• 대한간호학회지
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• 제49권4호
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• pp.472-485
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• 2019

Purpose: This study aimed to develop and evaluate the effectiveness of an adapted health literacy self-management intervention for elderly cancer patients undergoing chemotherapy. Methods: The intervention in this study was systematically developed through the six stages of Intervention Mapping Protocol and was based on Fransen et al's causal pathway model. A quasi-experimental trial was conducted on a total of 52 elderly patients (26 in an experimental group and 26 in a control group) undergoing chemotherapy in Korea. The intervention consisted of seven sessions over 5 weeks. The experimental tool for this study was an adapted health literacy self-management intervention, which was designed to promote a reduction in the symptom experience and distress of elderly cancer patients through the promotion of self-management behavior. To develop efficient educational materials, the participants' health literacy was measured. To educate participants, clear communication and the teach-back method were used. In addition, for the improvement of self-efficacy, four sources were utilized. For the promotion of self-management behavior, five self-management skills were strengthened. Data were collected before and after the intervention from June 4 to September 14, 2018. The data were analyzed with SPSS/WIN 21.0. Results: Following the intervention, self-management knowledge and behavior and, self-efficacy significantly improved in experimental group. Symptom experience and distress decreased in the experimental group compared to the control group. Conclusion: The self-management intervention presented in this study was found to be effective in increasing self-management knowledge and behavior and, self-efficacy, and ultimately in reducing symptom experience and distress for elderly patients undergoing chemotherapy.

• 보건교육건강증진학회지
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• 제33권1호
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• pp.49-60
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• 2016

Objectives: This study aims to assess the relationships between individual, social and physical environmental correlates and physical activity (PA) and sedentary behavior (SB) in Korean children. Methods: A total of 1,134 elementary school students (512 boys, $5^{th}$ and $6^{th}$ graders) in Seoul participated in the survey including self-reported moderate and vigorous intensity PA and SB as well as demographic and psychological correlates. These data were matched them with school- and community-level environmental data from the government sources. The relationships of the multilevel correlates with PA and SE were analyzed using gender-specific hierarchical regression analysis. Results: Boys were more active than girls, but there was no gender difference in SB. Students with higher levels of self-efficacy were more likely to participate in moderate and vigorous PA. There were gender-specific associations between social and physical environments correlates and PA. Boys with higher levels of self-esteem and self-efficacy were less likely to involve in SB. Girls in the $6^{th}$ grade were more likely to involve in SB. Conclusions: In order to encourage PA and discourage SB in children, school- and community-level environmental support should be considered along with programs to improve self-efficacy and self-esteem.

• Asian Pacific Journal of Cancer Prevention
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• 제15권16호
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• pp.6499-6504
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• 2014

Health information-seeking behavior (HISB) is active need-fulfillment behavior whereby health information is obtained from diverse sources, such as the media, and has emerged as an important issue within the transforming medical environment and the rise of medical consumers. However, little is known about the factors that affect HISB and its associations, and the health outcome of HISB. The aim of this study was to examine individual and social contextual factors associated with HISB and to systematically review their effects on health status among post-treatment cancer patients. Individual determinants of HISB included demographic factors, psychosocial factors, perceived efficacy and norms, and health beliefs. Contextual determinants of HISB encompassed community characteristics, neighborhood social capital, and media advocacy. Improving through factors on these two levels, HISB raised individuals' self-care management skills and medical treatment compliance, and enhanced shared decision-making and medical treatment satisfaction. Moreover, because HISB can differ according to individuals' social contextual conditions, it can give rise to communication inequalities. Because these can ultimately lead to health disparities between groups, social interest in HISB and balanced HISB promotion strategies are necessary.

• 한국지구과학회지
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• 제36권5호
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• pp.484-499
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• 2015

This study explores the impact of a STEM integration teacher professional development program focusing on teachers' perception of engineering and their attitudes toward integrating engineering into teaching. A total of sixty-eight teachers from ten schools participated in the program for five days. Data are collected from three main sources including (1) pre and post concept maps probing teachers' perceptions about the engineering discipline, (2) a pre and post survey measuring teachers' self-efficacy of teaching science/mathematics within the engineering context, and (3) engineering integrated science and (or) mathematics lesson plans and teaching reflections. This study utilizes both qualitative and quantitative research methods depending on the data we have collected. The results show that both science and math teachers thought that integrating engineering into teaching provided valuable outcomes, i.e., promoting students' learning about engineering and improving their interest in science or math through real-world problem solving exercises. Participants also felt more comfortable about integrating engineering in their teaching after the program. The results also imply that the teachers' understandings of engineering become more concrete after the program. This study also provides an overview of the challenges and advantages of teaching engineering in K-12 science and mathematics classrooms.

• 한국과학교육학회지
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• 제21권1호
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• pp.59-75
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• 2001

이 연구는 개념생태 구성요소 중 학습자가 지닌 동기 심리적 관점의 측면에서 수행되었다. 즉 학습자가 학습동기와 관련하여 과학학습에 대한 개념을 어떻게 구성하고 있는가에 대하여 정성적인 방법으로 연구하였다. 수도권에 소재한 '가나' 고등학교 2학년 학생 3명의 사례를 제시하였다. 연구의 신뢰도와 타당도를 위하여 자료의 수집과 분석 의 전과정 동안 삼각측정법을 사용하였다. 면담, 직접 및 간접 관찰, 문서를 통한 자료 수집을 하여 분석한 후, 사례 연구를 하였다. 연구 결과, 학습자들의 과학 학습에 대한 열정은 과학 학습에 대한 관점과 관련되는 것으로 나타났다. 과학 학습에 대한 학습자들의 관점은 지식의 본성, 학습의 본성, 인식론적 확신 근거를 포함한 과학 및 과학 수업에 대한 관점에 영향을 받았다. 이러한 과학학습관은 학습자들의 자아 효능과 과학학습 동기에 영향을 주는 것으로 보여진다.

• 동서간호학연구지
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• 제8권1호
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• pp.89-102
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• 2003

This study attempted to analyze the trend of studies related to IHD(Ischemic Heart Disease). This article reviewed 102 researches on IHD conducted from 1980 to 2003, by examining them according to their characteristics, such as sources by publication period, research design, nursing intervention, outcome of experimental research, and theme of qualitative research. The results were as follows : 1. The number of studies related to IHD has steadily increased year by year since 1985, and that of the articles was the highest during the post-2000 period. Especially, the majority of researches has published since 1995. 2. The 69 studies were degree of all 102 studies related to IHD, and the majority of articles' authors belonged to graduate school. Thirty three studies were non-degree articles. As for study design, the number of quantitative studies were 99 and that of qualitative studies were 3. Non-experimental research design were largely survey and correlational study. 3. Non-experimental study makes up a high proportion of the quantitative study. The most of experimental studies were accomplished after 2000. The main subjects were patients, chart records and general subjects. The majority number of subjects was like this : while the number of non-experimental study was between 51 and 100, that of experimental study was below 50. The number of subject of qualitative study is like this : the number of phenomenology study was 21 and 11, and that of case study is 14. 4. Nursing interventions used in the experimental study comprised teaching program, cardiac rehabilitation program, massage, relaxation, music therapy and providing of sense information. And the most nursing intervention effects included physiological effect, increased self-efficacy, relieved pain and increased quality of life. Most studies proved to have the affirmative effects. 5. The number of qualitative studies related to IHD is like this : the number of degree articles was 2 and that of non-degree articles was 1. Its themes included resources of hope, the experience of coronary artery angiography and the experience of admission at ICU(Intensive Care Unit).