• Title/Summary/Keyword: self maintenance

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Effects of Motivational Interviewing Intervention for Patients with Total Knee Replacement (슬관절 치환술 환자 대상 동기상담 적용 운동 프로그램의 효과)

  • Yu, Jihyoung;Lee, Haejung
    • Journal of muscle and joint health
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    • v.23 no.3
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    • pp.139-151
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    • 2016
  • Purpose: The study was conducted to examine the effects of motivational interviewing intervention on exercise performance and maintenance, exercise and pain self-efficacy, functional status, and quality of life in the patients with total knee replacement. Methods: This study used a nonequivalent control group non-synchronized design. A total of 100 patients with total knee replacement (33 patients in motivational interviewing group (MG), 33 patients in exercise group (EG), 34 patients in comparison group (CG)) were participated in this study. MG and EG had 7 scheduled sessions for 4 weeks. Data were analyzed with repeated measures ANOVAs by using IBM SPSS Statistics 20. Results: MG showed better exercise maintenance, higher exercise and pain self-efficacy, higher muscle strength, and mental component of quality of life than the other groups. MG and EG showed better knee flexion, less knee extension, longer walking distance for 6 minutes, and better functioning than CG. Conclusion: The results showed that motivational interviewing intervention is an effective intervention for elderly patients with total knee replacement. Future study examining long term effects of motivation interviewing intervention is necessary.

Features Related to Smoking and Psychological Characteristics of Coronary Artery Patients Associated with the Stage of Change in Smoking Cessation (금연변화단계에 따른 관상동맥질환자들의 흡연관련 특성과 심리적 특성)

  • Kim, Hwa Soon
    • Korean Journal of Adult Nursing
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    • v.17 no.4
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    • pp.592-601
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    • 2005
  • Purpose: The purpose of this study was to investigate differences in smoking related characteristics and psychological features of coronary artery patients by the stages of change in smoking cessation behaviors. Method: Subjects for this survey were 97 patients who were smoking when doctors diagnosed them to have coronary artery diseases. Result: Subjects were distributed 21.6% in precontemplation stage, 24.7% in contemplation stage, 17.5% in preparation stage, 19.6% in action stage, and 16.5% in maintenance stage respectively. The numbers of previous attempts to quit smoking of subjects in precontemplation stage(mean=3.00, SD=3.71) and contemplation stage(mean=2.63, SD=2.32) were significantly lower than that of subjects in preparation stage(mean=5.82, SD=6.20). Benefit scores of subjects in maintenance stage were significantly greater than those of subjects in precontemplation stage. Self-efficacy, barriers, seriousness, and nicotine dependency were not significantly different by the stages of change. Number of signs and symptoms related to smoking which subjects were experiencing were not significant by the stages of change too. Conclusion: Future intervention programs for smoking cessation should be focused on the strategies to enhance the realization of health benefits that patients might acquire from smoking cessation.

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Validity and Reliability of Korean Version of Self-Care Chronic Obstructive Pulmonary Disease Inventory (SC-COPD) and Self-Care Self-Efficacy Scale (SCES-COPD) (한국어판 만성폐쇄성폐질환 자가간호와 자가간호 자기효능감 측정도구의 타당도와 신뢰도)

  • Choi, Ja Yun;Yun, So Young
    • Journal of Korean Academy of Nursing
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    • v.52 no.5
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    • pp.522-534
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    • 2022
  • Purpose: This study examined the validity and reliability of the Korean version of the Self-Care in Chronic Obstructive Pulmonary Disease Inventory (SC-COPDI) and the Chronic Obstructive Pulmonary Disease Self-Care Self-Efficacy Scale (SCES-COPD). The SC-COPDI consists of the Self-Care Maintenance Scale (SCMES), Self-Care Monitoring Scale (SCMOS), and Self-Care Management Scale (SCMAS). Methods: The original tool was translated using a back-translation process. Participants were 241 patients with COPD at the Chonnam National University Hospital in Korea. The construct validity was verified through confirmatory factor analysis, and reliability was verified using Cronbach's α. Results: The SCMES consisted of 10 items of three factors-one of four factors was deleted from the original tool. In the SCMOS, there were six items of two factors after two items were deleted from the original tool. The SCMAS consisted of the original 10 items of three factors. The SCES-COPD consisted of six items of two factors, with one item removed from the original tool. The model fit indices of all tools were good, and the construct validity was confirmed. Cronbach's α of SCMES was .72, SCMOS was .90, SCMAS was .81, and SCES-COPD was .85. Conclusion: The Korean version of SC-COPDI and SCES-COPD are valid and reliable instruments for measuring self-care in people with COPD. These instruments can be used in self-care studies of COPD patients in Korea.

A Study on the Self-similarity Found in Fashion Design - Focusing on the Designs of Viktor & Rolf - (패션디자인에 나타나는 자기유사성에 관한 연구 - Viktor & Rolf의 디자인을 중심으로 -)

  • Kim, Yonson
    • Journal of the Korean Society of Costume
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    • v.64 no.7
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    • pp.97-113
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    • 2014
  • The study aims to determine the significance and characteristics of self-similarity inherent in natural objects or phenomena, the existence of self-similarity in design created by fashion designers, and the traits and internal significance implied in self-similarity and their effects on fashion. The subject of the study is Viktor & Rolf, and the scope of the study is the collections created from 2001 to 2014, which include designs implemented in their early years and those unveiled in the media. Self-similarity means attributes of a fractal structure appearing without change in the original form, even after modification of scale or direction in terms of shape or phenomena. As self-similarity is applied to the arts and design sectors, it leads people to pay attention to fundamental characteristics and intrinsic forms as a factor of expressing a unique creative world. Analysis of Viktor & Rolf collections generated ribbons, overlapping/juxtaposition, side decorations and exaggerated design elements as basic units of self-similarity. These factors had self-similarity rates as high as 84%. Self-similarity was established as design elements formed in the incipient stage were repeated in a certain form, and continued for a long period of time. It served as an element that recognizes design and a fashion designer at the same time. Characteristics of self-similarity appearing in Viktor & Rolf collections can be summarized as homeostasis based on an equivalent relationship, balance based on self-organization, reducibility into essential elements, and uniqueness based on odd shapes. These characteristics influenced the pursuit of consistent brand image, the maintenance of a fashion designer's creative world, the formation of styles and the expression of a fashion designer's identity.

QR Code-Based Strength Labeling Techniques for Concrete Life-Cycle Quality Maintenance (콘크리트 생애주기 품질관리를 위한 QR 코드 기반 강도 라벨링 기술)

  • Kim, Tae-Heon;Kim, Dong-Jin;Park, Seung-Hee
    • Journal of the Korea Concrete Institute
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    • v.23 no.5
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    • pp.603-608
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    • 2011
  • In recent years, numerous mega-sized and complex civil infrastructures are being constructed all over the world. Therefore, more precise construction and maintenance technologies are required for these complicated construction projects. Especially, exact strength measurement and curing process monitoring of the concrete structures are very crucial to confirm the safety and effectiveness of these complicated structures. In this paper, a new Quick Response (QR) code-based concrete strength labeling technique using embedded self-sensing monitoring system is introduced. It is important to note that the QR code-based concrete labeling technique enables easy access of the databases related to the concrete strength at anytime, anywhere, and any smart PC devices. Finally, by integrating the proposed QR code-based concrete labeling with the concrete strength databases already prepared at a designated web-server, a feasibility of the current system is investigated for a next generation concrete life-cycle quality maintenance.

The Stages of Change Distribution for Health Behaviors among Low Income Children in Underserved Area (취약지역 빈곤아동의 인구사회학적 특성별 건강행동 변화단계의 분포)

  • Kim, Hye-Kyeong;Hyun, Sung-Min;Kwon, Eun-Joo;Kim, Hee-Chul
    • Korean Journal of Health Education and Promotion
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    • v.25 no.3
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    • pp.59-75
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    • 2008
  • Objectives: The purpose of this study was to identify the stages of change distributions for nine major health behaviors among poor children in underserved area, and to provide basic information for developing specific objectives and strategies for health education program. Methods: The health behavior data were obtained with a self-administered questionnaire and analysed for 3,081 poor children in 106 local children's centers nationwide. Stages of change classification were based on self-reported responses to five statements. The health behaviors included were balanced diet, safety behavior (helmet and protective device use while riding), regular exercise, smoking, alcohol use, drug use, sleep pattern, weight management and stress management. Results: Poor children were more likely in precontemplation and less frequently in action and maintenance stages for a safety behavior. 33.1% of respondents were precontemplators, 29.9% contemplators, and 6.5% in preparation stage. Only 4.3% and 9.6% were in action and maintenance stages, respectively. Gender differences were apparent. Boys were more likely to be precontemplators for nine health behaviors. Children from the lowest socioeconomic status and disrupted family were more likely to be in precontemplation for weight management and exercise behaviors. Children living with both parents were more likely to be in the action and maintenance stages for nine health behaviors. Stages of change for balanced diet and smoking were significantly related with those for other eight health behaviors. And the stage of exercise adoption was found to be significantly related with those for other seven health behaviors. Conclusion: Safety education must receive high priority in health education program for low income children. Balanced diet smoking cessation and regular exercise could be a possible gateway behavior toward healthier lifestyle practices.

The direction of the development of the R.O.K. Navy's maritime mobile logistics support systems based on the ROKN maritime task flotilla (기동전단 운용에 따른 한국 해군의 해상 기동군수지원체계 발전 방향)

  • Jung, Gwan-Young;Cho, Bum-Sang
    • Journal of National Security and Military Science
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    • s.8
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    • pp.351-381
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    • 2010
  • Established on February 1st, 2010, The ROKN maritime task flotilla has a goal to successfully cope with North Korea and other potential threats. Unlike precedents of its kind, The ROKN maritime task flotilla is expected to concentrate more an far-sea strategies than coastal strategies. In such circumstances however, the existing maritime logistics systems have limitations upon which to utterly support the operation conception of the ROKN maritime task flotilla seven. To ensure it's efficiency, transformation of the systems is prerequisite. The purpose of this study is to deduce an adequate maritime logistics system for the ROKN maritime task flotilla by evaluating the limitation of the current system and foreseeing its performance necessary abilities to operate in the future. In order to do this, the study presented problems and the direction of development on the structural and behavioral sides. Fist, regarding problems in the structure of maritime logistics system, the investigation pronounced the need of improvement in mobile logistics support ability and its speed. In addition, for the behavioral side, the need of improvement in logistics cooperation system and self-maintenance ability was affirmed. For the development of an adequate maritime logistics system, the study suggested the amelioration in the operation of an adequate mobile logistics support platform and the speed of the logistics using high-speed transportation such as planes for the structural side. Moreover, for the behavioral side, it recommended th enhancement of logistics cooperation system including the nations that already imported th weapon system, amelioration of self-maintenance ability, and necessity to operate mobile maintenance group.

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Concept Analysis of Volition for Health Behavior Practice in Patients with Chronic Disease (만성질환자의 건강행위 실천을 위한 의지(volition)에 대한 개념분석)

  • Lee, Mi Ja;Kim, Min Ju
    • Journal of Korean Academy of Nursing
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    • v.46 no.5
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    • pp.687-696
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    • 2016
  • Purpose: The purpose of this study was to define and clarify the concept of volition for health behavior. Methods: For this study the process of Walker & Avant's concept analysis was used. Seventeen studies from electronic data basses met criteria for selection. Results: Volition can be defined by the following attributes: 1) planning, 2) maintenance of self-efficacy, and 3) self regulation. The antecedents of volition consisted of: 1) risk awareness, 2) outcome expectation, 3) perceived self-efficacy, and 4) social support. The consequences occurring as a result of volition were: 1) prevention of disability and complications, 2) improvement of functional ability, and 3) enhencement of quailty of life. Conclusion: Definition and attributes of volition identified by this results can be applied to develop measurements and intervention programs for chronic patients health behavior.

An Experimental Study on the Adhesion Property of Self Adhesive Rubberized Asphalt Waterproofing Sheet (자착식 고무화 아스팔트 방수시트의 접착특성에 관한 실험적 연구)

  • Jeoung Hyoun-Sang;Kang Hyo-Jin;Song Je-Young;Oh Sang-Keun
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2005.05a
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    • pp.1-4
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    • 2005
  • This study is to examine adhesion the characteristics of self adhesive asphalt to minimize of the construction periods and the environmental problems through the performance estimation of materials to reduce waterproof problem and the long durability maintenance of building structures. This study tested the estimation items of self rubberized adhesive asphalt to examine the sheet discovered the most important problem in the construction site and the connection stability in the sheet joint. Besides, this study examined the material characteristics such as tension property, tear property, temperature dependence, heat resistance, adhesion stability and so on. Test results of the separative items satisfied in the reference figure of connection stability and adhesion stability which could confirm adhesion performances and other items also satisfied in the reference.

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The Effect of Case Management for Clients with Hypertension in Home Visiting Health Services (일 보건소 방문건강관리사업 고혈압대상자의 사례관리 효과)

  • Jang, Hyo Soon
    • Journal of Korean Public Health Nursing
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    • v.28 no.2
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    • pp.258-269
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    • 2014
  • Purpose: This study was conducted in order to present the effects of case management of a home visiting health service for clients with hypertension. Method: One-group pretest-posttest design was used. The subjects were 280 clients who received case management among the first and second registered group. The data were eight-week-case management results from January to December, 2010. In order to evaluate the effect of the visiting nursing service, biological indexes(blood pressure, total cholesterol, triglyceride, high density lipoprotein, low density lipoprotein, BMI) and self-care abilities(knowledge/attitude of hypertension, management of medication, nutritional care, confidence of self care) were measured. Result: Biological indexes and self-care abilities were improved, except total cholesterol, low density lipoprotein. Conclusion: The case management of home visiting health service by public health centers is considered to be an effective nursing service. Therefore, greater effort is needed for better maintenance of case management, and more research is needed in order to examine a variety of biological indexes.