• Journal of Korean Academy of Fundamentals of Nursing
• /
• v.19 no.1
• /
• pp.74-86
• /
• 2012

Purpose: The purpose of this study was to develop a comprehensive self-management program promoting self efficacy for Type 2 diabetic patients. Methods: The study was a methodological research design in which previous related research was reviewed to develop the comprehensive self-management program promoting self efficacy using self efficacy theory. Results: Comprehensive self-management programs promoting self efficacy included the whole range of eight self-management domains: diet, exercise, medication, self-testing of blood glucose, complication or foot, stress, time, and general health, and consisted of four sources of self efficacy: enactive mastery experience, vicarious experience, verbal persuasion, and physiological and affective states, as strategies to promote self efficacy. Developmental methods included, in addition to large and small group education, individual education or counseling, and telephone counseling. Conclusion: Further studies are needed in community health centers or hospitals to establish the effects on self-management compliance and glycemic control of the comprehensive self-management program promoting self efficacy.

• Women's Health Nursing
• /
• v.12 no.2
• /
• pp.87-96
• /
• 2006

Purpose: This study was conducted to provide fundamental information for a system establishment of advanced practice nursing for gynecological cancer patients (APN-GCP). Method: Data was collected by focus group and individual interviews and analyzed in the framework of the Grounded theory method mapped by Strauss and Corbin (1990). There were 13 subjects in this study (nurses, doctors, patient and her family). Result: We identified 87 concepts, 22 sub-categories, and 10 categories. Categories for role expectation were arrangement of diagnosis and treatment process, giving information of treatment course, support of treatment process, patients' right toward making a decision of treatment, counseling and teaching after discharge from hospital, medical insurance and financial problems, counseling about sexual problems and use of family and community resources. All subjects perceived the necessity of an APN-GCP. An APN-GCP requires over 2$\sim$7 years clinical experience and a master's degree. Services would be performed from initial registration to termination of treatment or death, and accomplished on an outpatient clinic basis. Conclusion: The nursing delivery system and curriculum should be developed for a women's health nurse practitioner including APN-GCP. As a further step, cost-effectiveness and projected estimation of manpower of APN-GCP should be studied in the future.

• Journal of the Korean Home Economics Association
• /
• v.49 no.3
• /
• pp.87-98
• /
• 2011

The purpose of this study was to examine the life satisfaction of adolescents in the ecological contexts of their individual, family, school, and social-cultural experiences. The participants were 1,099 middle and high school students in Chungnam-do. Instruments were the Satisfaction with Life Scale, Rosenberg Self-Esteem Scale, Parent-Adolescent Communication Inventory, the School Life Satisfaction Scale, and Social-Cultural Satisfaction Scale. Data analysis involved the use of descriptive statistics, t- and F-tests, Duncan's multiple range test, product-moment correlations, multiple regression, Cronbach's ${\alpha}$, and factor analysis. Results were as follows: Firstly, middle school students showed the highest levels of life satisfaction, and vocational high school students reported the lowest levels. Also, life satisfaction was inversely related to school grades. Secondly, for all the students, life satisfaction was positive correlated with self-esteem, open communication with parents, school life satisfaction, and social-cultural satisfaction. Lastly, open communication with parents and overall satisfaction with life at school explained more of the variance in adolescent life satisfaction than any other factors.

• Journal of Gifted/Talented Education
• /
• v.6 no.1
• /
• pp.53-72
• /
• 1996

The present study dealt with the emotional characteristics, emotional development of gifted children and emphasized the emotional intelligence as the meta-ability for the development of creativity and intellectual abilities. The emotional vulnerability of gifted children was also hscussed with endogenous and exogeneous problems, internal dyssynchrony, and social context. To find out the real chief problems the gifted children have, the contents of individual counselling with mothers of the gifted in KAGE were categorized based on the Lazarus' BASIC ID and DSM-IV dagnosis. Total 128 cases were analyzed. Among them, 61 cases were from elementary schoolers, however, percentile data showed the most, 34% of infant class aged 30 months - 48 months. Usually, the number of counselling in each person was 1, but 17 cases were done more than 3 times. And, 8 cases had experiences to visit the other counseling center or neuropsychiatric clinic. The categories of chief problems were 10: information about gifted program, behavior, affect, sensation, school and cognitive functions, imagery and self concept, interpersonal relationship, personality, mental illness, and others. Many problems in each category were listed. Finally, the present study suggested the several guidance plan possibly useful in the gifted education center for the purpose of prevention of emotional difficulties and support for the mental health, including professional personnel, child counselling, emotional education, and parent counseling & education.

• Journal of Family Relations
• /
• v.23 no.3
• /
• pp.153-175
• /
• 2018

Objectives: The purpose of this study is to examine the effects of care burden among mothers of children with developmental disabilities on depression and the moderating effects of formal and informal social support. Method: The self-report questionnaires were administered to 200 mothers of children with developmental disabilities (aged 6~20 years) in pre-adulthood in Gyeongi-do. A hierarchical regression analysis was conducted. Result: First, There is a need to provide a mental health program that can relieve depression. Second, Individualized intervention strategies for mothers' psychological counseling and support programs for intensive case management and parenting stress management programs are needed. Third, Individual visit case management is required. In addition, it is necessary to expand the eligibility for care services and to maintain long-term programs. Conclusion: The findings suggested that there is a need to provide mothers with not only personal assistance program but also services such as mothers' psychological counseling, peer mentor program, and parenting stress management.

• Journal of the Korean Home Economics Association
• /
• v.44 no.10
• /
• pp.21-34
• /
• 2006

The purpose of this study is to define the roles of the central, district, and municipal Healthy Family Support Centers in order to establish their individual identities. Two hundred twenty-five 225 subjects were surveyed with a questionnaire about the role of each Healthy Family Support Center. The subjects of this study were professors, public officials and staff who were in charged of the Healthy Family Support Centers. This study revealed the following results. First, the central Healthy Family Support Center should playa supportive role to develop and propagate a variety of programs which can be used for the clients in the district and municipal Healthy Family Support Centers. Second, roles of the district Healthy Family Support Center are highly recognized not only for their supportive role in activating municipal Healthy Family Centers but also for their publicity role in them. Finally, the most necessary role of the municipal Healthy Family Support Center is to manage family counseling and family education. In order to accomplish the roles of each Healthy Family Support Center, the mutual relationship among central, district, and municipal Healthy Family Support Centers should be horizontal. Moreover, district Healthy Family Support Centers should be promptly established in order to enable for the central Center to play its roles properly.

• Journal of Genetic Medicine
• /
• v.5 no.2
• /
• pp.89-93
• /
• 2008

"Personalized medicine," the goal of which is to provide better clinical care by applying patient's own genomic information to their health care is a global challenge for the $21^{st}$ century "genomic era." This is especially true in Korea, where provisions for clinical genetic services are inadequate for the existing demand, let alone future demands. Genomics-based knowledge and tools make it possible to approach each patient as a unique biological individual, which has led to a paradigm-shift in medical practice, giving it more of a predictive focus as compared with current treatment oriented approach. With recent advancements in genomics, many genetic tests, such as susceptibility genetic tests, have been developed for both rare single gene diseases and more common multifactorial diseases. Indeed, genetic tests for presymtomatic individuals and genetic tests for drug response have become widely available, and personalized medicine will face the challenge of assisting patients who use such tests to make appropriate and wise use of genetic risk assessment. A major challenge of genomic medicine lies in understanding and communicating disease risk in order to facilitate and support patients and their families in making informed decisions. Establishment of a health care system with provisions for genetic counseling as an integral part of health care service, in addition to genomic literacy of health care providers, is vital to meet this growing challenge. Realization of the promise of personalized medicine in the era of genomics for improvement of health care is dependent on further development of next generation sequencing technology and affordable sequencing test costs. Also necessary will be policy development concerning the ethical, legal and social issues of genomic medicine and an educated and ready medical community with clinical practice guidelines for genetic counseling and genetic testing.

• Journal of Families and Better Life
• /
• v.21 no.3
• /
• pp.133-146
• /
• 2003

The purpose of this study was to analyze the need for family life welfare service program, and to develope the program for managing in the Community Centers. The survey was conducted by interviewing 356 users and 360 non-users of Community Center, total 716 persons living in Daegu City, from October 8 to October 30 in 2002. The data were analyzed by the SPSS PC+ program applying t-test and ANOVA. The results were as follows : First, overall the needs for family life welfare service program, consisting of education program, facilities management and counseling program, and event program, was higher than 3.7 points. The needs level for event program was a little higher than other two programs. Second, the level of needs for family life welfare service program differed between user group and non-user group of the Community Centers. Third, the level of needs for family life welfare service program varied according to the demographic variables, such as sex, age, marital status, family life cycle, education level, vocation, monthly average income and housing type. Finally, Based on the results of needs analysis, 11 education programs, 4 facilities management and counseling programs and 5 event programs were developed for family life welfare service program. These programs developed in this study could be applied to diverse groups classified by age, social class, family life cycle of citizens. Also the programs should be applied in terms of family unit, as well as individual base to enhance the function of family life.

• Journal of Families and Better Life
• /
• v.33 no.3
• /
• pp.31-48
• /
• 2015

This study examined the factors affecting the client's binge drinking, and the client and parents' change led by family therapy. From August to November 2011, the counseling case of this research was consisted of a total of 9 sessions-individual, parents, mother-daughter, father-daughter, and family counseling. This study utilized verbatim and audio recordings, and employed Miles and Huberman(1994) matrix and network to analyze the data. The findings of the study revealed that the factors that influenced the client's binge drinking included the family's dysfunctional communication method, adverse rearing attitude owing to unresolved emotional problems from the family-of-origin, and the client family's peculiar environment and culture. The therapist's intervention included making the client aware of his own problem, helping to gain insight and understand the parents' family-of-origin, connecting the past family-of-origin and the present, identifying attempted solutions, making aware of new change, and suggesting new communication methods. Through the therapist's intervention employing MRI interactional family therapy model and Bowen's family systems theory, the family members experienced changes; perception of all family members that participated in the counseling changed, and accordingly, their communication method and attitude changed as well. Through these changes in the family, the client's alcohol consumption reduced in terms of both frequency and amount, thus was able to solve their binge drinking problem.

• Korean Medical Education Review
• /
• v.9 no.2
• /
• pp.29-40
• /
• 2007

Purpose: This study analysed the intention of medical students career choice, educational programmes, and mentoring and counseling system for career planning at Yonsei medical school in Korea. Methods: The data were collected based on four separate graduation questionnaires at Yonsei medical school in the years of 2005, 2006, 2007, and 2008. The number of the survey was 130 in 2005, 130 in 2006, 153 in 2007, and that of the latest was 120 in 2008. We analysed the career intention on medical specialties and activities, and perceptions of important factors in choosing medical specialty. Results : The results which can be drawn from this study are these: firstly. students had more intention for choosing clinical medicine as university faculty than any other activities. While male students preferred to major in surgery, neurosurgery, orthopedic surgery, urology, otorhinolaryngology, female students in internal medicine, neurology, anesthesiology and pain medicine, diagnostic radiology, laboratory medicine. Secondly, students perceived that the most important factor which can influence on choosing a medical specialty was individual factor such as one's interests and concerns, values, and aptitudes. In stead, they relatively less perceived mentor and role model's effects on choosing a medical specialty compared to those of the United States of America. Third, the career planning at Yonsei medical school was evaluated well, especially educational programmes for career planning such as self assessment programme, elective(specialized) courses, and conversation with a senior programme. Conclusions: Unexpectedly, there are high demands for career planning by medical students. Therefore, we will reorganize systematic devices for career planning such as mentoring and counseling system at medical school.