The purpose of this study was to verify the effectiveness of a life review-narrative group therapy program aimed at increasing ego-integrity in the elderly. The life review-narrative group therapy program was organized according to the tfe course from childhood to old age. The objectives of the program were for the elderly to enhance their self-worth, become aware of their individual self existence, accept aging and death, accept the past and present life, and to make the most of their experiences of overcoming difficulties. The counseling techniques used in the program were mainly reminiscence and re-authoring of the narrative therapy. Thirty-two elderly people aged 60 years and over (16 in each of experimental and control groups) were selected randomly from the Daegu Metropolitan City General Welfare Center for the research. The two groups were identified as equivalent for the study in a pre-test. The program of the experimental group was implemented twice a week for 90 minutes per session over a 6-week period (Sep. 8th - Oct. 14th. 2005). The pre (Sep. 8th 2005), the post (Oct. 14th. 2005) and follow-up (Nov. 14th. 2005) tests were implemented in ordo, to verify the effectiveness of the program. The instruments used in the study were the Ego-Integrity Scale. The data were analyzed using t-test, and Ore-Factor Repeated Measures ANOVA. The findings of the study were as follows. The experimental group evidenced significant effects on enhancing ego-integrity. The result of the post hoc multiple comparisons showed that the effects of the life review-narrative group therapy Program were maintained for one months. Meanwhile the control group did not show any significant change in ego-integrity. Based on these findings, the limitations of the study were discussed, and further research was suggested.
The purpose of this study is to examine the influence of encouragement-centered class management on elementary students' adaptation to school life and self-encouragement. The various encouragement-centered class management tactics were developed which were based on Adler's Individual psychology theory. Subjects were two classes which were 5th grade at A elementary school in Gwangju. One class was experiment group(n=28) and the other class was control group(n=31). Data were collected through the school adaptation scale(kang, 2008) and self-encouragement scale(Gi and Hong, 2008). The collected data were analysed using ANCOVA. The results of this study were following; First, school adaptation score had improved significantly in experimental group than the control group. Second, self-encouragement score had improved significantly in experimental group than the control group.
Purpose: The aim of this study was to examine the effects of an Advanced Practice Nurse (APN)-led self-management program on cardiovascular health status among Korean women at risk of developing or progressing cardiovascular disease. Methods: This pilot study used one-group pre- and post- test experimental design. At health fairs in a community, 30 women who had one or more risk factors for metabolic syndrome were recruited and agreed to participate in the study. A total of 25 women completed the study. The intervention consisted of weekly follow-up calls and self-monitoring diary after an hour of individual counseling regarding risk factors, fast walking, and healthy diet tailored to the participants' needs. Physical activity was assessed with the World Health Organization International Physical Activity Questionnaire and a pedometer. Results: Participants showed statistically significant improvements in blood pressure, body mass index, levels of triglyceride, total cholesterol and low density lipoprotein, numbers of metabolic syndrome factors, and the 10-year CV risk estimate after one month of concentrated intervention. In addition, their physical activity behavior significantly improved after the intervention. Conclusion: This APN-led self-management program targeting modifiable risk factors by offering tailored counseling and concentrated support during the transition might be effective in preventing progression to the cardiovascular disease.
Journal of The Korean Association of Information Education
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v.8
no.1
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pp.101-110
/
2004
The researcher designed and applied the cyber consultation system by making use of high-speed information networks and getting away from the established face-to-face consultation patterns in our society. The system is characterized by the means of communications to hold consultation with interviewees which enables us to feel free to converse with students in trouble and to more actively engage in interaction with the help of client-centered system. And it can also be used to help clients to change their attitudes towards consultation by relieving them of distrust, dislike and vague anxiety and to take active part in consultation. The established on-line consultation websites fail to continue consultation due to being able to hold secret consultation through e-mails. In this context, the researcher has produced the cyber consultation system to continuously hold various kinds of consultation including closed consultation between consultants and interviewees with the help of web servers where individual homepages are used.
Journal of the Korea Academia-Industrial cooperation Society
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v.17
no.4
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pp.638-645
/
2016
This study describes visiting caregivers' perceptions and reporting of elder abuse. From January 13 to February 10, 2014, data were collected from 249 visiting caregivers working at homes by using a structured questionnaire. The caregivers' perceptions of abuse were high overall. Physical abuse was the most common type, followed by financial, verbal, negligence, and emotional abuse. Most visitors recognized that it is important to require reporting for the prevention of elder abuse, but most of them had no experience with reporting abuse, and the agencies that they knew were mostly the police. A majority of the visiting caregivers had attended an elder abuse program and recognized the importance of such programs. The caregivers hoped that the programs would have specific examples of how to deal with elder abuse and family counseling methods, and other practical content for their work. Programs should focus on coping with individual cases, proper counseling methods, and awareness of elder abuse.
The purpose of this study was to evaluate the perception and needs of doctors on clinical nutrition services. A cross-sectional survey design was used. The doctors' perception and needs were assessed by questionnaires that had been specifically designed for the study. The research was conducted from February 14 to March 15, 2011 for 544 doctors at 42 large hospitals (with over 400 beds). Ninety-eight percent of doctors responded that clinical nutrition service was important. The mean scores of importance on clinical nutrition service were 4.45 for 'nutrition screening at admission', 4.50 for 'treatment of malnutrition', and 4.43 for 'nutrition education and counseling'. The mean scores of needs for clinical nutrition service were 4.42 for 'individual nutrition counseling & education' 4.39 for 'nutrition management for malnourished patients' and 'nutrition management for tube fed patients'. The medical specialists showed significantly (P<0.01) higher scores than the residents on the importance and needs for clinical nutrition services. Eighty-five percent of the doctors recognized the necessity of the specialized dietitians classified by diseases. The medical specialists (93.8%) showed significantly (P<0.01) higher recognition of this necessity than the residents (77.7%). The low residents' perceptions of the importance and needs for clinical nutrition services will necessitate clinical nutrition education plans. The departments of clinical nutrition in universities should improve the ability and skills of the clinical dietitians.
The number of patients is increasing and their mean age is also increasing. Proper dietary adjustments are necessary to prevent protein-calorie malnutrition or complications but it is difficult for dialysis patients to adapt to diet therapy due to stress or anorexia. Education does not consider the individual characteristics, knowledge, dietary inhabit education demands, and initial education. The purpose of this study was to identify dialysis patient's nutrition knowledge and, dietary practice and compare those with nutrition education or counseling demands for providing basic data of desirable nutrition management. The data were collected by a survey consisting of the general characteristics, disease related characteristics, nutrition education and counsel characteristics, level of nutrition knowledge, diet therapy, and nutrition education and counsel demands from the 28th March to 22th July 2017. The total number of subjects were 33 patients among dialysis patients at two tertiary medical institutions and an artificial kidney room at a private hospital in Incheon Gyeonggi. The data collected were analyzed statistically using the SPSS program 23.0, followed by further analyses using frequency analysis, one-way ANOVA, cross analysis, and correlation analysis. The results of the dialysis patients showed that younger (P<0.05), female (P<0.05), abnormal high school diploma (P<0.001) groups had high nutrition scores. In addition, dietary practice and nutrition education and counsel demands showed a positive correlation (P<0.05, P<0.01). In particular, females were higher than males in nutrition knowledge, dietary practice, nutrition education, and counseling demand scores.
Kim, Min Young;Choi, Su Jung;Seol, Miee;Kim, Jeong;Kim, Hee Young;Byun, Sook Jin
Journal of Korean Critical Care Nursing
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v.11
no.1
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pp.15-27
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2018
Purpose : This study was intended to investigate the frequency of job performance of the Korean professional medical support staffs (PMSS). Method : The data of 1,666 PMSS from 36 hospitals and over 500 beds were analyzed. The participants were divided into 5 groups: advanced practice nurses (APN), clinical nurse experts, physician assistants (PA), coordinators, and others. Results : Among the 5 main domains of job performance, advanced clinical practice has the highest frequency (111.36 d/y), followed by consultation/collaboration (75.66 d/y), education/counseling (53.54 d/y), leadership (23.90 d/y), and research (19.14 d/y). There was a significant difference in the frequency of job performance between the 5 groups of participants. The invasive activities were more frequent in the PA group. In the education and counseling domain, APNs had a higher level of job frequency than others (p < .001). In the research and leadership domains, APNs and coordinators had more prominent performance frequency than other groups (p < .01). However, there are some ambiguities in the job performance of the 5 groups depending on institutional characteristics. Conclusion : To establish the scope of work of PMSS, organizational and individual efforts are needed to promote and expand the leadership and research domains. To resolve the ambiguities of PMSS' roles, it is necessary to reorganize their titles.
The Journal of Korean Society for School & Community Health Education
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v.15
no.1
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pp.45-59
/
2014
Objectives: This study is designed to evaluate the influential factors of career decision-making self-efficacy and career identity by health science college students on their job preparation beaviors. Methods: The total 714 questionnaires were distributed to juniors and seniors of health science college, and the result was statistically analyzed through IBM SPSS statistics 20.0. Results: 1. There was no significant difference of job preparation behavior between male students and female students, and while seniors showed highly active job preparation behaviors, those who had high satisfaction level toward their major studies, high academic achievement, and outgoing personality had highly active job preparation behaviors. 2. Students with high satisfaction level toward their major studies, high academic achievement, outgoing personality, and high expected salaries showed high career decision-making self-efficacy level. 3. Students with high satisfaction level toward their major studies, high academic achievement and highly outgoing personality showed high level of career identity. 4. Subsidiary factors of career decision-making self-efficacy were collection of job information, goal setting, planning, and self-assessment, and all of them showed correlation with job preparation behaviors. 5. Among subsidiary factors of career decision-making self-efficacy, "self-understanding" and understanding of job information showed correlation with job preparation behaviors. Conclusion: For improvement on career decision-making self-efficacy and career identity of health science college students, individual support, psychological support, educational support and other supports regarding job employment to provide wide paths and methods for job preparation behaviors are essential, and through various job employment education program and graded counseling, job preparation behaviors shall be promoted as a great strategy.
Purpose: This study used a system dynamics methodology to identify correlation and nonlinear feedback structures among factors affecting adolescent cyberbullying victims (CV) in Korea and to construct and verify a simulation model. Methods: Factors affecting CV were identified by reviewing a theoretical background in existing literature and referencing various statistical data. Related variables were identified through content validity verification by an expert group, after which a causal loop diagram (CLD) was constructed based on the variables. A stock-flow diagram (SFD) using Vensim Professional 7.3 was used to establish a CV model. Results: Based on the literature review and expert verification, 22 variables associated with CV were identified and the CLD was prepared. Next, a model was developed by converting the CLD to an SFD. The simulation results showed that the variables such as negative emotions, stress levels, high levels of conflict in schools, parental monitoring, and time spent using new media had the strongest effects on CV. The model's validity was verified using equation check, sensitivity analysis for timestep and simulation with 4 CV adolescent. Conclusion: The system dynamics model constructed in this study can be used to develop intervention strategies in schools that are focused on counseling that can prevent cyberbullying and assist in the victims' recovery by formulating a feedback structure and capturing the dynamic changes observed in CV. To prevent cyberbullying, it is necessary to develop more effective strategies such as prevention education, counseling and treatment that considers factors pertaining to the individual, family, school, and media.
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