• Title/Summary/Keyword: intervention

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The Effect of the Self Efficacy Promotion and Exercise Training Program of Kidney Transplant Recipients (신장이식 환자의 수술 후 자기효능증진과 운동훈련 프로그램 효과)

  • An, Jae-Hyeon
    • Journal of Korean Academy of Nursing
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    • v.30 no.5
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    • pp.1181-1194
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    • 2000
  • This study was attempted to evaluate how the self efficacy promotion and exercise training program effect on the postoperative general conditions of transplant recipients after kidney transplantations. The subjects were selected randomly among the patients who underwent renal trans- plantations at three major transplantation hospitals in Seoul, Korea. This study was carried out between November 1999 and March 2000. The observed subjects in this study consisted of 56 patients. The exercise training group(n=16) received the self efficacy promotion and exercise training program for 12 weeks which contained general knowledge for compliance instruction, exercise training and self efficacy promotion education. The self efficacy group(n=18) received general knowledge for compliance instruction and self efficacy promotion education but no exercise training was given. The control group(n=22) were not offered any education. The knowledge for compliance, self efficacy, physical conditions(weight, muscle strength, muscle endurance, flexibility), lab studies (hemoglobin, creatinine, cholesterol), activities of daily living and quality of life were evaluated 3 times, before the experiment, at 8 weeks and at 12 weeks. The data were analyzed with mean, standard deviation, Chi-square test, ANOVA and Scheff test. The results were as follows: 1. The knowledge and self efficacy score of the exercise training group and self efficacy group were significantly increased than those of the control group(p=.0001). 2. The weight of the exercise training group was significantly decreased compared to those of the self efficacy group and the control group(p=.0001). Muscle strength (grip strength, back lift strength), and flexibility of all 3 groups were significantly changed(p=.0001). However, muscle endurance in all 3 groups showed no significant differences. 3. The hemoglobin level of the exercise training group and the self efficacy group were significantly increased compared to that of the control group(p=.0001) and the cholesterol levels of the exercise training group and the self efficacy group were significantly decreased compared to that of the control group(p=,0001). However, the creatinine levels in all 3 groups showed no significant differences. 4. The activities of daily living scores of the exercise training group was significantly increased than that of the control group (p=.0003), and the quality of life scores of the exercise training group and the self efficacy group were significantly better than that of the control group(p=.0001). It would be expected that this self efficacy promotion and exercise training program could be applied widely as an effective nursing intervention for kidney transplant recipients.

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A study of the Stage of Change and Decisional balance : Exercise Acquisition, Smoking Cessation, Mammography Screening and Kegel's Exercise Acquisition in Korea (건강행위시행 변화단계에 따른 의사결정의 균형: 운동, 금연, 유방조영술 검진, 질회음근 강화운동을 중심으로)

  • Jang, Seong-Ok;Park, Yeong-Ju;Park, Chang-Seung;Im, Yeo-Jin
    • Journal of Korean Academy of Nursing
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    • v.30 no.5
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    • pp.1265-1278
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    • 2000
  • This study was carried out to assess the perception of decisional balance of Korean subjects about 4 health behaviors and to identify the influencing factor of decisional balance for exercise acquisition, smoking cessation, mammography screening and Kegel's exercise acquisition. All are representative health behaviors nurses can intervene in Korea based on the Transtheoretical model. Convenient samples of 2,484 subjects (191; exercise, 169; smoking cessation, 1903; mammography screening and 221; Kegel's exercise) were selected from cities and counties over 9 provinces throughout Korea, and the data was collected from January 1, 1999 to February 29, 2000. The research instrument were the Decisional Balance Measure for Exercise (Marcus & Owen., 1992), Smoking Cessation (Velicer et al., 1985), Mammography Screening (Rakowski et al.,1992) and Kegel Exercise (Lim, 1999) and Stage of Change Measure for Exercise (Marcus et al, 1992), Smoking Cessation (DiClemente et al., 1991), Mammography Screening (Rakowski et al.,1992) and Kegel's Exercise (Lim, 1999). The data was analyzed by the SAS Program. The results are as follows; 1. According to the stage of change measure, 2,484 subjects were distributed in each stage of change for four health behaviors: 1,233 subjects (49.8%), 745 subjects (30.2%), 113 subjects (4.7%), 156 subjects (6.5%), and 216 (8.7%) belonged to the pre- contemplation stage, contemplation stage, preparation stage, action stage and maintenance stage. They were all series of stages of change in their efforts to do health behavior. 2. Factor analysis identified 3 factors (1 of Pros, 2 of Cons) for the exercise, 4 factors for smoking cessation (2 of Pros, 2 of Cons), 2 factors (1 of Pros, 1 of Cons) for the mammogram screening and 2 factors (1 of Pros, 1 of Cons) for Kegel's exercise of decisional balance. 3. The analysis of variance and multiple comparison analysis showed that for all 4 samples, the Cons of changing the problem behaviors outweighed the Pros for subjects who were in the pre- contemplation stage, The opposite was true for subjects in action and maintenance stage. 4. Through the discriminant analysis, it was found that one factor of Pros for exercise, one factor of Cons for smoking cessation, 1 factor of Cons for mammogram screening and one factor of Cons for Kegel's exercise were the more influencing factors, than others in discriminating the stages of change. Results are consistent with the applications of the Transtheoretical model, which have been used to understand how people change health behaviors. This results provide some evidence that subject's report of his/her health behavior corresponds to beliefs about usefulness of related health behaviors. The results of this study have implications for patients' health education and health intervention strategies. The findings of this study give useful information for nursing educators for 4 health behaviors, especially the factors relating to decision making in the different stages of change.

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The Effect of Grouping on the Basis of Students' Agreeableness in Cooperative Elementary Science Classes (초등 과학 협동학습에서 유화성을 고려한 소집단 구성의 효과)

  • Kang, Suk-Jin;Seo, A-Young;Kwon, Hyeok-Soon
    • Journal of the Korean Chemical Society
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    • v.51 no.3
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    • pp.270-278
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    • 2007
  • In this study, we investigated the effects of grouping with respect to the level of students' agreeableness on 6th graders' science achievement, self-efficacy, and science learning motivation in cooperative learning. Three classes (72 students) from an elementary school were randomly assigned to a control group and treatment groups. An agreeableness test, self-efficacy test, and science learning motivation test were administered as pretests. The students of the treatment groups were grouped either homogeneously or heterogeneously on the basis of their agreeableness levels and were taught with a cooperative learning strategy, whereas the students of the control group were randomly grouped and were taught with a traditional method. The cooperative learning intervention lasted for 5 weeks (16 class periods). After the instructions, tests regarding achievement, self-efficacy, and science learning motivation were administered as posttests. The results indicated that the students of the homogeneous and/or the heterogeneous groups significantly outperformed those of the control group in the achievement test. However, students' achievement was not influenced by the grouping method on the basis of students' agreeableness. No significantly differences among the groups were found in the self-efficacy and science learning motivation.

The Influences of Cognitive Conflict, Situational Interest, and Learning Process Variables on Conceptual Change in Cognitive onflict Strategy with an Alternative Hypothesis (대안가설이 도입된 인지갈등 전략에서 인지갈등 및 상황흥미와 학습 과정 변인이 개념변화에 미치는 영향)

  • Kang, Hun-Sik;Choi, Sook-Yeong;Noh, Tae-Hee
    • Journal of the Korean Chemical Society
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    • v.51 no.3
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    • pp.279-286
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    • 2007
  • In this study, we investigated the influences of cognitive conflict and situational interest induced by a discrepant event and an alternative hypothesis, attention and state learning strategies on conceptual change. A preconception test was administered to 486 seventh graders. They also completed the questionnaires of cognitive response and situational interest to a discrepant event before/after presenting an alternative hypothesis. After learning the concept of density with a CAI program as conceptual change intervention, the tests of attention, state learning strategies, and conceptual understanding were administered as posttests. Analyses of the results for 197 students having misconceptions about density revealed that post-cognitive conflict was significantly higher than pre-cognitive conflict. However, there was no statistically significant difference between the test scores of pre-situational interest and post-situational interest. Pre-cognitive conflict only exerted a direct effect on post-cognitive conflict, while post-cognitive conflict exerted a direct effect and Journal of the Korean Chemical Society an indirect effect via attention on conceptual understanding. Both pre- and post-situational interests were found to influence on conceptual understanding via attention. Attention had influences positively on deep learning strategy and negatively on surface learning strategy. There was a relatively small effect of state learning strategies on conceptual understanding.

Influence of exercise self efficacy and perceived health status according to the stage of change for exercise behaviors in older adults (운동행동 변화단계에 따른 노인의 운동 자기효능감과 지각된 건강상태 수준 변화)

  • Kim, Woo-Cheol
    • Journal of Digital Convergence
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    • v.13 no.11
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    • pp.549-559
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    • 2015
  • The purpose of this study was to verify whether there are any differences in the level of exercise self-efficacy and perceived health status according to the stage of change for exercise behaviors in older adults. The subjects consisted of 231 older adults (91 male, 140 female) by convenience sampling residing in city D. The collected dates were analyzed using one-way ANOVA, Tukey HSD, and simple regression analysis by SPSS WIN 21.0 program. Moreover, all statistical significance level was set at a=.05. The study results were as follows: Analysis of variance showed that exercise self-efficacy showed significant differences according to the stage of change for exercise behaviors, and as a result of the posthoc analysis, it was found that as the stage became higher, their exercise self-efficacy became higher as well. Perceived health status showed significant differences according to the stage of change for exercise behaviors, and as a result of the posthoc analysis, it was found that as the stage became higher, their perceived health status became higher as well. Analysis of variance showed that exercise self-efficacy and perceived health status were significantly associated with the stages of exercise behavior change. This study identified that exercise self-efficacy and perceived health status were significant variables to explain a possible relationship with exercise stages of older adults. This study provides new information to influence the development of the better health promotion and exercise intervention for older adults in the community.

Effect of Life Stress and Anger Expression in College Students on Suicidal Ideation (대학생의 생활스트레스, 분노표현이 자살생각에 미치는 융복합적 영향)

  • Chin, Eun-Young;So, Sung-Sup;Lee, Myung-In
    • Journal of Digital Convergence
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    • v.13 no.8
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    • pp.409-418
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    • 2015
  • The study was conducted to identify the effects of life stress and anger expression in college students on suicidal ideation. In order to get the data by self-report questionnaires, 219 subject were selected from 14th of November to 6th of December, 2014. The collected data were analyzed using SPSS/Win 18.0 and descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and hierarchical regression analysis. The findings reveal that suicidal ideation of college students was low which is average score $5.74{\pm}6.38$(possible range 0~38). This study determined that suicidal ideation is positive correlated with life stress and anger expression(anger-out, anger-in). The extent of anger-out, anger-in, family relationship and major satisfaction was a significant predictor of suicidal ideation and accounted for 24% of the explanation of suicidal ideation of college students. Base on the outcomes of this study, designing an intervention program that emphasizes stress and anger management in order to decrease suicidal ideation.

A Study on the Possibility of Self-Correction in the Market for Protecting Internet Privacy (인터넷 개인정보보호의 시장자체해결가능성에 대한 연구)

  • Chung, Sukkyun
    • Journal of Digital Convergence
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    • v.10 no.9
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    • pp.27-37
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    • 2012
  • Internet privacy has become a significant issue in recent years in light of the sharp increase in internet-based social and economic activities. The technology which collects, processes and disseminates personal information is improving significantly and the demand for personal information is rising given its inherent value in regard to targeted marketing and customized services. The high value placed on personal information has turned it into a commodity with economic worth which can be transacted in the marketplace. Therefore, it is strongly required to approach the issue of privacy from economic perspective in addition to the prevailing approaches. This article analyzes the behaviors of consumers and firms in gathering personal information, and shielding it from unauthorized access, using a game theory framework in which players strive to do their best under the given conditions. The analysis shows that there exist no market forces which require all firms to respect consumer privacy, and that government intervention in the form of a nudging incentive for information sharing and/or strict regulation is necessary.

The Relationship between Better Life Index, Nursing Performance and Intents to Leave among Hospital Nurses (병원간호사의 행복지수, 전문직관, 이직의도와의 관계)

  • Nam, Mun-Hee;Kwon, Young-Chae
    • Journal of Digital Convergence
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    • v.10 no.9
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    • pp.417-427
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    • 2012
  • This study is to recognize the relationship between better life index, nursing performance and intents to leave among hospital nurses by comparison. From July 1to July 20, 2012. we collected survey results subjecting on total 700 nurses by random sampling of hospital-class medical institutes over 200 beds located on Busan & Gyeongnam, and analyzed final 677 copies. We recognized the degrees and the differences of happiness index, professionalism, intents to leave among hospital nerses and analyzed the factors impacting on intents to leave among hospital nerses through correlation analysis and multiple regression analysis between variables. The main result is as follows: First, the average of the item related to happiness index of nurse was 3.03 (5 points of scale) and the average score of professionalism was 3.09 (medium degree) but the average score of turnover intention was 3.35 (relatively high); Second, professionalism and turnover intention according to characteristics of subjects were significant statistically (p<0.05) and turnover intention indicated a significant negative relation with happiness index and professionalism; Third, a factor which mostly impact on turnover intention indicated a significant level (p<0.05) in professionalism, happiness index, general hospital, 2.01 to 2.5 million of average pay. Based on such results, as happiness index and professionalism are indicated as major factors to turnover intention, multi-dimensional viewpoint of follow-up study including further variables is required and the plan to apply nursing intervention program for reducing turnover intention is also required.

Verification Effect of Family Resilience Model of married immigrant women (결혼이주여성의 가족 회복력 모형검증)

  • Oh, Jaewoo;Park, Insook
    • Journal of Digital Convergence
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    • v.11 no.5
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    • pp.355-370
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    • 2013
  • This study was aimed at the married immigrant women and was attempted to provide the basic data of the nursing practice useful in identifying the relationship aspects and the influence of resilience factor and promoting the family adaptation. This study was conducted for the married immigrant women who were located in urban-rural complex area around Daejeon city and in Chungnam region, and the multi-cultural families supporting program of community welfare halls among those who had resided over 1 year in Korea. The data was collected from Feb, 2012 to July, 2012 and in the end, 216 questionnaires were made the subjects of data analysis. For the collected data, frequency analysis, percentage, ANOVA, t-test and correlation analysis were conducted using SPSS, LISREL. The overall index of hypothesis model showed a good congruence like ${\chi}^2$ = .06 (p= .812), df=1, ${\chi}^2$(df)=.06, GFI=1.0, AGFI= 1.0, SRMR=.002, NFI= 1.0, NNFI=1.0, RMSEA=0.000, CN=266. Looking at the results of hypothesis testing suggested by the model, the variables which affected the family adaptation were family stress and parenting stress, while social support, family hardness, problem solving communication, and problem solving coping didn't affect the family adaptation. It is considered that based on the results of this study, nursing intervention which helps the family adaptation of the married immigrant women who are in a crisis situation must be done with a program which can help them have a positive view on the stress situation and reduce the stress happening in the family relationship and parenting.

Effect of Maternal-Fetal Attachment and Social Support on the Maternal Role Adaptation of Employed Mothers in Convergence age (융복합 시대 취업모의 모성역할적응에 모아애착 및 사회적 지지가 미치는 영향)

  • Kim, Jee-Ean;Kim, Miok;Yi, Su-Jeong
    • Journal of Digital Convergence
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    • v.18 no.6
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    • pp.379-388
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    • 2020
  • The purpose of this study was to provide information necessary to strengthen maternal role adaptation of employed mothers by identifying factors affecting maternal role adaptation of employed mothers with young children. The subjects of this study were convenience extracts from 137 employed mothers with infants under 24 months of residence in H city, Gyeonggi-do. Data were processed using descriptive statistics, t-test, ANOVA, correlation analysis, and stepwise regression analysis. As a result of the study, maternal role adaptation was positively correlated with mother attachment(r=.488, p<.001) and social support(r=.718, p<.001). Social support(β=.616), baby status at birth(β=.123), current breastfeeding status(β=.127) and maternal attachment degree(β=.141) affect the maternal role adaptation of employed mothers. The explanatory power of regression analysis was 55.5%(F=43.487, p<.001). As a result of the study, social support was found to be the most important factor influencing maternal role adaptation of employed mothers. Various intervention strategies for promoting social support in families, workplaces and communities are required for maternal role adaptation to employed mothers.