, 57.5% of them were widows and widowers. In living arrangement variables, alone(35.8%) was the most. In insurance status variables, medical aid(69.9%) was the most. In household income variables, below 000 won(72.6%) was the most. In hospitalization variables, 53% of the clients had no hospitalization. The satisfaction level of home care service of male and female was similar. The older the age, the higher the satisfaction level. The satisfaction level of the group having religion was higher than the group having no religion and the Christianity group had the highest satisfaction level(p<0.001). In education variables, the over high school group was the highest satisfaction level(p<0.01). In living arrangement variables, the other (sisters or neighbors etc.) group indicated the highest satisfaction level(p<0.001). In insurance status variables, the other group(except for medical aid) was the highest satisfaction level(p<0.001). In household income variables, below 390,000 won was the highest satisfaction level(p<0.001). In hospitalization variables, 'over 4 times' group indicated the highest satisfaction level (p<0.01). Home care took place more in health centers than in home care services center. In frequency of home care per month three times was the most. In opinion of home care frequency per month 82.8% of the people answered 'proper'. A lot of present illness was neuralgia, arthritis, digestive disease, hypertension & CVA. In contents of home care services variables, education & counselling was the most and medication was second. In duration of illness variables, over 10 years was the most. In place of treatment before home care service variables, hospital(57%) was the most. In illness condition after home care variables, 'moderate' was the most and 'much better'(85.5%) was second. In help of home care variables, 'much help'(71.5%) was the most and 'moderate'(28.1%) was second. In contents of counselling variables, treatment method of illness was the most. Home care services center indicated higher level of satisfaction than health center(p<0.001). In opinion of home care frequency per month variables, 'less' was the highest satisfaction level (p<0.001). In duration of illness variables, below one year was the highest and over 10 years was second(p<0.001). In place of treatment before home care service variables, health center was the highest (p<0.001). In illness condition after home care variables 'much better' was the highest and 'worse' was second (p<0.001). I n help of home care variables, 'much help' was the highest (p<0.001). In contents of counselling variables, cause of illness was the highest(p<0.001). According to the 14 items which consisted of 3 point scales the total level of satisfaction of home care service was very high, with total mean score 36. According to the above results, most clients taking home care services are satisfied. However, organization and a fund are required to support high quality home care services to those who need them. Furthermore, a follow-up survey should be accomplished to evaluate the status of clients.

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Job Analyses of Health Care Managers in Group Health Care System (보건관리대행사업에서 보건관리자의 직무분석)

  • Kim, Kyoo-Sang;Park, Chong-Yon;Roh, Jae-Hoon
    • Journal of Preventive Medicine and Public Health
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    • v.27 no.4 s.48
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    • pp.777-791
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    • 1994
  • For developing the Group Health Care System, health managers' job structure were analysed in the aspects of content, amount, and process. As a trial research, data were collected by a standardized job analysis table to 6 doctors, 40 nurses, and 11 industrial hygienists of Group Health Care System. Health care managers were performing complex and intellectual jobs such as healh education for workers, managing health care, conference as well as more simple jobs like as filling diary. Especially, job was consisted of general job and health care management job in the proportion of 1:2.18. The major general job were data management related with the health statistics, and major health care management jobs were managing health care, health counselling, environmental management of working sites. Each specific jobs were required differentiated intellectual capacity, creativity, autonomy, psychic stress, and physical work; most respondents perceived that health care management jobs should require more inputs than general jobs. Additionally job satisfaction and perceived need on specific Job items were anzlysed. Results of this research, suggested through the field experiences in working sites, should be considered for improving the Group Health Care System.

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