• Journal of Korean Academy of Nursing
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• v.48 no.6
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• pp.731-742
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• 2018

Purpose: The purpose of this study was to test a hypothesis explaining direct and indirect relationships among the factors affecting self-care behaviors of kidney transplant patients, based on self-determination theory. Methods: Data were collected from 222 outpatients with kidney transplantation. The endogenous and exogenous variables of the hypothetical model consisted of healthcare provider's autonomy support, duration after kidney transplantation, basic psychological need satisfaction, autonomous and controlled motivation, depression, and self-care behaviors. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0. Results: The hypothetical model demonstrated a good fit: RMSEA=.06, SRMR=.04, TLI=.94, CFI=.97. Statistically significant explanatory variables for the self-care behaviors of kidney transplant patients were duration after transplantation and basic psychological need satisfaction. Healthcare provider's autonomy support was indirectly significant, while autonomous motivation, controlled motivation and depression were not statistically significant for self-care behaviors. The variables accounted for 59.5% of the self-care behaviors of kidney transplant patients. Conclusion: It is necessary to develop an autonomy support program for healthcare providers to enhance the self-care behaviors of kidney transplant patients. Preventing the deterioration of self-care behaviors will be possible by conducting this program at one year and six years post-transplantation. In addition, the results suggest the need to developing personalized autonomy support programs for healthcare providers that can meet the basic psychological need satisfaction of kidney transplant patients.

• Korean Journal of Adult Nursing
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• v.20 no.1
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• pp.102-112
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• 2008

Purpose: The purpose of this study was to examine self care behaviors according to the risk levels of vascular complications in elderly women with hypertension. Methods: The subjects of this study were 162 women living in the community who had been diagnosed with hypertension in clinics. The data were analysed by the SPSS 10.0 program using descriptive statistics, t-test, and ANOVA with Scheff$\dot{e}$ post-hoc test. Results: The average self care behavior score of the elderly women was 2.79. Total self care behavior was significantly different depending on the risk levels of vascular complications such as systolic blood pressure, diastolic blood pressure, ankle-brachial index, and the framingham point score. Among sub-scores of self care behaviors, exercise management was the poorest performance compared with other self care behaviors. Conclusion: This study proved the differences in self care behaviors according to the risk levels of vascular complications. To decrease the prevalence of vascular complication, it is necessary to develop programs specifically to enhance self care behaviors of elderly women with hypertension.

• The Korean Journal of Health Service Management
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• v.12 no.4
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• pp.155-172
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• 2018

Objectives: The purpose of this study was to investigate the influence of fall-related knowledge and fall prevention self-efficacy of care-givers working in long-term care hospitals on fall prevention behaviors and fall management behaviors for older adults with dementia. Methods: Participants were 125 care-givers working in long-term care hospitals. Data were collected with structured questionnaires from August 7 to 14, 2018. Data were analyzed by t-test, ANOVA, $Scheff{\dot{e}}$ test, Pearson's correlation coefficients, and multiple regression analysis using SPSS 18.0. Results: Fall prevention self-efficacy influence fall prevention behaviors(${\beta}=.55$, p<.001), while fall-related knowledge impacted fall management behaviors(${\beta}=.43$, p<.001). Conclusions: The results suggest that an education program for fall prevention of older adults with dementia in long-term care hospitals should focus on improving the fall-related knowledge and fall prevention self-efficacy of care-givers to increase both the fall prevention behaviors and fall management behaviors of care-givers.

• Korean Journal of Adult Nursing
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• v.27 no.2
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• pp.242-250
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• 2015

Purpose: To evaluate heart failure knowledge and adherence to self-care behaviors, and to identify factors affecting adherence to self-care behaviors among Korean patients with heart failure. Methods: Correlational research using the European Heart Failure Self-care Behavior Scale, the Duke Activity Status Index, the Dutch Heart Failure Knowledge Scale, the New York Heart Association Functional Classification, and the Medical Outcomes Study Social Support Survey was conducted. A total of 280 outpatients with heart failure responded to the five questionnaires. Results: The mean scores for self-care adherence and heart failure knowledge were $31.98{\pm}6.81$ and $8.78{\pm}2.53$, respectively, indicating lower adherence and knowledge than those previously reported. Subjects with lower functional status, more social supports, and greater knowledge of heart failure are more likely to adhere to prescribed regimens. Conclusion: Nurses should focus on patient education and support to improve their adherence to self-care behaviors.

• The Research Journal of the Costume Culture
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• v.18 no.4
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• pp.717-730
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• 2010

The purpose of this study was to investigate the effects of narcissistic personality and self-esteem on the appearance management behaviors(weight, skin care, makeup, hair care, clothing selection) of female college students. The questionnaires were administrated to 362 female college students living in Gwang-ju city, Korea. For analysis of data, descriptive statistics, factor analysis, Cronbach'$\alpha$, regression analysis were applied. The results were summarized as follows. First. the female college students' narcissistic personality was categorized into four factors, need for administration, leadership/self-confidence, need for power/entitlement, and superiority. Second, narcissistic personality significantly influenced appearance management behaviors. The further examination of the effects showed that need for administration appeared to affect clothing selection, hair care, skin care, makeup, and weight. Third, self-esteem turned out to have positive effects on overall appearance management behaviors. The further examination of the effects showed that self-esteem appeared to affect clothing selection, skin care, hair care, makeup, and weight. The results indicated that female college students' narcissistic personality and self-esteem were important factors to their appearance management behaviors and marketing programs for fashion industries.

• The Journal of Korean Society for School & Community Health Education
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• v.24 no.1
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• pp.33-46
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• 2023

Objectives: This study aimed to confirm the degree of health consciousness, health self-efficacy, self-care agency of nursing students and the factors that affect health promoting behaviors. Methods: From June 7 to June 20 in 2022, the structured questionnaire was used for 255 nursing students. Data were analyzed by descriptive analysis, mean comparison(t-test, ANOVA), correlation analysis(Pearson's correlation coefficient) and multiple regression using SPSS/WIN 25.0. Results: The health promoting behaviors had positive correlations with health consciousness, health self-efficacy, and self-care agency. And the prediction factors influencing health promoting behaviors were health self-efficacy(𝛽=.40), health consciousness(𝛽=.19), age over 40 (𝛽=-.23, p<.001), exercise six times a week or more(𝛽=.22, p=<.001), and having breakfast six times a week or more(𝛽=.11, p=.025). The explanatory power on health promoting behaviors from these variables was 53%(F=20.72, p<.001). Conclusions: In order to improve the health promoting behaviors of nursing students, various ways to increase the active changes should be sought, and program should be prepared to improve their health promotion behaviors in the future.

• The Korean Journal of Rehabilitation Nursing
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• v.8 no.1
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• pp.59-67
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• 2005

Purpose: The purpose of this study is to investigate the effect of Self-Efficacy Promoting Program on Self-Efficacy, Metabolic Control and Self-Care Behaviors in Patients with NIDDM. Method: Data was collected from March 15th to July 15th, 2001. The subjects of the study consisted of 23 NIDDM patients who had visited regularly the endocrinology out-patient department of Gwangju Christian Hospital. The instrument used in the study Paek's self-efficacy measurement scale, was modified by the researcher, self-care behaviors were created by health care teams, and HbA1c for the sugar metabolic control were measured from the patients blood. The Interventions of the self efficacy promoting program were applied 4 hours a week for 6weeks. Data were analyzed with SPSS/PC+, using T-test and Wilcoxon rank sum test. Result: The mean score for self-efficacy was $70.61{\pm}15.48$ of a 140 point scale, the mean score for $HbA_{1c}$ level was $8.07{\pm}1.86%$. The self efficacy promoting program significantly increased the score of self efficacy(Z=-4.198, P=.000). And the self efficacy promoting program was significantly decreased in metabolic control(Z=-2.585, p=.010). Taking medicine and controlling alcohol were the best self care behaviors of this program. Conclusion: It was established that the self efficacy promoting program was effective for improving self efficacy, metabolic level and self care behaviors in patients with NIDDM.

• The Korean Journal of Health Service Management
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• v.6 no.2
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• pp.57-69
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• 2012

The purpose of this study was to investigate correlation with self-care behaviors and physiological index according to cognitive function of hemodialysis patients. The data were collected from 108 patients on hemodialysis in university hospital. The period of data collection was from January 4 to January 31, 2010. The instruments of research were MMSE, Self-care behavior scale for hemodialysis patients. The 17.6% of patients showed the cognitive disorder. Self-care behaviors of patients showed that normal cognitive function group was significantly higher than dysfunction group. Creatinine and parathyroid hormone of patients showed that normal cognitive function group was significantly lower than dysfunction group. The cognitive function of patients showed positive correlations with self-care behavior(r=.283, p=.003) and Kt/V(r=.214. p=.026), showed significant negative correlations with phosphorus(r=-.223, p=.020) and creatinine(r=-.318, p=.001). The results of this study can be used to develop nursing education program to improve self-care behaviors according to cognitive function of hemodialysis patients.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.21 no.3
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• pp.243-252
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• 2014

Purpose: The purpose of this study was to investigate diabetic knowledge, self-care behaviors, and HbA1c of patients with diabetic mellitus in public hospitals. Methods: Participants were 287 adult patients who had been diagnosed with diabetes in two public hospitals in Seoul. Collected data were analyzed using t-test, ANOVA, Pearson's correlation with the SPSS (PASW) 21.0 program. Results: For general characteristics of the participants, there were significant differences in the level of diabetic knowledge according to age (F=11.28, p<.001), educational level (F=11.07, p<.001), type of health insurance (F=9.38, p<.001), and monthly income (t=-4.58, p<.001) and in the self-care behaviors according to age (F=8.61, p<.001) and in HbA1c according to age (F=6.72, p=.001). As for disease related characteristics of the participants, significant differences were found for self-care behaviors according to education about diabetes (t=3.90, p<.001) and in HbA1c according to education about diabetes (t=3.26, p=.001) and current diabetic therapy methods (F=13.51, p<.001). The study results showed that there was no correlation between diabetic knowledge and self-care behavior, or between self-care behavior and HbA1c. Conclusion: Results indicate that when developing preliminary data on nursing intervention education programs on diabetes, increasing diabetic knowledge and self-care behaviors would help to improve blood glucose levels.

• Journal of the Korean Society of Child Welfare
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• no.36
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• pp.7-27
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• 2011

This study empirically examines the effects of after-school self-care on children's development. More specifically, we examine whether the level of after-school self-care experiences that a child had during the 4 to 6 grade period affects the levels of school achievement, internalizing problem behaviors, externalizing problem behaviors, and delinquent behaviors during the child's middle school years. The study utilized the data from the Korea Welfare Panel Study's 1st and 4th year child supplementary surveys. The results show that the level of after-school self-care experiences negatively affects children's school achievement and internalizing problem behaviors. The study finds that, as the level of after-school self-care experiences increase, school achievement decreases and internalizing problem behaviors increase. The effects of after-school self-care on school achievement and internalizing behaviors were statistically significant even after controlling for the other variables that are known to be important factors on child development including child, parent, and family characteristics. The findings suggest that there is an independent effect of the level of after-school self-care on school achievement and internalizing problem behaviors. We also provide policy implications of the study. The policy considerations for latchkey children should include not only increasing the quantity of after-school programs, but also paying attention to the need of child development support programs beyond basic protection and care.