Objectives:There is extensive literature from various disciplines on self-care,an important aspect of nursing intervention via evaluation and education,but its meaning remains unprecise due to the difficulty integrati...Objectives:There is extensive literature from various disciplines on self-care,an important aspect of nursing intervention via evaluation and education,but its meaning remains unprecise due to the difficulty integrating the diverse definitions developed over time across disciplines.Therefore,it is vital to clarify the meaning of self-care and formulate the defining attributes,antecedents,and consequences to self-care.Methods:Walker and Avant’s concept analysis approach was used to analyze the concept of self-care.A search of the literature was completed using the databases CINAHL,PubMed,and EBSCOhost for years 1975e2020;literature search included peer-review articles,full-text publications,and available in English.A total of 31 articles were reviewed,and saturation was reached.Results:An extensive review of the literature revealed salient characteristics that reflected the most frequently used terms associated with the concept.Guided byWalker and Avant’s method,three defining attributes emerged as common themes:awareness,self-control,and self-reliance.Conclusions:A clarified definition was identified:the ability to care for oneself through awareness,selfcontrol,and self-reliance in order to achieve,maintain,or promote optimal health and well-being.展开更多
The American self-concept is the integral assumption of the culture, and the best expression of it is the individualism and self-reliance. In social relations, individualism asserts its influence om many aspects such ...The American self-concept is the integral assumption of the culture, and the best expression of it is the individualism and self-reliance. In social relations, individualism asserts its influence om many aspects such as morality, ethics, or financial matters. Also individualism reflects a continuous frontier between the individual and the cultural. For being self-reliance, Americans approve self-motivation,which in the sense of long-range goals, as well as for a specific and immediate task.展开更多
Background: Physical self-concept and physical self-esteem are important sources of general self-esteem and overall health. Evidence indicates that exercise leads to an enhancement in physical self-concept and physica...Background: Physical self-concept and physical self-esteem are important sources of general self-esteem and overall health. Evidence indicates that exercise leads to an enhancement in physical self-concept and physical self-esteem. Until now however, it remained unclear whether the beneficial effects of exercise were impacted by different types of exercise environments. Thus, the purpose of this study was to experimentally investigate, whether the presence or absence of an instructor or other group members influenced elder adults’ physical self-concept and esteem. Method: Participants were 46 women and 20 men (Mean age 65.4, SD = 4.36) who were randomly assigned to one of four experimental groups differing across two factors—group versus no-group and instructor versus no-instructor. Participants took part in an 8-week-walking program with a comparable number of training sessions across the four experimental groups. Physical self-concept and physical self-esteem were assessed both pre and post exercise intervention. Results: Descriptively, the highest improvement in physical self-concept and esteem were observed in the instructor/no-group and the no-instructor/group condition. Between these two conditions, no significant difference of change was observed. Moreover, no improvement was observed when both instructor and group were present. Conclusion: Effects of either instructor presence or group presence may be explained by mechanisms of social integration and social support. An unexpected absence of effects on self-concept and esteem under the instructor/group condition are explained with reference to an individual’s cognitive dissonance caused by the need to adapt to different exercise oriented goals or attitudes of the instructor and the group members which might hinder the positive development of the self.展开更多
Based on the theory of the post method pedagogy and the teaching practice，this paper proposes a new teaching model，the self-correction model，and explains it from the point of view of linking theory.
Although the concept of family functioning has gained recent popularity, the terms ＂family functioning＂ and ＂family resilience＂ are sometimes confused and used interchangeably. The aim of this concept analysis was...Although the concept of family functioning has gained recent popularity, the terms ＂family functioning＂ and ＂family resilience＂ are sometimes confused and used interchangeably. The aim of this concept analysis was to clarify what is meant by family functioning in the context of diabetes self-management by assessing specific attributes, antecedents, and consequences. A concept analysis model by Walker and Avant was applied. The identified attributes of family functioning in a diabetes self-management context included problem-solving, communication, roles, affective responsiveness, affective involvement, and behavioral control. Antecedents included family structure, socioeconomic status, family functioning relationships, family stage, and life events. Consequences included family satisfaction, family cohesion, and family relationships. This analysis provided a deeper understanding of a family functioning concept within a diabetes self-management context. It is recommended that health care providers should be aware of antecedent factors that could inhibit outcome improvement. Further research is needed to explain family functioning attributes in relation to antecedents and potential consequences.展开更多
Background: Cognitive restructuring and imagery modification for posttraumatic stress disorder (CRIM-PTSD) is a new intervention that involves only three sessions and focuses on the self-concept. It combines cognitive...Background: Cognitive restructuring and imagery modification for posttraumatic stress disorder (CRIM-PTSD) is a new intervention that involves only three sessions and focuses on the self-concept. It combines cognitive restructuring of core trauma-related dysfunctional beliefs and mental imagery. The effectiveness of CRIM-PTSD has recently been demonstrated in a pilot study. Method: This article presents a step-by-step description of the administration of CRIM-PTSD in a female survivor of childhood sexual abuse (CSA) suffering from PTSD and major depressive disorder related to strong self-blame. Results: The intervention showed substantial reductions in PTSD symptoms and depression in the patient comparable to those observed in the pilot study. Conclusions: CRIM-PTSD might provide an economical tool for reducing PTSD symptoms when only a short time is available for intervention. Furthermore, this tool could be included in well-established PTSD treatments. In addition to the pilot study, a randomized controlled trial is needed to further explore the feasibility and effectiveness of this short intervention.展开更多
Background: A relationship between symptom attitudes and negative affect has consistently been found in a range of different symptom domains. Little is known, however, about the role of different aspects of the self i...Background: A relationship between symptom attitudes and negative affect has consistently been found in a range of different symptom domains. Little is known, however, about the role of different aspects of the self in this relationship. We explored the mediating role of interferences of symptom with the self-concept in the association of menstrual symptom attitudes and depressive mood. Methods: Eighty-one women completed an online survey on menstrual symptom attitudes, perceived interferences of symptoms with various self-aspects and negative mood states. We tested our hypothesis in a mediation analysis. Results: We found a complete mediation of the relationship of symptom attitudes and depressive mood by interferences of symptoms with self-aspects. However, interferences with self-aspects did not play a role in the association of anxious mood and symptom report. Conclusion: The self-concept should receive greater attention in research on symptom attitudes and psychological well-being. This would be particularly important in research on medically unexplained symptom report.展开更多
The quality of object relations affects interpersonal behaviour, but it is not known whether it modifies effectiveness on personality functioning in psychotherapies of different mode and length. In this study we estim...The quality of object relations affects interpersonal behaviour, but it is not known whether it modifies effectiveness on personality functioning in psychotherapies of different mode and length. In this study we estimated the modifying effect of the quality of object relations on the effect of solution-focused therapy (SFT) and shortand long-term psychodynamic psychotherapy (SPP and LPP) on self-concept. A total of 326 patients were assessed at baseline with the Quality of Object Relations Scale (QORS) and 4 times during a 3-year follow-up with the Structural Analysis of Social Behavior self-concept questionnaire, comprising altogether 10 scores on different aspects of self-concept pathology. The effectiveness of SFT, but not SPP, was significantly poorer in several domains (5/10) of self-concept for patients with low QORS, i.e. those with less mature relational patterns, than for patients with high QORS, while the reversal occurred in some (3/10) self-concept domains in LPP. The results suggest that the quality of object relations has significance for treatment selection in therapies with different mode and length.展开更多
A novel notion of self-organization whose major property is that it brings about the execution of semantic intelligence as spontaneous physico-chemical processes in an unspecified ever-changing non-uniform environment...A novel notion of self-organization whose major property is that it brings about the execution of semantic intelligence as spontaneous physico-chemical processes in an unspecified ever-changing non-uniform environment is introduced. Its greatest advantage is that the covariance of causality encapsulated in any piece of semantic intelligence is provided with a great diversity of its individuality viewed as the properties of the current response and its reproducibility viewed as causality encapsulated in any of the homeostatic patterns. Alongside, the consistency of the functional metrics, which is always Euclidean, with any metrics of the space-time renders the proposed notion of self-organization ubiquitously available.展开更多
Clarifying Wang Yangming＇s thought through a study of his root metaphors of heart-mind is an important step toward explaining his further concepts of the human world. Along with the root metaphors of water and mirror...Clarifying Wang Yangming＇s thought through a study of his root metaphors of heart-mind is an important step toward explaining his further concepts of the human world. Along with the root metaphors of water and mirror, the metaphors of plant and light work together for Wang to form a coherent theoretical and practical system of xin （heart-mind）. This method is also a good way to unravel the various theories of the ＂three teachings＂ that are intermingled in his thinking. By using this methodology Wang＇s attempts to harmonize several ancient traditions of heart-mind that appear as possibly polarized to modem readers, are illuminated （though they did not appear contradictory to the Neo-Confucians）.展开更多
目的分析并阐述慢性病患者内感知的概念内涵,以期为护理实践提供参考。方法系统检索PubMed、Cochrane Library、CINAHL、Web of Science、Embase、中国知网、万方数据知识服务平台、维普网、中国生物医学文献服务系统中与慢性病患者内...目的分析并阐述慢性病患者内感知的概念内涵,以期为护理实践提供参考。方法系统检索PubMed、Cochrane Library、CINAHL、Web of Science、Embase、中国知网、万方数据知识服务平台、维普网、中国生物医学文献服务系统中与慢性病患者内感知相关的文献,并采用Rodgers演化概念分析法对纳入文献进行分析。结果共纳入37篇文献,其中6篇中文文献,31篇英文文献。慢性病患者的内感知概念属性包括体内生理信号的准确解读、生理状态波动的敏锐感知、基于情境的感知动态变化3个方面;其前因变量包括人口学因素、疾病相关特征、心理因素、社会支持;后果包括优化情绪状态、提升自我护理能力、改善临床结局。结论明确慢性病患者内感知的概念,可为以后国内研制不同慢性疾病患者内感知特异性评估工具,构建本土化的干预策略提供思路。展开更多
基金This work was supported in part by the Achievement Rewards for College Scientists(ARCS)Foundation.
文摘Objectives:There is extensive literature from various disciplines on self-care,an important aspect of nursing intervention via evaluation and education,but its meaning remains unprecise due to the difficulty integrating the diverse definitions developed over time across disciplines.Therefore,it is vital to clarify the meaning of self-care and formulate the defining attributes,antecedents,and consequences to self-care.Methods:Walker and Avant’s concept analysis approach was used to analyze the concept of self-care.A search of the literature was completed using the databases CINAHL,PubMed,and EBSCOhost for years 1975e2020;literature search included peer-review articles,full-text publications,and available in English.A total of 31 articles were reviewed,and saturation was reached.Results:An extensive review of the literature revealed salient characteristics that reflected the most frequently used terms associated with the concept.Guided byWalker and Avant’s method,three defining attributes emerged as common themes:awareness,self-control,and self-reliance.Conclusions:A clarified definition was identified:the ability to care for oneself through awareness,selfcontrol,and self-reliance in order to achieve,maintain,or promote optimal health and well-being.
文摘The American self-concept is the integral assumption of the culture, and the best expression of it is the individualism and self-reliance. In social relations, individualism asserts its influence om many aspects such as morality, ethics, or financial matters. Also individualism reflects a continuous frontier between the individual and the cultural. For being self-reliance, Americans approve self-motivation,which in the sense of long-range goals, as well as for a specific and immediate task.
文摘Background: Physical self-concept and physical self-esteem are important sources of general self-esteem and overall health. Evidence indicates that exercise leads to an enhancement in physical self-concept and physical self-esteem. Until now however, it remained unclear whether the beneficial effects of exercise were impacted by different types of exercise environments. Thus, the purpose of this study was to experimentally investigate, whether the presence or absence of an instructor or other group members influenced elder adults’ physical self-concept and esteem. Method: Participants were 46 women and 20 men (Mean age 65.4, SD = 4.36) who were randomly assigned to one of four experimental groups differing across two factors—group versus no-group and instructor versus no-instructor. Participants took part in an 8-week-walking program with a comparable number of training sessions across the four experimental groups. Physical self-concept and physical self-esteem were assessed both pre and post exercise intervention. Results: Descriptively, the highest improvement in physical self-concept and esteem were observed in the instructor/no-group and the no-instructor/group condition. Between these two conditions, no significant difference of change was observed. Moreover, no improvement was observed when both instructor and group were present. Conclusion: Effects of either instructor presence or group presence may be explained by mechanisms of social integration and social support. An unexpected absence of effects on self-concept and esteem under the instructor/group condition are explained with reference to an individual’s cognitive dissonance caused by the need to adapt to different exercise oriented goals or attitudes of the instructor and the group members which might hinder the positive development of the self.
文摘Based on the theory of the post method pedagogy and the teaching practice，this paper proposes a new teaching model，the self-correction model，and explains it from the point of view of linking theory.
基金the Indonesia Endowment Fund for Education (Lembaga Pengelolah Dana Pendidikan [LPDP] scholarship)Ministry of Higher Education and Research for grant support
文摘Although the concept of family functioning has gained recent popularity, the terms ＂family functioning＂ and ＂family resilience＂ are sometimes confused and used interchangeably. The aim of this concept analysis was to clarify what is meant by family functioning in the context of diabetes self-management by assessing specific attributes, antecedents, and consequences. A concept analysis model by Walker and Avant was applied. The identified attributes of family functioning in a diabetes self-management context included problem-solving, communication, roles, affective responsiveness, affective involvement, and behavioral control. Antecedents included family structure, socioeconomic status, family functioning relationships, family stage, and life events. Consequences included family satisfaction, family cohesion, and family relationships. This analysis provided a deeper understanding of a family functioning concept within a diabetes self-management context. It is recommended that health care providers should be aware of antecedent factors that could inhibit outcome improvement. Further research is needed to explain family functioning attributes in relation to antecedents and potential consequences.
文摘Background: Cognitive restructuring and imagery modification for posttraumatic stress disorder (CRIM-PTSD) is a new intervention that involves only three sessions and focuses on the self-concept. It combines cognitive restructuring of core trauma-related dysfunctional beliefs and mental imagery. The effectiveness of CRIM-PTSD has recently been demonstrated in a pilot study. Method: This article presents a step-by-step description of the administration of CRIM-PTSD in a female survivor of childhood sexual abuse (CSA) suffering from PTSD and major depressive disorder related to strong self-blame. Results: The intervention showed substantial reductions in PTSD symptoms and depression in the patient comparable to those observed in the pilot study. Conclusions: CRIM-PTSD might provide an economical tool for reducing PTSD symptoms when only a short time is available for intervention. Furthermore, this tool could be included in well-established PTSD treatments. In addition to the pilot study, a randomized controlled trial is needed to further explore the feasibility and effectiveness of this short intervention.
文摘Background: A relationship between symptom attitudes and negative affect has consistently been found in a range of different symptom domains. Little is known, however, about the role of different aspects of the self in this relationship. We explored the mediating role of interferences of symptom with the self-concept in the association of menstrual symptom attitudes and depressive mood. Methods: Eighty-one women completed an online survey on menstrual symptom attitudes, perceived interferences of symptoms with various self-aspects and negative mood states. We tested our hypothesis in a mediation analysis. Results: We found a complete mediation of the relationship of symptom attitudes and depressive mood by interferences of symptoms with self-aspects. However, interferences with self-aspects did not play a role in the association of anxious mood and symptom report. Conclusion: The self-concept should receive greater attention in research on symptom attitudes and psychological well-being. This would be particularly important in research on medically unexplained symptom report.
文摘The quality of object relations affects interpersonal behaviour, but it is not known whether it modifies effectiveness on personality functioning in psychotherapies of different mode and length. In this study we estimated the modifying effect of the quality of object relations on the effect of solution-focused therapy (SFT) and shortand long-term psychodynamic psychotherapy (SPP and LPP) on self-concept. A total of 326 patients were assessed at baseline with the Quality of Object Relations Scale (QORS) and 4 times during a 3-year follow-up with the Structural Analysis of Social Behavior self-concept questionnaire, comprising altogether 10 scores on different aspects of self-concept pathology. The effectiveness of SFT, but not SPP, was significantly poorer in several domains (5/10) of self-concept for patients with low QORS, i.e. those with less mature relational patterns, than for patients with high QORS, while the reversal occurred in some (3/10) self-concept domains in LPP. The results suggest that the quality of object relations has significance for treatment selection in therapies with different mode and length.
文摘A novel notion of self-organization whose major property is that it brings about the execution of semantic intelligence as spontaneous physico-chemical processes in an unspecified ever-changing non-uniform environment is introduced. Its greatest advantage is that the covariance of causality encapsulated in any piece of semantic intelligence is provided with a great diversity of its individuality viewed as the properties of the current response and its reproducibility viewed as causality encapsulated in any of the homeostatic patterns. Alongside, the consistency of the functional metrics, which is always Euclidean, with any metrics of the space-time renders the proposed notion of self-organization ubiquitously available.
文摘Clarifying Wang Yangming＇s thought through a study of his root metaphors of heart-mind is an important step toward explaining his further concepts of the human world. Along with the root metaphors of water and mirror, the metaphors of plant and light work together for Wang to form a coherent theoretical and practical system of xin （heart-mind）. This method is also a good way to unravel the various theories of the ＂three teachings＂ that are intermingled in his thinking. By using this methodology Wang＇s attempts to harmonize several ancient traditions of heart-mind that appear as possibly polarized to modem readers, are illuminated （though they did not appear contradictory to the Neo-Confucians）.
文摘目的分析并阐述慢性病患者内感知的概念内涵,以期为护理实践提供参考。方法系统检索PubMed、Cochrane Library、CINAHL、Web of Science、Embase、中国知网、万方数据知识服务平台、维普网、中国生物医学文献服务系统中与慢性病患者内感知相关的文献,并采用Rodgers演化概念分析法对纳入文献进行分析。结果共纳入37篇文献,其中6篇中文文献,31篇英文文献。慢性病患者的内感知概念属性包括体内生理信号的准确解读、生理状态波动的敏锐感知、基于情境的感知动态变化3个方面;其前因变量包括人口学因素、疾病相关特征、心理因素、社会支持;后果包括优化情绪状态、提升自我护理能力、改善临床结局。结论明确慢性病患者内感知的概念,可为以后国内研制不同慢性疾病患者内感知特异性评估工具,构建本土化的干预策略提供思路。
