• Title/Summary/Keyword: illness perceptions

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질병지각에 대한 체계적 문헌고찰 - 국내 학술지 논문을 중심으로 - (A Systematic Review of Illness Perceptions Using the IPQ-R or BIPQ in South Korea)

  • 김혜진;변진이
    • 한국콘텐츠학회논문지
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    • 제19권10호
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    • pp.432-441
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    • 2019
  • 본 연구는 국내 질병지각 연구의 동향을 알아보기 위한 체계적 문헌고찰로서 질병지각 연구의 특성을 확인하고 이와 관련된 요인 간의 관계를 파악하였다. 2019년 5월까지 국내 학술지에 발표된 논문 10편을 최종 분석에 사용하였다. 포함된 논문 모두 상관관계 조사연구로, 평균 대상자 수는 175명이었으며, 혈액투석, 폐결핵, 암 등의 질병을 대상으로 하였다. 질병지각 측정 도구로는 Illness Perception Questionnaire-Revised (IPQ-R)를 사용한 연구가 3편(30%), Brief Illness Perception Questionnaire (BIPQ)를 사용한 연구가 7편(70%)이었고, BIPQ를 사용한 연구는 모두 총점을 이용하여 대상자의 질병지각을 분석하였다. 질병지각과 관련된 요인으로는 우울, 삶의 질, 자가관리, 사회적 지지 등이 연구되었으며, 그 중 사회적 지지가 가장 높은 빈도로 대상자의 질병지각과 관련이 있는 것으로 나타났다. 추후 다양한 질병군을 대상으로 질병지각 개별 영역에 대한 연구가 수행되어야 할 것으로 보이며, 질병지각을 고려한 중재프로그램을 개발해야 할 필요성이 있다.

중학생의 식중독 예방에 대한 인식도와 개인 위생 실천 (Perception of Foodborne Illness Prevention and Personal Hygiene Practice)

  • 서선희;류경미
    • 한국식품조리과학회지
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    • 제24권3호
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    • pp.294-303
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    • 2008
  • The purpose of this study was to investigate middle school students` perceptions on foodborne illness prevention in relation to their personal hygiene practices. The survey was administered in July, 2007 at one middle school, with a total of 390 students participating. The self-completed questionnaire consisted of several questions regarding the students` awareness of foodborne illness, perceptions of foodborne illness prevention, and personal hygiene practices. T-tests were used to identify the differences in their perceptions of foodborne illness prevention based on gender and Chi square tests were used to identify the relationships between their perceptions of foodborne illness prevention and personal hygiene practices. Eight percent of the respondents experienced foodborne illness at least once a year and 33.8% of them have stopped eating certain foods due to anxiety towards foodborne illness. The students perceived school foods (26.0%) and street foods(17.9%) as the main sources of foodborne illness, and dairy products(20.0%) and fresh fish (19.7%) were considered foods having the greatest potential for causing foodborne illness. Many students were aware of Escherichia coli O157(43.1%) and Hepatitis A(23.3%), but only a few recognized Clostridium botulinum(4.1%) and Salmonella(7.9%), even though these are major foodborne illness-causing pathogens. The students considered foodborne illness prevention very important(mean = 4.33); also, the results showed that many washed their hands 3-4 times (34.1%) and 5-6 times(29.2%) per day. Hand washing frequency was significantly related to the perceived importance of personal hygiene practice as well as to education on safety and sanitation. However, the students` perception on the importance of personal hygiene practices were not significantly different based on having received safety and sanitation education. Ultimately, these results will be used to develop guidelines for effective education on safety and sanitation.

혈액투석 환자의 우울과 삶의 질에서 질병인식의 통제효과 (Control Effect of Illness Perception on Depression and Quality of Life in Patients with Hemodialysis: Using Structural Equation Modeling)

  • 김시숙;류은정
    • Journal of Korean Biological Nursing Science
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    • 제20권4호
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    • pp.221-227
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    • 2018
  • Purpose: This study aimed to evaluate the effect of illness perception on depression and quality of life in patients with hemodialysis. Methods: This is a cross-sectional study using structural equation modeling. Depression, quality of life and cognitive and emotional illness perceptions were measured by the Center for Epidemiologic Studies Depression-10 (CESD-10), Short Form-36 version 2 (SF-36v2), and Brief Illness Perception Questionnaire (BIPQ) in 272 hemodialysis patients. Results: Prevalence of depression was 76.1%, and higher in female patients on hemodialysis. Cognitive illness perception had effect on depression and quality of life, while emotional illness perception had effect only on depression. Quality of life was explained 69.6% through depression (${\beta}=-.74$, t= -8.17) and cognitive illness perceptions (${\beta}=.21$, t= 3.06), while depression was explained 40.5% through cognitive (${\beta}=-.34$, t= -5.99) and emotional (${\beta}=.59$, t= 9.37) illness perceptions. Conclusion: In the inevitable choice of dialysis, illness perception could decrease depression and improve quality of life in hemodialysis patients.

From Their Own Response: Experiences of Korean Children with Chronic Illness and Their Families

  • Park, Eun-Sook;Oh, Won-Oak;Suk, Min-Hyun;Yoon, Young-Mi
    • Child Health Nursing Research
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    • 제15권4호
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    • pp.350-358
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    • 2009
  • Purpose: This study was done to better understand how sick children and their families define chronic illness; what behaviors they used for managing chronic illness; and how they perceived the socio-cultural context of Korea. Methods: This study was a secondary analysis of qualitative studies. Articles on children with a chronic illness and their families located in electronic databases were selected for review. Twenty one qualitative studies were reviewed. Qualitative studies that had used an analysis tool, the Family Management Style Framework were reviewed. Results: Children with chronic illness and their families tended to accept illness as a negative outcome and thought that they were deprived of the context of normality. In the traditional Korean family style, parents-in-law demand absolute obedience from their daughter-in-law, leading to a conflict between the two parties, which, in turn, may have negatively affected their perceptions of chronic illness. Western and oriental medical treatments were used, and participants sought an array of folk remedies. Conclusion: Culturally specific findings can help to better understand the difficulties faced by children with a chronic illness and their families and can provide invaluable input into the development of culturally appropriate and sensitive nursing interventions.

화병 여성의 원인지각에 대한 주관성 연구 (Korean Women's Causal Perceptions of Hwabyung)

  • 신혜숙;신동수
    • 여성건강간호학회지
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    • 제10권4호
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    • pp.283-290
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    • 2004
  • Purpose: This study elicited Korean women's perceptions of the life situations that contribute to Hwabyung, a culture.bound psychiatric illness in Korea, and delineated a typology of the perceived causative factors for this illness. Method: A purposive sample of 21 Korean women was recruited from a church, a senior center in Seoul and a clinic that provides traditional Korean and westernized medical services to patients in the Gyeonggi area. Inclusion criteria were: 1) the diagnosis of Hwabyung by a traditional doctor or "stress reaction and depression" by a westernized doctor; and 2) a score greater than 40 on the Hwabyung Self.Report Instrument. Surveys using the HSRI and individual interviews using Qmethodology were used. Result: The average age of the participants was 53.7 years(range 35-84). The mean score on the HSRI was 46.2(range = 42-52). Data analysis showed that participants perceived three life situations to cause Hwabyung: vulnerable situation, lowered self.esteem, and negative life events. Conclusions: Korean women, suffering from Hwabyung, perceived at least three different causal patterns for this illness. Nursing care plans should be tailored to meet these differences.

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정신질환자에 대한 태도와 인식 개선을 위한 대중매체 활용 방안 연구 : 우울증, 강박증, 공황장애를 중심으로 (A Study on the Use of the Media for Positive Perception and Attitude towards People with Mental Illness: Focusing on Depression, Obsessive-Compulsive Disorder, and Panic Disorder)

  • 박종호;이현심
    • 한국산학기술학회논문지
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    • 제20권4호
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    • pp.250-263
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    • 2019
  • 본 연구는 일반인들이 정신질환을 가진 사람들에 대한 인식을 개선시키기 위한 일환으로 공공 노력의 필요성을 제기하고 방안을 제시하기 위함이다. 그리고 정신질환태도에 관한 인구통계학적인 차이, 인식개선을 위한 공익광고 필요성과 매체별로 현재수준과 기대수준을 비교 분석한 후 이를 개선하기 위한 방안을 제시하였다. 이를 위해 치료를 통해 완전히 회복될 수 있는 우울증, 강박증, 공황장애를 중심을 살펴보았고 서울과 수도권에 거주하는 일반인들을 대상으로 설문조사를 실시하였다. 연구결과 응답자들의 정신질환자에 대한 태도에 대한 인식차이에서는 성별, 결혼상태, 연령대, 가족 중 정신질환 치료 경험 유무에 따라 정신질환자에 대한 태도에서 인식차이가 있음을 확인하였다. 반면 종교, 월수입, 학력에 따른 인식차이는 유의하지 않음을 확인할 수 있었다. 또한 대부분의 응답자는 인식개선을 위해 공공의 노력 즉, 대중매체를 통한 노력이 필요하다고 인식하는 것을 확인하였고 TV광고, 인터넷, 라디오, 광고탑, 운송수단의 활용을 통한 광고가 강화되어야한다고 생각하는 것을 확인할 수 있었다. 이러한 연구 결과를 통해 본 연구에서는 정신질환자의 인식 개선을 위해 대중매체를 통한 광고의 필요성을 제시하였고 이를 강화하기 위한 방안으로 사회적 차원, 조직적 차원, 개인적 차원을 중심으로 제안하였다.

An Inquiry to the Causal Perceptions & Health Seeking Behaviors of Rheumatoid Arthritis Patients

  • Kim, Boon-Han;Kim, Hung-Kyu;Yun Jung;Kang, Hwa-Jeong
    • 대한간호학회지
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    • 제29권5호
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    • pp.1001-1010
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    • 1999
  • This study was undertaken to investigate the causal perceptions and health seeking behaviors of Rheumatoid arthritis patients, define and understand the typology, and find the relationship between causal perceptions and health seeking behavioral types. There were six types(Physical Fatigue, Dispensation of Nature, Causality to Environment, Conscience of Guilty, Rationally perceiving, Psychological Stress) of subjective opinion about Causal Perceptions of Rheumatoid Arthritis Patients. And there were four types(Oriental medical Treatment, Information Seeking, Dietary Control. Western Medical Treatment) of subjective opinion about Health Seeking Behaviors. In the relationship between types of the causal perceptions and health seeking behaviors, oriental medical treatment and information seeking type were common health seeking behaviors of all six causal perception types. Only difference for internal causal perception types was related to hospital instructions and external causal perception types were related to dietary control. The result of this study can help health care providers, especially nurses to understand the types of causal perceptions and health seeking behaviors of Rheumatoid arthritis patients to gain treatment compliance from patients according to their causal perceptions of the illness, and use it to develop educational nursing intervention to aid health care.

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Study of Relationship Between Illness Perception and Delay in Seeking Help for Breast Cancer Patients Based on Leventhal's Self-Regulation Model

  • Attari, Seyedeh Maryam;Ozgoli, Giti;Solhi, Mahnaz;Majd, Hamid Alavi
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권sup3호
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    • pp.167-174
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    • 2016
  • One of the major causes of morbidity and mortality in breast cancer patients is delay in seeking help. Leventhal's self-regulation model provides an appropriate framework to assess delay in seeking help. The aim of this study was to investigate the relationship between "illness perception" and "help seeking delay" in breast cancer patients based on Leventhal's self-regulation model. In this correlational descriptive study with convenience sampling conducted in 2013, participants were 120 women with breast cancer who were diagnosed in the last year and referred to chemotherapy and radiotherapy centers in Rasht, Iran. Data collection scales included demographic data, Revised Illness Perception Questionnaire (IPQ-R)and a researcher made questionnaire to measure the delay in seeking help. Pre-hospital delay (help seeking delay) was evaluated in 3 phases (assessment, disease, behavior). The data were analyzed using SPSS-19. The mean (SD) age calculated for the patients was $47.3{\pm}10.2$. Some 43% of the patients had a high school or higher education level and 82% were married. The "pre-hospital delay" was reported ${\geq}3months$. Logistic regression analysis showed that none of the illness perception components were correlated with appraisal and behavioral delay phases. In the illness delay phase, "time line" (p-value =0.04) and "risk factors"(p-value=0.03) had significant effects on reducing and "psychological attributions" had significant effects on increasing the delay (p-value =0.01). "Illness coherence" was correlated with decreased pre-hospital patient delay (p-value<0.01). Women's perceptions of breast cancer influences delay in seeking help. In addition to verifying the validity of Leventhal's self-regulation model in explaining delay in seeking help, the results signify the importance of the "illness delay phase" (decision to seek help) and educational interventions-counseling for women in the community.

대사증후군 위험군의 가족기능과 건강행위의 관계에서 질병인식의 매개효과 (Mediating Effect of Illness Perception on the Relationship between Family Function and Health Behavior in Patients with Risk Factors for Metabolic Syndrome)

  • 염현이;신지원;김세현;신선의
    • 동서간호학연구지
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    • 제25권2호
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    • pp.183-192
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    • 2019
  • Purpose: This study aimed to examine the mediating effect of illness perception on the relationship between family function and health behavior of patients with risk factors for metabolic syndrome. Methods: This is a cross-sectional correlational study. Data were collected from 160 patients using self-administered questionnaires including the Illness Perception Questionnaire-Revised, Family APGAR, and the Health Behavior Scale. The data were analyzed using Pearson's correlation coefficients, independent t-test and multiple linear regression analysis by the SPSS 23.0 program. Results: Health behavior was significantly correlated with family function (r=.30, p<.001) and illness perception of controllability by treatment (r=-.21, p=.007). Family function was a significant predictor of health behavior and illness perception, and the influence of family function on health behavior was partially mediated by illness perception of controllability by treatment. Conclusion: The findings of this study indicate that family function is a critical factor affecting health behavior and illness perception, and illness perception of controllability by treatment mediates the influence of family function on health behavior. It is necessary to develop a psycho-cognitive intervention program for enhancing supportive family function and for modifying negative illness perceptions to improve health behavior in patients with risk factors for metabolic syndrome.

서울 지역 중학생들의 식중독 예방의도에 따른 식품안전 인식 및 태도 차이 (Differences on Perceptions and Attitudes towards Food Safety Based on Behavioral Intention to Prevent Foodborne Illness among Middle School Students in Seoul)

  • 윤은주;서선희
    • 한국식품조리과학회지
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    • 제28권2호
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    • pp.149-158
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    • 2012
  • The purpose of this study was to investigate differences in the perception and attitudes of middle school students toward food safety between those who possess high behavioral intentions to prevent contracting a foodborne illness and those who do not. The survey collected 871 usable data from several middle schools in Seoul, Korea in July 2007. Using six behavioral intention measurement items, a two-step cluster analysis approach was conducted resulting in a strong intention group and a weak intention group. Perception and attitudes toward foods safety were different between the two groups. Students with strong behavioral intentions to prevent foodborne illness tended to possess a stronger perception and attitude toward various food safety issues. Students with strong intentions were more certain of consumer's right to purchase safe foods, more concerned about foodborne illness and food safety, believed that the government should put more efforts toward establishing a safe food chain, possess more distrust for food suppliers, were more aware of specific foodborne illness pathogens, had more food safety education/training, and washed their hands more frequently than those with less strong intentions. No significant differences were found between the groups but,overall, chemical residues and food additives were perceived as more harmful and more serious food safety issues than those of foodborne illness pathogens despite that microorganisms are the main cause of foodborne illness outbreaks in schools. Participants seemed to underestimate the importance of temperature control for preventing foodborne outbreaks. Several implications and suggestions on how to improve the behavioral intentions of middle school students to prevent possible foodborne illness were provided.