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노인의 건강증진태도와 생리적 지수에 대한 클린다이어트 프로그램의 중재효과

The intervention effects of the Clean Diet program on the health promotion attitudes and the physiological indices of an elderly

  • 신소홍 (경북과학대학 간호학과) ;
  • 김현실 (대구한의대학교 간호학과)
  • Shin, So-Hong (Department of Nursing, Kyoungbuk science college) ;
  • Kim, Hyun-Sil (Department of Nursing, Daegu Haany University)
  • 투고 : 2016.05.02
  • 심사 : 2016.06.02
  • 발행 : 2016.06.30

초록

이 연구는 노인의 건강증진태도와 생리적 지수에 대하여 클린다이어트 프로그램의 중재효과를 파악하고자 비동등성 대조군 전 후 실험설계로 2015년 6월 24일부터 2015년 9월 18일까지 12주간 실시되었다. 연구대상자는 대구광역시 C 노인대학에서 만성질환이 있는 65세 이상 노인 60명을 선정하여 실험군과 대조군으로 각각 30명씩 배정하였다. 클린다이어트 프로그램은 실험군에만 적용되었으며 웰니스, 건강행동, 주관적 건강감, 우울 및 생리적 지수(혈압, 혈당, TG/TC, BMI)에 대하여 실험군과 대조군의 사전 사후 차이를 비교하였다. 연구결과 실험군의 웰니스(t=7.069, p<.001), 건강행동(t=6.196, p<.001), 주관적 건강감(t=6.624, p<.001) 수준이 향상되었고, 우울(t=4.038, p<.001)은 완화된 변화를 보였다. 그리고 생리적 지수는 BMI(t=5.974, p<.001)에서만 감소된 것으로 분석되었다. 이와 같은 결과는 클린다이어트 프로그램의 중재효과를 입증한다. 따라서 노인에게 클린다이어트 프로그램을 적용하면 삶의 질을 높이는 총체적인 생활방식이나 건강을 유지하기 위한 생활양식 그리고 우울증 완화와 BMI관리에 효율적인 것으로 판단된다.

In this study, 60 seniors aged at least 65 years who attended C Senior College in Daegu were selected and randomly allocated to test and control groups of 30 subjects each. The Clean Diet Program was only applied to the test group, and the differences in self-efficacy, depression, health behavior, subjective perception of health, wellness, and physiological indices (blood pressure, blood glucose levels, hyperlipidemia, and BMI) between the test and control groups were compared. The results show a significant difference in the test group exhibiting improved or mitigated self-efficacy (t=6.003, p<.001), depression (t=4.038, p<.001), health behavior (t=6.196, p<.001), subjective perception of health (t=6.624, p<.001), and wellness (t=7.069, p<.001). Among the physiological indices, there was a significant decrease in BMI (t=5.974, p<.001). The results demonstrate the mediation effects of the Clean Diet Program. Since the Clean Diet Program can be implemented through walking, simple exercises, and eating habits, it provides great economic efficiency and usefulness and provides a very reasonable intervention program for the elderly. Based on the results, we discuss how to improve the elderly's attitude toward health promotion and their quality of life.

키워드

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