• Title/Summary/Keyword: reducing efficacy

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다 학제간 접근방식을 이용한 생활금연 프로그램개발과 그 효과에 관한 연구 (The Effect of Life Smoking Cessation Program- multidisciplinary approach)

  • 신성례;이동섭;박정환
    • 대한간호학회지
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    • 제30권1호
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    • pp.110-121
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    • 2000
  • This study was designed to develop the life moking cessation program with multidisciplinary approach using the Bandura's theory of self-efficacy and confirm the effect of it on the self-efficacy and smoking amount in college students. For this purpose non-equivalent control group, pretest-posttest design was used. The participating subjects in this study were 46 male college freshmen, 23 in experimental and 23 in control group. The experimental group received the 8 sessions of lecture and small group discussions for 4 weeks and a telephone coaching program for a period of 8 weeks. The control group received 5 sessions of lecture without further treatments. The data was collected from March 15 to June 11, 1999, and analysed by SAS/PC program with $\chi$$^2$test, simple t, paired t test. The results were as follows. 1. The score of self-efficacy was significantly increased over time in the experimental group than those of the control group. 2. The amount of urine cotinine was decreased over time in the experimental group, number of cigarettes smoked a day were significantly decreased, and they were significantly less than those of the control group. In conclusion it was found that the Life Smoking Cessation Program with Multidisciplinary Approach was an effective nursing intervention for increasing self efficacy and reducing the amount of smoking in male college students. Therefore, future smoking cessation programs should always consider the concept of self-efficacy and ways to positively reinforce it.

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사이버 대학생의 학업적 자기효능감, 학습몰입, 학업스트레스, 정신적 소모에 따른 과목 만족도 예측 (The prediction of academic self-efficacy, learning flow, academic stress, and emotional exhaustion on course satisfaction of cyber university students)

  • 주영주;정애경;임유진
    • 컴퓨터교육학회논문지
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    • 제15권3호
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    • pp.61-69
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    • 2012
  • 본 연구의 목적은 사이버대학에서 학업적 자기효능감, 학습몰입, 학업스트레스, 정신적 소모가 과목 만족도에 미치는 예측력을 규명하는 것이다. 이를 위해 학업적 자기효능감, 학습몰입, 학업 스트레스, 정신적 소모를 예측변인으로 선정하였고 과목 만족도를 준거변인으로 하는 가설적 모형을 상정한 후에, 2011년 1학기 W 사이버대학에서 '마음공부방법론' 강의를 등록한 대학생 536명을 대상으로 온라인설문을 실시하였으며 설문에 응답한 331명을 대상으로 최종 분석하였다. 연구결과, 학업적 자기효능감, 학습몰입, 학업스트레스, 정신적 소모는 과목 만족도를 유의미하게 예측하였다. 본 연구 결과를 바탕으로 사이버대학생의 학업적 자기효능감과 학습몰입을 높이고, 학업스트레스와 정신적 소진을 낮출 수 있는 학습환경을 설계하기 위한 방안과 전략들이 주요하게 고려되어야 할 것이다.

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뇌졸중 환자의 병원 내원시간에 영향을 미치는 요인 (Factors Influencing the Hospital Presentation Time of Stroke Patients)

  • 이상현;이영휘;김화순;임지영
    • 성인간호학회지
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    • 제19권2호
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    • pp.167-177
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    • 2007
  • Purpose: This cross-sectional survey research was undertaken to identify the factors influencing time from onset to hospital arrival of stroke patients and to provide basic information for the development of intervention programs for stroke patients. Methods: The data were collected using a convenient sampling method from three hospitals in Inchon. The subjects were 78 patients who were diagnosed as stroke by doctor and they voluntarily participated in the study. Results: On the average, subjects arrived at the hospitals by 16.72 hours after the onset of stroke events with the range from 0.17 hours to 72 hours. Thirty-four(43.6%) subjects arrived within 3 hours which can maximize treatment effects. There was significant difference in hospital presentation time according to the level of knowledge(${\chi}^2=18.629$, p=.0003). A negative correlation was found between the hospital presentation time and self-efficacy (r= -.320, p=.004). Stepwise multiple regression analysis revealed that the most powerful predictor was self-efficacy. Self-efficacy, the level of knowledge and physical symptoms were significant factors and accounted for 21.7% of the variance of hospital presentation time in stroke patients. Conclusion: According to the results, self-efficacy is a useful concept for reducing the hospital presentation time from onset of attack in stroke patients. Therefore, nurses should consider educational programs which include not only a knowledge of stroke and recurrence prevention but also the concept of self-efficacy.

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대학생의 채소 섭취 행동변화단계에 따른 채소 섭취 관련 인식, 자아효능감 및 식행동 (Beliefs Regarding Vegetable Consumption, Self-Efficacy and Eating Behaviors according to the Stages of Change in Vegetable Consumption among College Students)

  • 안윤;김경원
    • 대한지역사회영양학회지
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    • 제17권1호
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    • pp.1-13
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    • 2012
  • The purpose of this study was to examine beliefs, self-efficacy and eating behaviors by the stages of change in vegetable consumption among college students (n = 297). A survey was conducted to examine study variables, and subjects were categorized into three groups based on the stages of change: precontemplation/contemplation stage (PC/C), preparation stage (P), action/maintenance stage (A/M). Subjects had 3.7 servings of vegetables a day, and vegetable consumption was significantly different by stages of change (p < 0.001). The A/M group showed higher score on beliefs regarding vegetable consumption (p < 0.001) than the other groups, and perceived benefits of vegetable consumption (e.g. cancer prevention) more strongly (p < 0.05). The PC/C group felt more barriers than the A/M group, such as disliking cooking methods, texture of vegetables (p < 0.001), bad taste and bad experience of eating vegetables (p < 0.05). Self-efficacy score was 27.2, with decreasing self-efficacy from A/M to P, PC/C (p < 0.001). The A/M group showed more confidence in nine behaviors such as "eating vegetables during meals" and "replacing menu at home with more vegetable dishes" (p < 0.001) than the other groups. The A/M group had more desirable eating behaviors (e.g, having a variety of foods, eating regularly, consumption of food groups). This study suggests that target population for education and educational strategies be different based on the stages of change. For those in the PC/C stage, education might focus on reducing barriers and increasing self-efficacy. For those in the A/M stage, it is necessary to use strategies to maintain and reinforce behaviors for enough vegetable consumption.

사회인지론에 근거한 나트륨 섭취 줄이기 소비자 영양교육 프로그램의 효과 평가 (Evaluation of Consumer Nutrition Education Program to Reduce Sodium Intake Based on Social Cognitive Theory)

  • 안소현;권종숙;김경민;윤진숙;김혜경
    • 대한지역사회영양학회지
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    • 제20권6호
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    • pp.433-446
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    • 2015
  • Objectives: This study was performed to evaluate the consumer education program for reducing sodium intake based on social cognitive theory (SCT) and investigate consumer perceptions of environmental, cognitive and behavioral factors. Methods: Consumers (n=4,439) were recruited nationwide in Korea to participate in a nutrition education program for reducing sodium intake which was targeted on senior housewives (SH), parents (P), and office workers (OW). Questions regarding main factors of SCT were asked both before and after the education program. Results: SH and P recognized external social efforts and information to reduce sodium including nutrition labeling more than OW. The main barriers to practice reducing sodium intake were limited choice of low sodium food and menu, interference with social relationship when dining with others, and limited information, knowledge and skills. SH had lower barriers to practice reducing sodium intake and OW perceived 'preference to soup or stew' and 'preference to Kimchi, salted fish and fermented sauces' as barriers more than other groups at the baseline. Less than 50% of participants knew the relationship between sodium and salt, sodium in nutrition labeling, and recommended sodium intake. In addition, OW had little knowledge for capability to reduce sodium intake and lower self-efficacy to practice compared with SH and P. After education, positive outcome expectations such as lowering blood pressure, prevention of cardiovascular disease and osteoporosis were increased and barriers to practice reducing sodium intake were decreased in all groups (p < 0.05). The knowledge for behavioral capability and self-efficacy to reduce sodium intake were also improved but OW had still lower scores compared with other groups. Conclusions: These results suggested that nutrition education programs could be an effective tool to impact general population by facilitating awareness and increased capability to reduce sodium intake.

성인의 건강, 우울, 기억, 자기효능과 메타기억과의 상관관계 연구 (Relationships between Health, Depression, Memory Self-Efficacy and Metamemory in Adults)

  • 김정화;강현숙
    • 재활간호학회지
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    • 제1권1호
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    • pp.61-71
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    • 1998
  • Defining prediction variables related to metamemory for the adults in aging process has worthwhile meaning from the perspective that the produced results can be helpful to reducing the difficulty of memorizing efforts and it can also enhance quality of life of aged. This study attempted to analysis relationship between perceived health status, depression, memory self-efficacy and meta memory for the subjects of middle age and old age adults. This study was designed by adopting descriptive correlational analysis method for the 468 middle and old age adults who are living in Seoul. Samples were selected by convenience sampling. Data collection was done over 1 month period in june 1998. The instruments used in this study were health status measuring scale including depression measuring scale, memory self efficacy measuring scale and metamemory measuring scale which were verified for reliability. Data collected were analized by using SPSS for frequency, Peason correlation, t-test and ANOVA according to the variables character and the study purposes. Results of the study were as follows. 1. Relationship between perceived health status, depression, memory self-efficacy and metamemory. Relational analyses between perceived health status, depression, memory self-efficacy and metamemory supported the hypotheses of 1st, 2nd and 3rd(p < .01). These results suggested that the aged perceived great health status then their memory self-efficacy, and metamemory showed the high scores. In the case of depression when its level became decreased metamemory was inclined to increased. Thus, it is identified that strong relationship exists between these variables. 2. Perceived health status, depression, memory self-efficacy by subject's general characteristics. Scores of perceived health status were high in the group of man compared to the group of women, and also highly educated group showed great perceived health status. Group of persons having occupation showed high score of perceived health status and low depression score. The score of memory self-efficacy and metamemory showed higher in the middle aged than the old aged. The high scores of memory self-efficacy and metamemory were found in the group of highly educated people and who have continuing education. The high scores of memory self-efficacy were found in the group of persons having their job and high metamemory scores found in the group of persons having religion. In summary, the greater perceived health status and memory self-efficacy, the more metamemory scores were likely increased and the more depression level was decreased, the more metamemory was likely increased. Also it was found that general characteristics like educational level, continuing education and religion influenced the metamemory of the aged. Therefore, prevention the aged from getting depression and activation of health promotion are needed to delay time of memory loss.

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재가 뇌졸중환자를 위한 5주간의 자조관리프로그램의 효과에 관한 연구 (Effects of 5 Weeks Self-Help Management Program on Reducing Depression and Promoting Activity of Daily Livings, Grasping Power, Hope and Self-Efficacy)

  • 김금순;서현미;김은정;정인숙;최은정;정선이
    • 재활간호학회지
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    • 제3권2호
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    • pp.196-211
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    • 2000
  • The purpose of this study was to determine the effects of 5 weeks self-help management program on reducing depression, promoting Activity of Daily Livings(ADLs), Instrumental Activity of Daily Livings(IADLs), grasping power, hope and self-efficacy for post stroke patients visiting public health care centers in Seoul. This was pre-experimental study, and the subjects were 27 post stroke hemiplegic patients. The program was composed of five sessions and each session had health education on stroke, ROM exercise and recreation. Data were collected from May to November, 2000, and all subjects were asked to complete the Questionnaires, be measured vital signs and grasping power. Data were analyzed with frequency, percent, paired t-test, and Pearson's correlation coefficient using SAS(version 6.12) program. The results were as follows : 1) The scores of ADLs were increased from 27.04 to 28.22 after program, and that was statistically significant(p=.005). 2) The scores of IADLs were increased from 18.70 to 19.78 after program, and that was statistically significant(p=.004). 3) The grasping power of right hand were increased from 21.87kg to 26.93kg after program, and that was statistically significant(p=.002). But the grasping power of left hand were statistically insignificant(p=.919). 4) The scores of depression were decreased from 39.63 to 35.30 after program, and that was statistically significant(p=.030). 5) The scores of hope were increased from 30.89 to 34.15 after program, and that was statistically significant(p=.002). 6) The scores of self-efficacy were increased from 67.70 to 76.37 after program, and that was statistically significant(p=.000). According to the results of this study, the scores of Activity of Daily Livings(ADLs), Instrumental Activity of Daily Livings (IADLs), hope, and self-efficacy and the grasping power were improved and depression was reduced in post stroke patients participating in self-help management program. Therefore we recommend to use self-help management programs as a nursing intervention for the post stroke patient.

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북한이탈주민의 건강지식, 건강증진행위 및 건강증진행위에 영향을 주는 요인 (Health Knowledge, Health Promoting Behavior and Factors Influencing Health Promoting Behavior of North Korean Defectors in South Korea)

  • 최명애;이명선;최정안;신기수
    • 대한간호학회지
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    • 제42권5호
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    • pp.622-631
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    • 2012
  • Purpose: The purpose of this study was to identify health knowledge, health promoting behavior and factors influencing health promoting behavior of North Korean defectors in South Korea. Methods: Participants in this study were 410 North Korean defectors, over 20 years of age residing in Seoul. They were recruited by snowball sampling. Data were collected from April to June, 2010. Health knowledge, health promoting behavior, self-efficacy, perceived barriers to health promoting behavior and social support were measured by structured questionnaires, and perceived physical and mental health status were measured by one item with 10-point numeric rating scale. The data were analyzed using t-test, ANOVA, and multiple regression. Results: Health knowledge, health promoting behavior, and perceived barriers to health promoting behavior were moderate while self-efficacy and social support were high. Factors influencing health promoting behavior of the participants were found to be self-efficacy, social support and perceived barrier to health promoting behavior. Conclusion: The results of this study indicate that nursing intervention programs enhancing self-efficacy, social support and reducing perceived barriers to health promoting behavior need to be developed for North Korean defectors in South Korea.

음주예방 프로그램이 여고생의 음주관련 지식과 태도, 음주거절 자기효능 및 음주행위에 미치는 효과 (Effect of Drinking Prevention Program on Drinking Related Knowledge, Attitude, Drinking Refusal Self-Efficacy and Behavior of High School Girls)

  • 최순희;박민정
    • 기본간호학회지
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    • 제15권2호
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    • pp.213-220
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    • 2008
  • Purpose: This study was done to determine the effect of drinking prevention program on the levels of drinking related knowledge, attitude, drinking refusal self-efficacy and behavior in high school girls. Method: This was nonequivalent control group pre-post test design. The subjects were 133 high school girls who were conveniently assigned to experimental and control group. The data were collected from May to September, 2005 and analyzed using Chi-square test, t-test and ANCOVA. Results: 1. The 1st hypothesis, "The drinking-related knowledge score of experimental group will be significantly higher than that of control group in posttest" was supported (F=256.30, p= .001). 2. The 2nd hypothesis, "The drinking-related attitude score of experimental group will be significantly higher than that of control group in posttest" was supported (F=43.35, p= .001). The 3rd hypothesis, "The drinking refusal self-efficacy of experimental group will be significantly higher than that of control group in posttest" was supported (F=43.86, p= .001). 4. The 4th hypothesis, "The number of drinking of experimental group will be significantly lower than that of control group in posttest" was supported (F=6.12, p= .015). 5. The 5th hypothesis, "The drinking amount of experimental group will be significantly lower than that of control group in posttest" was supported (F=8.52, p= .004). 5. Conclusion: This drinking prevention program was effective in increasing the drinking-related knowledge and attitude, and the drinking refusal self-efficacy, and in reducing the drinking behavior of high school girls.

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간호사의 병원윤리풍토와 의사소통 자기효능감이 미완료간호에 미치는 영향 (Effects of Hospital Ethical Climate and Communication Self-Efficacy on Nursing Cares Left Undone among Nurses)

  • 노윤구;심봉희;이은수
    • 한국직업건강간호학회지
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    • 제32권1호
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    • pp.20-29
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    • 2023
  • Purpose: This study aimed to identify the effects of hospital ethical climate and communication self-efficacy on nursing care left undone. Methods: The participants were 142 nurses working in a general hospital. Data were collected from July 18 to August 30, 2021. Data were analyzed by t-test, ANOVA, Pearson correlation, and multiple regression analysis using the SPSS/WIN 25.0 program. Results: (a) The mean value of hospital ethical climate was 3.54±0.41, communication self-efficacy was 5.03±0.81, and the sum of nursing cares left undone was 3.68±3.14. (b) Nursing cares left undone had a negative correlation with hospital ethical climate(r=-.25, p=.003) but not with communication self-efficacy (r=-.13, p=.116). (c) Factors that affected nursing cares left undone included education (≥master) (β=.23, p=.005), marital status (single) (β=-.19, p=.018), age (26~27) (β=-.18, p=.022), and hospital ethical climate (β=-.18, p=.029); the explanation power was 18.0% (F=8.66, p<.001). Conclusion: Our study shows that hospital ethical climate plays a significant role in nursing cares left undone of nurses. It is important to strengthen hospital ethical climate to lower the incidence of nursing cares left undone. These results may serve as basic data to help develop strategies for reducing the incidence of nursing cares left undone.