• 제목/요약/키워드: psychological barriers

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Exploration of Barriers to Breast-Self Examination among Urban Women in Shah Alam, Malaysia: A Cross Sectional Study

  • Al-Dubai, Sami Abdo Radman;Ganasegeran, Kurubaran;Alabsi, Aied M.;Manaf, Mohd Rizal Abdul;Ijaz, Sharea;Kassim, Saba
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권4호
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    • pp.1627-1632
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    • 2012
  • Background: Breast cancer is the most common cancer among women in Malaysia. Barriers for practicing breast self examination (BSE) await exploration. Objective: To assess the practice of BSE and its correlated factors and particularly barriers amongst urban women in Malaysia. Methods: This cross-sectional study was conducted with 222 Malaysian women using a self-administered questionnaire. Results: The mean (SD) age was 28.5 (${\pm}9.2$) years, 59.0% were university graduates. Of the total, 81.1% were aware of breast cancer and 55% practiced BSE. Amongst 45% of respondents who did not practice BSE, 79.8% did not know how to do it, 60.6% feared being diagnosed with breast cancer, 59.6% were worried about detecting breast cancer, 22% reported that they should not touch their bodies, 44% and 28% reported BSE is embarrassing or unpleasant, 29% time consuming, 22% thought they would never have breast cancer or it is ineffective and finally 20% perceived BSE as unimportant. Logistic regression modeling showed that respondents aged ${\geq}45$ years, being Malay, married and having a high education level were more likely to practice BSE (p<0.05). Conclusion: In this study sample, a significant proportion of respondents was aware of breast cancer but did not practice BSE. Knowledge, psychological, cultural, perception and environmental factors were identified as barriers. BSE practice was associated significantly with socio-demographic factors and socioeconomic status.

규칙적 유방자가검진 이행 증진 프로그램 개발을 위한 조사연구 (A Descriptive Study for Developing a Program to Promote Compliance with Regular Breast Self-Examination(BSE))

  • 박소미;허혜경;김기연;송희영
    • 여성건강간호학회지
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    • 제13권2호
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    • pp.88-97
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    • 2007
  • Purpose: The purpose of this study was to identify knowledge, facilitators, and barriers of breast self-examination(BSE) in Korean couples for developing a continuous regular BSE promotion program. Method: This descriptive study was undertaken with a focus group methodology including 27 couples of husbands and wives recruited by convenience-sampling. Data transcribed from audiotapes was analyzed to identify common themes. Results: Knowledge of breast cancer and BSE included 'the risk factors of breast cancer', 'prevention of breast cancer', and 'how to do BSE'. Facilitators to BSE included 'self, health professional, and spouse-facilitating factors'. Barriers to BSE included 'cognitive, psychological, informational, and physical barriers'. Conclusion: To promote compliance with BSE among women, tailored programs according to the stage of change of BSE adoption are crucial, not only reflecting the specific needs of the individual by the stage of change, but also utilizing husbands as facilitators.

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물류(物流) 아웃소싱 전략(戰略) 결정요인(決定要因) 및 최적(最適) 모델 (Determinants and Optimum Modelling of Logistics Outsourcing Strategy)

  • 송계의
    • 무역상무연구
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    • 제13권
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    • pp.283-302
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    • 2000
  • The firms aim to acquire services and costs advantage from logistics outsourcing strategy. But it is very important to select optimum service provider. A checklist of the criteria for the evaluation of service providers follows : service quality, low cost, logistics information system, service network, financial stability, investments in plant and equipment, management attitude and lookout for the future strategic fit, cultural and psychological barriers etc. Also, a 8-step implement of logistics outsourcing strategy will be of help for maximizing benefits of logistics outsourcing. It follows : 1-step : logistics environment analysis, 2-step : check service provider availability, 3-step : logistics outsourcing determinant analysis, 4-step : select of optimum service provider, 5-step : contract with optimum service provider, 6-step : identify of remaining barriers, 7-step : performance of logistics outsourcing, 8-step : evaluation.

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BIM기반의 어셈블링 협업이 설계자 간의 의사교환과 사회심리학적 기제에 미치는 효과와 한계에 관한 연구 (A Study on the Enablers and Barriers of BIM-based Assembling Collaboration for Designers' Communication and Socio-Psychological Mechanisms)

  • 홍승완;정용욱
    • 한국BIM학회 논문집
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    • 제7권1호
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    • pp.36-44
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    • 2017
  • While previous studies argue that BIM-based assembling collaboration promotes the communication and process management among participants in architectural design projects, it is still unknown which communication and socio-psychological factors are more and less activated in use of BIM-based collaboration. To investigate this research aim, in authentic BIM-used architectural retrofitting projects, the participants (N=36) collaborated and assessed the communication factors on (1) perceiving design results, (2)understanding partners'design intention, (3) proposing and converging opinions, the interpersonal design process management factors on (1) managing design process, (2) managing collaboration schedule, and the complementedness factors on (1) understanding partners' expertise, and comradeship. Statistical analyses reveal that the factor relevant to perceiving design results is better activated than the other factors (p<0.05), but all other factors are not much activated compared to perceiving design results. Deduced from the previous BIM studies and interviews, a reason roots in the shared forms and semantics of BIM. The shared semantics represent collaborators' information and allow the participants to perceive design changes explicitly. Meanwhile, BIM-based assembling collaboration is limited to represent observable, experience-able processes of design, and thus, several key socio-psychological factors, such as proposing and converging opinions and managing design process, are less activated.

전환 좌절상황에서 소비자의 부정적 심리반응에 관한 연구 (The Effects of Switching-Frustrated Situation on Negative Psychological Response)

  • 정윤희
    • Asia Marketing Journal
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    • 제14권1호
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    • pp.131-157
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    • 2012
  • 현재 치열한 경쟁상황 속에서 기업들은 소비자들이 다른 대안으로 전환하는 것을 막기 위한 다양한 전략들을 실행하고 있으며, 이 중에서 전환장벽을 이용하는 전략은 고객유지와 관련해 매우 효과적인 것으로 알려져 있다. 하지만 전환 장벽으로 인해 새로운 대안으로 바꾸지 못하고 현재 서비스제공자와의 관계를 유지해야 하는 소비자 입장에서도 전환장벽이 긍정적일 것인가? 심리적 반작용이론에 의하면, 사람들은 어떤 자유가 위협받거나 제거될 때, 그 자유를 되찾는 방향으로 동기부여 되거나 어떤 부정적 반응을 보일 수 있다고 하였다. 전환장벽 역시 전환의 자유를 제약한다는 점에서 소비자의 부정적 반응을 유발할 수 있으므로, 본 연구는 전환장벽으로 인해 다른 대안을 단념해야 하는 상황에서 소비자가 경험할 수 있는 부정적 심리 반응과 그에 영향을 주는 변수들에 초점을 맞춘다. 연구가설에서, 부정적 심리반응에는 '이전선택에 대한 후회', '현재 제공자에 대한 원망', '좌절된 제공자에 대한 열망'을 포함하였으며, 전환좌절 상황의 특성-'좌절된 대안의 매력성', '전환 장벽의 심각성'-이 이러한 반응들에 영향을 줄 것으로 가정하였다. 그리고 이러한 전환 좌절상황의 특성이 주는 부정적 영향은 현재까지 해당 제공자로부터 받은 대우에 따라서 달라질 것으로 보고 지각된 공정성을 조절변수로 추가하였다. 연구 결과 전환좌절상황의 특성과 부정적 심리반응의 관계는 모두 지지된 반면, 지각된 공정성의 조절효과는 대부분의 관계를 상호작용 공정성이 조절하는 것으로 나타나 일부만이 지지 되었다. 이러한 결과는 전환 장벽의 긍정적 측면에만 영향을 밝혀온 기존 연구의 한계점보완하고 있으며 그에 따른 이론적 실무적 시사점을 제공해준다.

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간호사의 아동 통증 사정 및 관리에 대한 실태조사 (A status of Assessment and Management about Children in Pain)

  • 석민현;윤영미;오원옥;박은숙
    • Child Health Nursing Research
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    • 제5권3호
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    • pp.262-280
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    • 1999
  • This study was Performed to understand Pediatric Pain management status and nurses' knowledge and attitudes toward it. In addition. it aimed to provide basic data in order to establish effective nursing intervention strategies by confirming the barriers of effective pain management in practice. The subjects were 195 nurses working in pediatric units(general pediatric unit. oncology unit, neonatal unit. neonatal ICU, Pediatric ICU) of 8 university hospitals and one general hospital. Data was collected by the questionnaire from the 3rd of August to the 20th of September in 1999. The instrument developed by Sanna(1999) to measure nurses' knowledge and their attitudes and the other tool by Cleeland(1984) to evaluate barriers in effective Pain management was used. Results of this study are summarized as follows 1. Most nurses learn about the pain management knowledges from through regular curriculum of nursing school(62.0%) And almost nurses(90.8%) don't used to utilize pain assessment tool, but the 'Faces Rating Scale' is the most frequently used by nurses. 2. The use of pain medication(65.6%) is most frequently taken by nurses as pain management and is followed by massage (55.9%) , distraction(27.7%). 3. Nurses' knowledge level is moderate (Mn=3.07). Nurses don't seem to understand pediatric Physical development (Mn = 2.86), psychological development(Mn=2.94) well, meanwhile they seem relatively Quite knowledgeable about the way pain emerges. 4. Nurses' attitudes toward pain is based on behavioral and physiological responses to Pain. They believe 'changes in behavior are a way of assessing pain in child' and 'acute pain increases the number of respiration' Nurses are ready to accept pediatric pain, but are not positive in adopting pain intervention in practice. 5. The barriers of effective pain management are inadequate assessment of pain and pain relief(81.5%), ineffective incorporation among health professionals(80%), and lack of equipment or skills(80.0%).

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만성 심부전 환자의 약물복용 이행 영향요인 (Factors Affecting Medication Adherence in Patients with Chronic Heart Failure)

  • 추상희;고일선;이원희;유지수;강석민;정하윤;김두리;안지현;이윤주
    • Journal of Korean Biological Nursing Science
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    • 제14권3호
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    • pp.193-202
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    • 2012
  • Purpose: The purpose of this study was to explore socio-demographic, clinical and psychological factors associated with medication adherence among patients with chronic heart failure (CHF). Methods: In a cross-sectional survey, 133 patients with CHF who had visited a clinic located in Seoul participated. Medication adherence (MA) was measured using a single item visual analogue rating scale (VAS). Barriers and attitudes toward adherence, and depression were measured using a structured questionnaire. Medical records were reviewed to identify their clinical characteristics. Multivariate logistic regression was performed identify factors affecting medication adherence. Results: About one third of participants (31.1%) reported their MA as 100%. Overall attitudes on MA were highly positive and 49 (36.8%) of participants were depressive. MA was associated with significantly barriers (p<.001), attitudes (p<.001), age (p<.001), and duration of disease (p<.001). The high adherent group had significantly less barriers than other groups (OR=.389, p=0.02). Conclusion: This study indicates that barriers and attitudes toward MA were the most important factors affecting their adherence to HF medication. To improve MA for patient with CHF, the nursing strategies which can lead poor adherent patients to their optimal level should be developed.

정보활용능력 인지 수준과 도서관 불안 간의 관계 분석 (An Analysis of Relationship Between Self-Cognition Level of Information Literacy and Library Anxiety)

  • 오의경
    • 한국문헌정보학회지
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    • 제45권4호
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    • pp.123-137
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    • 2011
  • 본 연구는 정보활용능력에 대한 자기 인지 수준과 도서관 불안 사이의 관계를 분석하였다. 99명의 대학 1학년생을 대상으로 정보활용능력 인지 수준과 도서관 불안을 측정하였고, 측정 결과, 정보활용능력 인지 수준은 3.72점, 도서관 불안은 2.47점으로 조사되어, 이전 연구들과 유사하였다. 정보활용능력 인지 수준과 도서관 불안은 의미 있는 수준의 상관관계가 있는 것으로 분석되었고(r=-0.493, p<0.05), 정보활용능력 인지 수준이 높을수록 도서관 불안이 감소하는 것을 확인하였다. 또한 주요한 도서관 불안요인으로는 '정보접근 방법에 대한 인지 부족', '정보의 적합성 평가에 대한 자신감 결여' 등이 제시되었다. 문헌정보학을 전공하려는 학생들의 경우, 그렇지 않은 학생들 보다 정보활용능력 수준과 도서관 불안 점수 둘 다 낮은 것으로 나타나, 자신들이 가지고 있는 문헌정보학적인 배경을 과소평가하는 경향이 있으나, 도서관에 대해서는 긍정적인 이미지를 갖고 있는 것으로 해석하였다. 정보 이용자 개인의 심리적인 측면을 더욱 다양하고 정교하게 반영할 수 있는, 사회 심리 테스트들을 활용할 것을 제안하였다.

국내 골퍼들의 햇빛차단 행동 및 자외선차단 의복에 대한 태도 조사 (A Study on Korean Golfers' Sun Protective Behavior and Their Intention to Buy UV-protective Clothing)

  • 성희원;전양진
    • 한국의류학회지
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    • 제29권1호
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    • pp.189-197
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    • 2005
  • The purpose of this study was to find factors affecting sun protective behavior and intention to buy UV-protective clothing among Korean golfers. Health belief (HB) model and diffusion theory(DT) were used for the study. Dependent variable of HB model was sun protective behaviors (SPBs) and dependent variable of DT model was intention to buy (ITB) UV-protective clothing. Independent variables for HB model were cancer perception, perceived benefits, behavioral/psychological barriers and cues to actions, while independent variables of DT model were relative advantage, compatibility, complexity, friability, and observability, besides demographic variables. Perceived benefits and cues to action variables in addition to gender and age were significant determinants of SPB for Korean golfers. Also, relative advantage and compatibility. behavioral barriers and cues to action were significant in affecting intention to buy UV-protective clothes. Both HB model and extended DT model were useful to predict sun protective behavior of Korean golfers.

Digital Barrier-Free and Psychosocial Support for Students with Disabilities in Distance Learning Environments

  • Kravchenko, Oksana;Koliada, Natalia;Berezivska, Larysa;Dikhtyarenko, Svitlana;Baida, Svitlana;Danylevych, Larysa
    • International Journal of Computer Science & Network Security
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    • 제22권8호
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    • pp.15-24
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    • 2022
  • The article clarifies the conditions for information, digital and educational accessibility for higher education seekers with disabilities in terms of distance learning caused by quarantine restrictions. It is established that such conditions are regulated by international and Ukrainian legal documents (The Standard Rules on the Equalization of Opportunities for Persons with Disabilities, Convention on the Rights of Persons with Disabilities, Sustainable Development Goals, Law of Ukraine "On Education", Law of Ukraine "On Higher Education", Strategy for the Development of Higher Education in Ukraine 2021-2031, Development Strategy areas of innovation for the period up to 2030, Development strategy of the sphere of innovation activity for the period up to 2030). As a part of information barrierlessness, Higher Education Institutions (HEI) should provide access to information in various formats and using technologies, in particular Braille script, large-type printing, audio description (audio descriptive commenting), sign language interpretation, subtitling, a format suitable for reading by screen access programs, formats of simple speech, easy-to-read formats, means of alternative communication. The experience of Pavlo Tychyna Uman State Pedagogical University is described. In particular, special attention is paid to the study of sign language: in view of this, the initiative group implemented the project "Learning to hear and overcome social isolation together" with the financial support of the British Council in Ukraine. Within the framework of digital accessibility, the official website of the Faculty of Social and Psychological Education has been adapted for the visually impaired in accordance with WCAG 2.0 World Standards. In 2021, Pavlo Tychyna Uman State Pedagogical University implemented the project "Cultural, Recreational and Tourist Cherkasy Region: Inclusive Social 3D Map" funded by the Ukrainian Cultural Foundation; a site with available content for online travel in the region to provide barrier-free access to the historical and cultural heritage of Cherkasy region was created. Educational accessibility is achieved by increasing the number of people with special educational needs, receiving education in inclusive groups; activities of the Center for Social and Educational Integration and Inclusive Rehabilitation Social Tourism "Bez barieriv" ("Without barriers"); implementation of a research topic for financing the Ministry of Education and Science of Ukraine: "Social and psychological rehabilitation of children and youth with special educational needs by means of inclusive tourism"; implementation of the project "Social inclusion of distance educational process"; development of information campaigns to popularize the ideas of accessibility, the need for its implementation, ongoing training programs and competitions, etc.