한국간호교육학회지 (The Journal of Korean Academic Society of Nursing Education)

  • 제21권4호
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  • Pages.509-517
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  • 2015
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  • 1225-9578(pISSN)
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  • 2093-7814(eISSN)
한국간호교육학회 (The Korean Academic Society of Nursing Education)
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지역사회 중년의 당뇨병 지식과 건강증진행위 사이의 자기효능감의 매개효과 : 성별차이를 중심으로

The Mediating Effect of Self-efficacy in the Relationship between Diabetes Knowledge and Health Promoting Behaviors: Focus on Gender Differentiation

  • 홍은영 (경남과학기술대학교 간호학과)
  • Hong, Eunyoung (Department of Nursing, Gyeongnam National University of Science and Technology)
  • 투고 : 2015.08.13
  • 심사 : 2015.10.22
  • 발행 : 2015.11.30
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초록

Purpose: This study examined diabetes knowledge, self-efficacy, and health promoting behaviors, and investigated factors affecting health-promoting behaviors of middle-aged people. Methods: From August to September 2014, a convenience sample of 264 subjects was recruited from B city and G province. The data analysis was done by ${\chi}^2$ test, t-test, Pearson's correlation coefficient, and stepwise multiple regression. Results: Diabetes knowledge was $11.3{\pm}3.63$ in men and $12.7{\pm}3.74$ in women. The average levels of self-efficacy and health promoting behaviors of subjects were similar with other middle-aged individuals. Diabetes knowledge, self-efficacy, and health promoting behaviors had a positive correlation with each other in both men and women. To test the mediating effect of self-efficacy in the relationship between diabetes knowledge and health promoting behaviors, a Sobel test was performed and Z-scores of 3.698(p<.001) in men and 2.748(p=.006) in women were obtained. Conclusion: Diabetes prevention education is recommended for the middle-aged community. When developing diabetes prevention program for middle-aged people, such programs should consider self-efficacy, especially in women.

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참고문헌

  1. Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182. https://doi.org/10.1037/0022-3514.51.6.1173
  2. Cho, N. H. (2005). Prevalence of diabetes and management status in Korean population. The Korean Journal of Medicine, 68(1), 1-4.
  3. Choi, J. (2007). Effects of husband and wife compatibility and self-efficacy on health promotion behavior in middle aged women. Journal of Korean Academy of Fundamentals of Nursing, 14(4), 507-514.
  4. Choi, K. O., Jo, H. S., & Kim, C. Y. (2000). A study on health behavior of middle-aged Women. Korean Journal of Women Health Nursing, 6(1), 82-95.
  5. Garcia, A. A., Villagomez, E. T., Brown, S. A., Kouzekanani, K., & Hanis, C. L. (2001). The Starr County Diabetes Education Study: development of the Spanish-language diabetes knowledge questionnaire. Diabetes Care, 24(1), 16-21. https://doi.org/10.2337/diacare.24.1.16
  6. Hwang, W. J. (2010). Cardiovascular disease in Korean bluecollar workers: Actual risk, risk perception, and risk reduction behavior. Unpublished doctoral dissertation, University of California, San Francisco, USA.
  7. Jeon, H. Y. (2014). The relationships of diabetic knowledge, self-efficacy, health promoting behavior for the middle aged. Unpublished master's thesis. Ewha University, Seoul.
  8. Kang, K. J., Yu, S. J., Seo, H. M., Yu, M., Park, M. S., Jang, H. C., et al. (2012). Factors influencing self-management behavior for patients with type 2 diabetes: Comparison of difference between the elderly and adults. Society of Biological Nursing Science, 14(2), 112-121. http://dx.doi.org/10.7586/jkbns.2012.14.2.112
  9. Kim, H. S., & Park J. S. (2003). Self-care and physical symptom by gender in Korean type 2 diabetic patients. Journal of Korean Academy of Women Health Nursing, 9(3), 270-276.
  10. Kim, K. W., Kang, K. H., & Jeong, G. H. (2012). Self-efficacy and sexual autonomy among university students. Journal of Korean Public Health Nursing, 26, 51-59. https://doi.org/10.5932/JKPHN.2012.26.1.051
  11. Kim, S. M., & Kim, S. Y. (2008). A study on aging anxiety and self efficacy of middle aged adults. Journal of Korean Academy Psychiatric and Mental Health Nursing, 17(3), 281-291.
  12. Knowler W. C., Barrett-Connor E, Fowler S. E., Hamman R. F., Lachin J. M., Walker E. A., et al. (2002). Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine, 346, 393-403. https://doi.org/10.1056/NEJMoa012512
  13. Korean Diabetes Association (2013-a). Diabetes fact sheet in Korea 2013. Retreived July 15, 2015, from KDA Website: http://www.diabetes.or.kr/temp/diabetes_factsheet_2013111.pdf
  14. Korean Diabetes Association (2013-b). Diabetes guidline. Retreived July 2, 2015, from KDA Website: http://www.diabetes.or.kr/pro/publish/guide_2013.php?mode=list
  15. Lee, J., & Park, H. (2014). Relationship between diabetic knowledge, self-care behaviors and HbA1c in diabetic patients using public hospitals. Journal of Korean Academy of Fundamentals of Nursing, 21(3), 243-252. https://doi.org/10.7739/jkafn.2014.21.3.243
  16. Lee, J. I., Kim, S. Y., & Seo, K. S. (2007). Effects of self efficacy, health related hardiness on a health promoting lifestyle of middle-aged people. Journal of Korean Academic Society of Nursing Education, 13(2), 177-183.
  17. Lee, K. J., Chang, Ch. J., Yoo, J. H., & Yi, Y. J. (2005). Factors affecting health promoting behaviors in middle-aged women. Journal of Korean Academy of Nursing, 35(3), 494-502. https://doi.org/10.4040/jkan.2005.35.3.494
  18. Oh, G. S. (1993). Nursing concept collection. Seoul: Yonsei University.
  19. Pan X. R., Li, G. W., Hu, Y. H., Wang, J. X., Yang, W. Y., An, Z. X. et al. (1997). Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: the Da Qing IGT and diabetes study. Diabetes Care, 20, 537-544. https://doi.org/10.2337/diacare.20.4.537
  20. Park, I. B., & Baik, S. H. (2009). Epidemiologic characteristics of diabetes mellitus in Korea: Current status of diabetic patients using Korean health insurance database. Korean Diabetes Journal, 33, 357-362. https://doi.org/10.4093/kdj.2009.33.5.357
  21. Park, J. Y., & Ko, I. S. (2012). Development of a comprehensive self management program promoting self efficacy for type 2 diabetic patients. Journal of Korean Academy of Fundamentals of Nursing, 19(1), 74-86. https://doi.org/10.7739/jkafn.2012.19.1.074
  22. Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879-891. https://doi.org/10.3758/BRM.40.3.879
  23. Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982). The self-efficacy scale: Construction and validation. Psychological Reports, 51, 663-671. https://doi.org/10.2466/pr0.1982.51.2.663
  24. Sohn, N. Y., & Yang, J. H. (2013). Factors influencing self-care behaviors related to insulin therapy in elders with diabetes mellitus. Journal of Korean Academy of Fundamentals of Nursing, 20(1), 27-36. https://doi.org/10.7739/jkafn.2013.20.1.27
  25. Statistics Korea (2014). Causes of death statistics 2013. Retreived July 15, 2015, from Statistics Korea Website: http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=330181
  26. Tuomilehto J., Lindstrom J., Eriksson J. G., Valle T.T., Hsmslsinen H., Ilanne-Parikka P., et al. (2001). Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. The New England Journal of Medicine, 344, 1343-1350. https://doi.org/10.1056/NEJM200105033441801
  27. Walker, S. N., Sechrist, K. R., & Pender, N. J. (1996). Health promoting lifestyle profile II. Retrieved March 15, 2014, from University of Nebraska Medical Center, College of nursing Web site: http://www.unmc.edu/nursing/Health_Promoting_Lifestyle_Profile_II.htm
  28. Wu, S. F., Liang, S. Y., Wang, T. J., Chen, M. H., Jian, Y. M., Cheng, K. C., et al. (2011). A self-management intervention to improve quality of life and psychosocial impact for people with type 2 diabetes. Journal of Clinical Nursing, 20(17-18), 2655-2665. http://dx.doi.org/10.1111/j.1365-2702.2010.03694.x.
  29. Yeun, E. J., Kim, H., Jeon, M., & Kwon, Y. (2013). Path analysis of self efficacy, depressive cognition, health status, and health promotion behavior of middle aged adults. Journal of The Korean Society of Living Environmental System, 20(1), 10-18.

피인용 문헌

  1. The Relationship among Health Promotion Behaviors, Self-Respect and Life Satisfaction of Middle-aged Men and Women Who use the Life Gym vol.17, pp.8, 2016, https://doi.org/10.5762/KAIS.2016.17.8.327
  2. 건강인식, 운동욕구, 자기효능감이 당뇨병 환자의 운동빈도에 미치는 영향 vol.18, pp.2, 2020, https://doi.org/10.22678/jic.2020.18.2.037