• Title/Summary/Keyword: illness beliefs

검색결과 28건 처리시간 0.023초

한국 성인 남녀에서 지방섭취제한 행동 변화단계에 따른 영양상태와 건강관련 행위에 대한 신념 비교 (Comparison of Nutritional Status and Beliefs on Health Behavior Regarding Stages of change in Dietary Fat Reduction among Korean Men and Women)

  • 오세영;조미란;김진옥;조영연
    • Journal of Nutrition and Health
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    • 제34권2호
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    • pp.222-229
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    • 2001
  • This study describes the application of the stages of change construct to fat intake by examining the associations of the stages of change with nutritional status and beliefs on health behavior. Data were obtained from apparently healthy 596 adults(326 females and 270 males) residing in large cities. Stages of change assessed by an algorithms based on 6 items were designed each subject into one of the 5 stages: precontemplation(PC), contemplation(CO), preparation(PR), action(AC) and maintenance(MA). Beliefs on health behavior were assessed by self efficacy as well as 4 belief scales from the Locus of Illness Control(LIC) developed using factor analysis such as internal disease cure and prevention and external disease cure and prevention. Energy and fat intakes were measured by a 39 item short form food frequency questionnaire. Regarding the 5 stages of change, MA stage comprised the largest group(37.9%), followed by Ac(30.7%), PC(11.4%), CO(10.4%) and PR(9.6%). Subjects who were females, older or healthier were more likely to belong to either AC or MA. Stage assignment of individuals was corroborated by their nutritional variables. Those in PC had the most energy and fat and those in MA ate the least for females. BMI was higher in PR than any other stages for both males and females. Those in PC were distinctive in that they were more externally oriented in terms of health control showing higher scores on external disease prevention(for males) and external disease cure(for females), and lower score on internal disease cure. On the other hand, those in MA received the highest scores on internal disease prevention and self efficacy, which suggested that they were more internally oriented. Canonical discriminant function analysis indicated that the 5 stages were importantly discriminated by BMI, self efficacy, internal disease prevention and external disease prevention for males and by fat intake, self efficacy and external disease cure variables for females. The results of our study confirm differences in stages of change in fat intake in terms of nutritional status and beliefs on heath behavior and indicate the need for taking these phases of change into account in nutrition advice. (Korean J Nutrition 34(2) : 222-229, 2001)

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Patients with Cancer and their Relatives Beliefs, Information Needs and Information-Seeking Behavior about Cancer and Treatment

  • Kav, Sultan;Tokdemir, Gamze;Tasdemir, Reyhan;Yalili, Ayse;Dinc, Didem
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권12호
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    • pp.6027-6032
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    • 2012
  • Purpose: To identify cancer patient and relatives beliefs, information needs, information-seeking behavior and information sources about cancer and treatment. Methods: This research was conducted at two hospitals of a university. Data was collected via questionnaires and the Turkish version of the Miller Behavioral Style Scale (MBSS) to assess information-seeking behavior. The sample included 82 patients and 54 relatives. Results: Patients were receiving treatment mostly for breast, gynecologic, lung cancer and leukemia/ lymphoma. All of them indicated that they want to be informed by a doctor about their diagnosis and treatment first. Other information sources were internet, media and nurses. The majority of the patients and half of their relatives agreed that "cancer is curable and preventable disease". Only 2.5% of patients agreed with the statement "I don't want to get information about disease which disturbs me". According the data obtained from MBSS; the mean patients MBSS score ($6.41{\pm}3.2$) was higher than their relatives ($5.46{\pm}3.1$). Respondents with higher education and younger age indicated more information-seeking behavior. Conclusions: Patients and their relatives differ in some of their information-seeking behavior. Patients beliefs and their strategies for coping with their illness can constrain their wish for information and their efforts to obtain it. Healthcare professionals need to assess and be sensitive to the information-seeking behavior of cancer patients and their relatives.

한국인의 정신건강이해력 평가와 취약집단분석 (Mental Health Literacy and Vulnerable Group Analysis of Korea)

  • 서미경;이민규
    • 한국사회복지학
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    • 제65권2호
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    • pp.313-334
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    • 2013
  • 본 연구는 한국인의 정신건강이해력(MHL)을 평가하고 취약집단을 분석하기 위한 목적을 가지고 있다. 이를 위해 전국의 연령별, 지역별 인구비례에 따라 표집 된 성인 1,197명을 대상으로 정신분열병, 우울증, 알코올중독 사례를 무작위로 배정하여 각 사례의 정신질환 인식률, 원인에 대한 이해, 치료법과 치료자원에 대한 이해, 정신과치료에 대한 낙인을 조사하였다. 그 결과 우리나라의 MHL은 매우 낮음을 알 수 있다. 전반적인 인식률도 낮지만 특히 정신분열병에 대한 인식률이 매우 낮았다. 원인 또한 사회적, 생물학적 원인보다 개인적 원인을 선호하였고, 심리상담을 제외한 전문적 치료의 유용성을 자가 치료보다 낮게 인식하였다. 전문가 중에서는 정신과전문의의 유용성을 가장 높게 인식하였지만 이것 역시 가족보다 낮은 수준이다. MHL 취약집단을 분석하기 위해 군집분석을 실시한 결과 MHL이 높은 집단과 낮은 집단의 차이는 원인에 대한 이해와 치료방법과 자원에 대한 이해에서 나타났다. 낮은 집단의 특성은 남성이 많고, 60대 이상이며, 군 이하 지역에 거주하는 사람으로 분석되었다. 이러한 결과를 바탕으로 연구자들은 정부 주도하의 대중매체를 활용한 MHL 향상 프로그램을 제안하고 취약집단에 대한 우선적 개입의 필요성을 주장하였다.

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Beliefs, Attitudes, and Behavior of Turkish Women about Breast Cancer and Breast Self-Examination According to a Turkish Version of the Champion Health Belief Model Scale

  • Erbil, Nulufer;Bolukbas, Nurgul
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권11호
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    • pp.5823-5828
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    • 2012
  • Background: Breast cancer (BC) is one of the most common cancer affecting women worldwide. Although a great deal of progress has been made in the health sciences, early diagnosis, and increasing community awareness, breast cancer remains a life-threatening illness. In order to reduce this threat, breast cancer screening needs to be implemented in all communities where possible. Objective: The purpose of this study was to examine health beliefs, attitudes and behaviors about breast cancer and breast self-examination of Turkish women. Methods: Data were collected from a sample of 656 women, using an adapted Turkish version of Champion's Health Belief Model Scale (CHBMS), between January and May 2011, in Ordu province of Turkey. Results: The results showed that 67.7% of women had knowledge about and 55.8% performed BSE, however 60.6% of those who indicated they practiced BSE reported they did so at irregular intervals. CHBMS subscales scores of women according to women's age, education level, occupation, family income and education level of the women's mothers, family history of breast cancer, friend and an acquaintance with breast cancer, knowledge about breast cancer, BSE and mammography were significantly different. Conclusion: Knowledge of women about the risks and benefits of early detection of breast cancer positively affect their health beliefs, attitudes, and behaviors. Health care professionals can develop effective breast health programs and can help women to gain good health behavior and to maintain health.

정신장애인의 사회적 거리감에 대한 수정된 귀인정서모형 적용 - 정신장애 유형별 모형비교 - (A Modified Attribution-Affection Model of Public Discrimination against Persons with Mental Illness -Model comparisons among schizophrenia, depression and alcoholism-)

  • 박근우;서미경
    • 한국사회복지학
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    • 제64권4호
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    • pp.209-231
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    • 2012
  • 일반적으로 정신장애에 대한 반낙인 프로그램들은 '정신장애가 다른 신체질환과 마찬가지로 생물학적 장애'임을 강조한다. 이는 귀인정서이론에 근거한 것이다. 그러나 본 연구는 선행연구들을 바탕으로 정신장애 원인을 생물학적 원인과 같은 통제 불가능한 것으로 귀인 하는 경우, 통제 가능한 것으로 귀인하는 경우와 마찬가지로 분노와 두려움이라는 정서를 매개로 사회적 거리감을 증가시킬 것이라는 수정된 귀인정서 모형을 제안하였다. 모형의 적합도를 높이기 위해 모형수정 작업을 통해 최종 수정된 귀인정서모형을 선택하였다. 최종모형의 경로를 분석한 결과 모든 경로는 통계적으로 유의하여 정신장애의 원인을 통제 가능한 것으로 보는 경우와 통제 불가능한 것으로 보는 경우 모두 두려움과 분노를 매개로 사회적 거리감을 증가시키는 것으로 나타났다. 이러한 모형이 정신분열, 알코올중독, 우울증 사례에 동일하게 적용되는지를 알아보기 위해 다집단분석을 실시한 결과 세 집단 모두에 동일하게 적용된다는 전제가 적합한 것으로 나타났고 경로계수의 강도와 크기 역시 유사하게 적용되는 것으로 나타났다. 그러나 전체 모형과 달리 정신장애를 통제 가능한 것으로 인식하는 경우 두려움을 매개로 사회적 거리감을 증가시키는 경로는 통계적으로 유의하지 않았다. 따라서 통제 가능한 원인으로 보는 경우 분노를 매개로 사회적 거리감을 증가시키지만 통제 불가능한 원인으로 보는 경우 두려움을 매개로 사회적 거리감을 증가시키는 것을 알 수 있다. 이를 바탕으로 연구자들은 의료적 모델로 대중을 교육하는 편견극복방법에 수정이 필요함을 지적하였다.

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화병의 간호학적 개념 (The Concept of Hwa-Byung in Nursing)

  • 김순용
    • 대한간호학회지
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    • 제29권6호
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    • pp.1221-1232
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    • 1999
  • The purpose of this study was to study how nurses interpreted the meaning of Hwa-Byung. It was carried through a review of literature, and the result is expected to explore ways that nursing intervention can promote the understanding of Hwa-Byung. The literature review focused on cultural psychology and psychiatrists' views toward Hwa-Byung. After that, it was reconfirmed concept of Hwa-Byung in nursing devived from historical analysis of the examples of Hwa-Byung from a true record of the Cho-Sun Dynasty(CD ROM, 1997). Characteristics of patients with Hwa-Byung include 'Hwa', an aspect of somatization, and self-diagnosing. It also could find that Hwa-Byung is characterized as 'Hwa', 'somatization' and 'self-diagnosis(subjectiveness)' according to a true record of the Cho-Sun Dynasty(CD ROM, 1997). The conceptual definition of 'Hwa', 'somatization' and 'self-diagnosing (subjectiveness)' are as follows. The core concept of Hwa-Byung, 'Hwa,' has the property of 'fire', and equals the feeling of injustice. Hwa-Byung means congestion of 'Hwa'. Therefore Hwa-Byung is the accumulation of being mistreated and mortified. The feeling of mistreatment comes from subjective experiences, which cannot be in harmony with the values, beliefs and rights of the patients. The situations that they have to endure again and again, though they are the sufferers, connote suppressed aggression and powerlessness endured over time. Suppressed aggression subordinated hostility, hatred and revengeful thoughts; powerlessness subordinates frustration, resignation, and fatalism. Somatization is another form of expressing 'Hwa' through physical symptoms. The somatization of clients with Hwa-Byung plays a role in expressing non-verbalized and suppressed emotions within themselves. The clients who experiences Hwa-Byung think that they know the cause of their illness and self-diagnose their problem as Hwa-Byung. Therefore, the feeling of unfairness which is the premise of Hwa-Byung infers 'subjectiveness' In conclusion, nursing's concept of Hwa-Byung is the accumulation of feelings of being mistreated and mortified. Hwa-Byung is the internalized 'Hwa' from enduring again and again. The feeling of being mistreated comes from subjective judgements about unfairness that cannot be harmonized with the clients' values, beliefs and rights. Those who can express their 'Hwa' only through their bodies imply suppressed aggression and powerlessness.

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Beliefs and Attitudes toward Physician-assisted Suicide among Korean Adults

  • In Cheol, Hwang;Jung Hun, Kang;Won-chul, Kim;Jeanno, Park;Hyun Sook, Kim;DaeKyun, Kim;Kyung Hee, Lee
    • Journal of Hospice and Palliative Care
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    • 제25권4호
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    • pp.198-203
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    • 2022
  • Purpose: To grasp public opinion accurately, we conducted an opinion poll on beliefs and attitudes toward physician-assisted suicide (PAS). Methods: A randomized telephone survey ensuring a representative sample was conducted, 1,007 participants aged 18 years or older (response rate, 9.5%). Results: The main results are as follows: i) 61.1% of participants thought that the current social support system for terminally ill patients and their families is insufficient; ii) 60% of participants did not recognize the term "hospice and palliative care"; iii) 81.7% of participants would not like to receive life-sustaining treatment if there is no possibility of recovery; iv) 58.4% of participants would like to receive hospice and palliative care if they are diagnosed with a terminal illness; v) the priorities for dignified dying were preparing a support system to reduce the burden of care (28.6%), economic support including reduction of medical expenses (26.7%), expansion of hospice and palliative care services (25.4%), and legalization of PAS (13.6%); and vi) 58.3% of participants agreed that the expansion of hospice and palliative care should precede the legalization of PAS. Conclusion: Koreans currently want other efforts, including expansion of hospice and palliative care services, instead of the legalization of PAS.

한국 성인당뇨병 환자의 식생활에 관한 문화기술적 연구 (An Ethnographic Study on Eating Styles of Adult Diabetics in Korea)

  • 홍영혜;조명옥;태영숙
    • 대한간호학회지
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    • 제35권2호
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    • pp.313-322
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    • 2005
  • Purpose: The purpose of this study was to explore adult diabetics' eating styles and factors which influence them. Method: The study adopted an ethnographic method based on a perspective which views the eating style as a cultural phenomenon. Data was collected through a personal interview, participant observation, and documented materials from Oct.2001 to Sept. 2002. In this study, fifteen adult diabetics, with an average age of 57, participated. Data analysis was done by the Spradley's taxonomic analysis technique. Result: The patients' eating styles were rooted in their viewpoint on illness as well as the meaning of food. Eating styles were classified into 4 types: Pathology-centered, symptom-centered, need-centered, and role-centered. Conclusion: A conventional approach to the treatment and management of diabetes did not consider the patient's inner world which may play an important role in the successful management of the disease. We found that it was critical for health care personnel to understand patients' values, beliefs and their way of life in order to facilitate the most successful self-care diet.

암 환아 부모의 경험에 대한 질적 연구 (The Experience of Parents Whose Child is Dying with Cancer)

  • 조영숙;김수지
    • 대한간호학회지
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    • 제22권4호
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    • pp.491-505
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    • 1992
  • The purpose of this research was to understand the structure of the lived experience of parents of a child terminally ill with cancer The research question was “What is the structure of the experience of parents of a child terminally ill with cancer\ulcorner” The sample consisted of 17 parents of children admitted to the cancer units of two university hospitals in Seoul. The unstructured interviews were carried out from October 10, 1991 through January 10, 1992. They were audio-recorded and analysed using Van Kaam's method. Parents ascribed the cause of the cancer to the mother's emotional imbalance during pregnancy, the mother's stress, failure to observe religious rites, food, the parent's sin, misfortune and pollution. The theme clusters were tension, fear and depression experienced during pregnancy, stress that children suffer from abusive parents, failure to observe religious activites, bad luck, and sins committed during a previous life. When the child suffered a recurrence of cancer, the parents experienced negative emotions, nervousness, sorrow. depression and death. The theme clusters were feelings of despair, helplessness, regret, guilt, insecurity, emptyness and apathy. The long struggle with cancer resulted in the loss of economic security, loss of psychological and physical well being, and social withdrawal. The theme clusters were the economic burden of medical cost, giving up treatment, debt, limited medical insurance coverage and blood transfusion. The loss of psychological well being included stress, lack of support systems, inability to carry out responsibilities, lack of trust of the medical ten family breakdown, inappropriate expression of emotion and not disclosing the diagnosis to the child. Physically the parents suffered fatigue, insomnia, loss of appetite, loss of weight, dizzness, headache, psychosomatic symptoms, and increased consumption of liquor and cigarettes. Social withdrawal was manifested by taking time off from work to look after the child, decrease of outside social activities and feelings of isolation. Influences on family life were spousal conflicts, negative response of siblings, separation of the family members and economic hardship. The theme clusters were blaming a spouse for the cause of the illness and disagreements, maladjustment, lonliness, hostility and depression of siblings. The high price of medical care over the long period was a major factor influencing the life of the family. Positive experiences during the child's long illness were the strengthening of support systems and religious beliefs and financial help from social organizations. The support of one's spouse primarily helped to overcome the stress of the long illness. In addition, support was received from parents of other children with cancer and from nurses and religious leaders. The nurse, by providing empathetic support, should be a person with whom parents can express their feelings and share their experiences.

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자조그룹에 대한 개념 분석 (Concept Analysis of Self-help Groups)

  • 이은남;엄애용;은영;조경숙;이경숙;송라윤;김종임;신계영;임난영;이명숙;박원숙;오두남;최미경;최희권
    • 근관절건강학회지
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    • 제21권1호
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    • pp.1-10
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    • 2014
  • Purpose: The purpose of the study was to identify the attributes of self-help groups, their antecedents and consequences relating to self-help groups. Methods: We used the Walker and Avant (2010) method using the key word "self-help groups" the Korea Education and Research Information Service (www.riss4u.net), Pubmed, CINAHL and ProQuest for articles on this topic published between January 2000 and March 2013 were searched. Ultimately, 64 domestic and 21 foreign papers were selected for in-depth analysis. Results: The attributes of self-help groups are as follows: 1) members share common experiences and are supportive of each other; 2) members set goals for individual change; 3) groups are self-monitoring; 4) groups learn problem-solving processes through voluntary and active participation; and 5) groups are small and meet regularly. The antecedents of self-help groups are as follows: 1) an intervention by an expert; 2) a diagnosis of their illness; 3) motivation to change individuals' state; and 4) educational desire. The consequences of self-help groups are the relief of symptoms, the improvement of physiological parameters and quality of life, the decrease in depression, stress, and anxiety, the improvement of illness-related knowledge and self-help activity, and a change in beliefs. Conclusion: Self-help groups can be used as an intervention strategy to help people with chronic illness manage their own problems.