• 제목/요약/키워드: self-improvement

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만성관절염 환자의 자가운동에 따른 통증, 피로, 유연성, 건강상태의 비교연구 (A Comparative Study on Pain, Fatigue, Flexibility and Health status between Patients with Self-Exercise and Patient without Self-Exercise)

  • 김선애;김종임
    • 근관절건강학회지
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    • 제9권2호
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    • pp.177-186
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    • 2002
  • The purpose of this study was examine the effect of self-exercise on patients with chronic arthritis. This study was performed from 1999 to 2001 with 107 subjects. Pain, Fatigue, Flexibility and Health status were measured. Data were analysed by SPSSWIN 10. 0 Package program, frequency, independent t-test and One Way ANOVA. The results were as follows : Of the 107 patients who were sutdied, mean age was 62 years and most of common disease were osteoarthritis. 67.4%was doing self-exercise and self-exercise consisted of 17 types of exercise. Fatigue was statistically different by disease type, duration of disease, education respectively. And fatigue, left shoulder flexibility were significantly different by duration of disease. There weren't significant differences between patient with self-exercise and patient without self-exercise on pain fatigue, flexibility and halth status. These findings confirms that self-exercise do not effective in increasing health improvement for the patients with osteoarthritis. From results of this study indicate that patients with arthritis should have taken systematic exercise such as the self-help education program aquatic exercise program for arthritis patient.

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폭력 피해 경험이 아동.청소년의 정신건강에 미치는 영향: 자아개념의 매개효과 분석 (Effects of Violence Victimization on Mental Health of Children and Adolescents: Analysis of Mediating Effects of Self-concept)

  • 성경미;이한주
    • 지역사회간호학회지
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    • 제24권4호
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    • pp.407-418
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    • 2013
  • Purpose: The purpose of this study is to clarify mediating effects of self-concept on mental health of children and adolescents who fell victim to violence. Methods: A survey was conducted on 4th, 5th, and 6th graders from 2 elementary schools and 1st, 2nd, and 3rd year students from 3 middle schools (n=2,391). Data were analyzed using descriptive statistics and AMOS. Results: The mean scores of mental health and self-concept in the subjects were 4.5 and 184.9 respectively. The rate of poor mental health in students who had fallen victim to violence was more than twice as high as that in students who had never experienced it. The self-concept of students who experienced violence had a tendency to decline. Violence experience and self-concept accounted for 47.7%(43.0% for boys and 53.4% for girls) of the changes in mental health. The indirect mediating effects of self-concept were significant. Conclusion: Based on the findings, the following is suggested. Schools should offer a self-concept improvement program for students with a distorted self-concept caused by falling victim to violence. It could help such adolescents have a positive self image and improve their mental health.

과민대장증후군 여대생을 위한 동기강화 자가관리 프로그램의 효과 (The Effects of a Motivation-Enhanced Self-Management Program for Female College Students with Irritable Bowel Syndrome)

  • 백주연;전상은
    • Journal of Korean Biological Nursing Science
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    • 제22권2호
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    • pp.148-156
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    • 2020
  • Purpose: The purpose of this study was to develop a motivation-enhanced self-management (MESM) intervention for irritable bowel syndrome (IBS) and to evaluate its effects on female college students with IBS. Methods: The program was constructed to reflect the conceptual framework of the self-determination theory including autonomous motivation enhancement strategy through the satisfaction of psychological needs. The experimental group (n= 24) participated in the all eight weekly MESM sessions, and the control group (n= 25) received one hour education of IBS. Primary outcome measures were the IBS symptom severity scale (IBS-SSS) and the IBS specific quality of life (IBS-QOL), and assessed at the baseline and at eight and 16 weeks after the allocation. Others were autonomous motivation, self-determined behavior, and psychological distress assessed at the baseline and at eight weeks. Results: The experimental group showed improvement in the IBS-SSS (p< .001) at 16 weeks compared to the control group. They showed markedly more improvement in the IBS QOL (p= .008), but the magnitude of this difference decreased at 16 weeks. The experimental group showed improvements in autonomous motivation (p= .035), self-determined behavior (p= .023), and psychological distress (p= .044) compared to the control group. Conclusion: Study results suggest that the MESM intervention for female college students may effectively improve the IBS-SSS and the QOL.

키네시오 테이핑과 작은가슴근 자가스트레칭이 둥근어깨자세를 가진 성인의 자세변화와 근긴장도에 미치는 영향 (The Effects of Kinesiology Taping and Pectoralis Minor Self-Stretching on Posture Change and muscle tone in Adults with Rounded Shoulder Posture)

  • 안상준;최은홍;김명권
    • 대한물리의학회지
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    • 제14권4호
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    • pp.81-91
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    • 2019
  • PURPOSE: This study examined the effects of Kinesiology taping followed by pectoralis minor muscle self-stretching on the rounded shoulder posture, neck range of motion, and upper trapezius muscle tone in subjects with a rounded shoulder posture. METHODS: Thirty adults with a rounded shoulder posture were assigned randomly to one of two groups, either one that only performed pectoralis minor muscle self-stretching or a group that performed pectoralis minor muscle self-stretching after applying Kinesiology taping ; the subjects underwent four weeks of intervention. Three rounds of intervention were carried out over four weeks, and before and after the experiment, rounded shoulder posture, neck range of motion, and upper trapezius muscle tone creep were measured. RESULTS: Following the interventions, both the experimental and control groups showed significant improvement in the rounded shoulder posture, neck range of motion, upper trapezius muscle tone, stiffness, relaxation, and creep. Significant differences in the post training gains in the rounded shoulder posture and neck range of motion were observed between the experimental and control groups. CONCLUSION: These results showed that a combination of Kinesiology taping and pectoralis minor muscle self-s tretching led to more significant improvement than that seen when only utilizing the application of pectoralis minor muscle self-stretching to change the posture of the subjects with a rounded shoulder posture.

블렌디드 액션러닝프로그램이 대학생의 자기주도적 학습능력에 미치는 영향 (An effect of Blended Action Learning Program on the Self Directed Learning Skills)

  • 김연철;이은철
    • 한국콘텐츠학회논문지
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    • 제15권11호
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    • pp.658-671
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    • 2015
  • 본 연구는 블렌디드 액션러닝프로그램이 대학생의 자기주도적 학습능력 향상에 미치는 영향을 탐색하였다. 이를 위해 수도권 D 대학의 사범대학 학생들을 대상으로 실험집단 30명, 통제집단 30명을 구성하여 연구를 수행하였다. 연구대상의 평균연령은 22.3세이며, 2-4학년 재학생으로 인구통계학적 배경은 비교적 동질적이다. 교육사회학(교직과목) 수업에서 실험을 수행하였다. 연구는 학기 초에 자기주도적 학습 능력을 사전 검사하였다. 이후에 실험집단은 블렌디드 액션러닝프로그램으로 수업을 진행하였고, 통제집단은 액션러닝프로그램으로 수업을 진행하였다. 학기가 종료되는 시기에 사후 검사를 실시하였다. 자료 분석은 사전 검사 점수를 고려하여 집단 간 사후 검사 점수를 비교하기 위해 공분산분석(ANCOVA)을 수행하였다. 그 결과 첫째, 대학생들의 자기주도적 학습능력 향상을 위해서는 액션러닝프로그램 보다 블렌디드 액션러닝프로그램이 효과적인 것으로 나타났다. 둘째, 인지적, 경험적 수준이 낮은 학습자 대상의 수업에서는 액션러닝프로그램 보다 블렌디드 액션러닝프로그램이 더욱 효과적인 것으로 나타났다. 셋째, 학습자원 관리와 학습전략 활용 측면에서는 액션러닝프로그램과 블렌디드 액션러닝프로그램 공히 영향을 미치지 못하는 것으로 나타났다. 이상의 내용을 종합해볼 때 대학생의 자기주도적 학습능력을 향상하기 위해서는 다양한 교수방법 중 전통적 집단강의보다 학습자들의 참여 및 실천학습 방법인 액션러닝프로그램이 효과적인 교수방법이지만, 대학생들의 지적, 경험적 측면의 초보적 수준을 고려할 때 블렌디드 액션러닝프로그램의 적극적 활용이 요구된다.

남자 노숙인의 분노와 건강기능과의 관계에서 자기효능감의 매개효과 (Mediating Effect of Self-efficacy in the Relationship between Anger and Functional Health of Homeless Men)

  • 박수인;김선아
    • 대한간호학회지
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    • 제44권4호
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    • pp.361-370
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    • 2014
  • Purpose: The purpose of this study was to examine the mediation of self-efficacy in the relationship between anger and the functional health of homeless men in order to provide a basis for planning nursing interventions to improve the functional health of homeless persons. Methods: The participants were 137 homeless men who lived in homeless shelters or visited one center serving free meals for homeless persons in Seoul. Data were collected using self-report questionnaires and analyzed with the SPSS-WIN 20.0 program. The instruments were the Functional Health Pattern Screening Assessment Tool (FHPAST), Self-efficacy Scale (SES), and State-trait Anger Expression Inventory-Korean version (STAXI-K). Results: The mean score for functional health was 2.41. Overall self-efficacy was 70.82. state anger was 16.53, trait anger was 19.54, and anger expression was 25.31. There were signigicant correlations among the 3 variables, functional health, self-efficacy, and anger. Also, self-efficacy had a complete mediating effect in the relationship between anger and functional health. Conclusion: Based on the findings of this study, health management programs focusing on anger management and self-efficacy improvement are highly recommended to promote functional health in homeless persons.

청소년의 공격성과 스마트폰중독 관계에서 자기효능감의 매개효과 (Mediating Effect of Self-Efficacy between Aggressiveness and Smartphone Addiction in Adolescents)

  • 박기희;박은민
    • 한국콘텐츠학회논문지
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    • 제20권7호
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    • pp.516-524
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    • 2020
  • 본 연구는 청소년의 공격성과 스마트폰중독 관계에서 자기효능감의 매개효과를 검증하고자 수행되었다. 지방에 소재한 중고등학생 665명을 대상으로 자기보고식 설문조사를 실시하였다. 구조방정식 분석 결과 첫째, 공격성과 스마트폰중독은 정적상관관계가 있었으며 공격성과 자기효능감은 부적상관관계가 있는 것으로 확인되었고 자기효능감과 스마트폰중독은 부적상관계가 확인되었다. 둘째, 공격성이 스마트폰중독에 영향을 주는 과정에서 자기효능감은 부분매개효과가 있는 것으로 검증되었다. 본 연구는 청소년의 스마트폰중독 예방 및 해소를 위한 자기효능감의 역할을 확인하였으며 자아효능감 증진 교육 및 훈련의 필요성을 제시하였다.

자기관리과정이 강직성 척추염환자의 요통, 허리유연성, 불확실성과 자기효능감에 미치는 효과 (The Effect of Self-Management Course on Pain, Flexibility of Lumbar Spine, Uncertainty and Self-efficacy in patients with Ankylosing Spondylitis)

  • 백승인;송경애
    • 근관절건강학회지
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    • 제10권2호
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    • pp.156-166
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    • 2003
  • Purpose: To investigate the effects of self-management course in patients with ankylosing spondylitis. Method: Forty-nine subjects were sampled according to research criteria, and divided into two groups: 24 of the experimental group and 25 of control group. To the experimental group, self-management course which developed by the investigators was applied for 6 weeks, each session adopted for two hours per week and additional 30-minutes exercise was carried out two times a week. Result: After participating the self-management course in experimental group, 1) the degree of pain was significantly decreased 2) significant improvement in the flexibility of lumbar spine, 3) uncertainty was significantly decreased. 4) Self-efficacy was not changed between the two groups after self-management course. Conclusions: These findings indicate that the self-management course could be effective in improving the flexibility of lumbar spine and decreasing pain, and uncertainty in patients with ankylosing spondylitis.

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대학생 외모만족도와 자기효능감의 관계 : 생활태도의 매개효과 (The Relationship between Appearance Satisfaction and Self-efficacy in College Students: Mediating Effect of Life Attitude)

  • 김현경
    • 보건의료산업학회지
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    • 제14권2호
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    • pp.105-115
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    • 2020
  • Objectives: The purpose of this study was to determine the mediating effect of life attitude on the relationship between appearance satisfaction and self-efficacy of college students. Methods: The data from 223 college students (K-do and -city) highly interested in body and appearance, and were analyzed by three-step mediation analysis and Sobel test. Results: The mediating effect of life attitude was significant on the relationship between appearance satisfaction and self-efficacy. Namely, there was a mediating effect meaning the higher the appearance satisfaction, the more positive the attitude of life and the more self-efficacy. It was simultaneously found that the appearance satisfaction had a direct influence on self-efficacy. Conclusions: In summary, appearance satisfaction and self-efficacy act as internal factors that motivate individual self-development and the smooth adaptation of university life by changing own behavior. Accordingly, an education program should be devised to help college students form their own regular and correct lifestyles, which will also contribute to the improvement of self-efficacy of college student.

노인 당뇨병 환자의 짝 활동 기반 건강코칭 프로그램 효과 (Effects of the Pair-Work based Health Coaching Program for Elderly Diabetic Patients)

  • 임선영;김남희
    • 한국보건간호학회지
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    • 제34권3호
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    • pp.457-472
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    • 2020
  • Purpose: This study examined how a pair-work based health coaching program for the self-care of elderly diabetic patients effects the patients' diabetes self-management knowledge, perceived social support, diabetes self-efficacy, and diabetes self-management behaviors in patients with diabetes. Method: The participants of this study were 55 elderly diabetic patients aged 65 years or older enrolled at elderly welfare centers in U city;26 patients in the experimental group and 29 in the control group. The program consisted of eight group coaching sessions and four sessions of phone-based individual interviews and coaching, that were implemented once a week for 12 weeks. Results: Compared to the control groups, the experimental group showed significant improvement in self-care knowledge, social support, diabetes self-efficacy, self-management behavior, fasting blood sugar and glycated hemoglobin level. Conclusion: The health coaching program is an effective intervention for the self-management of elderly diabetics.