Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

A Convergence Study on the Relationships between Self-Efficacy and Health Behavior in eldery women with chronic low back pain

만성 요통을 가진 여성 노인의 자기 효능감과 건강행위간의 관계에 대한 융합연구

  • Received : 2017.12.13
  • Accepted : 2018.02.20
  • Published : 2018.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study is to examine the relationships between self efficacy and health behavior of elderly woman with chronic low back pain. Methods: A descriptive correlational design was used and the participants were 130 eldery women patients with chronic low back pain from one general hospital in 2012. The structured questionnaire included Perceived Self Efficacy Scale, Health Behavior Assessment tool of the Korean Elders. Data analysis included t-test, ANOVA and Pearson's correlation. Results: The mean scores were $67.34{\pm}18.32$ for self efficacy, $99.70{\pm}14.46$ for health behavior. There were significant correlations between self efficacy and health behavior(r=.80). Conclusion: The findings suggest that elderly woman with chronic low back pain need nursing interventions to improve health behaviors by promoting self efficacy.

본 연구의 목적은 만성요통을 가진 여성 노인의 자기 효능감과 건강행위를 파악하기 위함이다. 본 연구는 2012년 1월부터 10월까지 G도에 있는 종합병원 정형외과 및 신경외과 병동에 요추 및 천추의 척추질환을 진단받고 6개월 이상 요통을 경험하고 요통치료를 받기 위해 입원한 65세 이상의 여성 노인 환자 130명을 대상으로 자기 효능감과 건강행위간의 관계를 분석하기 위해 상관관계분석 방법을 사용하였다. 본 연구에서 자기효능감과 건강 행위간에는 통계적으로 유의한 양의 상관관계가 나타난 것을 확인할 수 있었고, 만성 요통을 가진 여성 노인 대상자의 자기 효능감 및 건강행위는 서로 관련이 있다는 것을 확인하였다(r=.80, p<.001). 본 연구 결과를 통하여 만성요통을 가진 여성 노인의 건강행위 증진을 위해 자기효능감을 강화시키는 것이 필요함을 알 수 있었다. 따라서 만성 요통을 가진 여성 노인의 간호시 자기 효능감을 증진시키고, 건강 행위에 긍정적인 영향을 줄 수 있는 융복합적 전략이 고려되어야 한다.

Keywords

References

  1. Statistics Korea. (2017) 2017 Elderly people statistics. KOSIS(Online). http://kostat.go.kr
  2. Statistics Korea. (2016). 2014 Prevalence and current treatment rate of physician diagnoses by type of chronic diseases of the elderly index. KOSIS(Online). http://kostat.go.kr
  3. H. Y. Song & M. H. Park. (2017). Comparable influencing factors for quality of health-life in osteoarthritis patients in urban and rural areas. Journal of the Korea Convergence Society, 8(6), 311-323. DOI:10.15207/JKCS.2017.8.6.311
  4. J. G. Jarvik et al. (2015). Association of early imaging for back pain with clinical outcomes in older adults. JAMA, 313(11), 1143-1153. DOI:10.1001/jama.2015.1871
  5. A. L. Golob & M. D. Laya. (2015). Osteoporosis: screening, prevention, and management. Medical Clinics of North America, 99(3), 587-606 2015. DOI:10.1016/j.mcna.2015.01.010
  6. H. S. Ryu & K. S. Park. (2015). The effects of moxibustion on chronic back pain and activities of daily living in aged. Korean Academic Society of Rehabilitation Nursing. 18(1), 38-45. DOI:10.7587/kjrehn.2015.38
  7. Y.S. Kim & H. S. Byun. (2014). Effects of pain on memory, physical function, and sleep disturbance in older adults with chronic disease: The mediating role of depression. Journal of Korean Gerontology Nursing, 16(1), 59-67. https://doi.org/10.17079/jkgn.2014.16.1.59
  8. H. S. Kim. (2017). Effect of pain, nutritional risk, loneliness, perceived health status on health-rela-ted quality of life in elderly woman living alone. Journal of the Korea Convergence Society, 8(7), 207-218. DOI:10.15207/JKCS.2017.8.7.207
  9. S. H. Park. (2015). Factors influencing health behavior in elderly patients with chronic low back pain. Journal of Korean Gerontology Nursing, 17(1), 20-28. DOI:10.17079/jkgn.2015.17.1.20
  10. R. Froud et al. (2014). A systematic review and meta-synthesis of the impact of low back pain on people's lives. BMC musculo-skeletal disorders, 15(1), 50. DOI:10.1186/1471-2474-15-50
  11. A. Bandura. (1997). Self-efficacy: The exercise of control. New York, NY: Worth 370 Publishers.
  12. S. O. Eom & I. S. Lee. (2017). The effect of health coaching programs on self-efficacy, health behaviors, and quality of life in hyper-tensive people living in poverty. Journal of Korean Academy Nursing, 47(3), 380. DOI:10.4040/jkan.2017.47.3.380
  13. J. H. Kim, M. J. Kwon, & S. K. Jung. (2017). The influence of health locus of control, social support, and self-efficacy on health promoting behavior in middle-aged adults. Journal of the Korea Academia-Industrial Cooperation Society, 18(4), 494-503. DOI:10.5762/KAIS.2017.18.4.494
  14. J. H. Kong, H. H. Hong, & E. Y. Jung. (2015). The effect of health behavior, resilience, and recognition of well-dying on the depression of elderly with chronic disease. Journal of the Korea Academia-Industrial Cooperation Society. 16(10), 7146-7156. DOI:10.5762/KAIS.2015.16.10.7146
  15. F. Faul, E. Erdfelder, A. G. Lang, & A.Buchner. (2007) G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. DOI:10.3758/BF03193146
  16. K. Lorig, R. L. Chastain, E. Ung, S. Shoor, & H. R. Holman. (1989). Development and evaluation of a scale to measure perceived self efficacy in people with arthritis. Arthritis and Rheumatism, 32(1), 37-44. https://doi.org/10.1002/anr.1780320107
  17. Y. H. Choi & S. Y. Kim. (1997). Development of health behavior assessment tool of the Korean elders. Journal of Korean Academy Nursing, 27(3), 601-613.
  18. T. Kostka & V. Jachimowicz. (2010). Relationship of quality of life to dispositional optimism, health locus of control and self-efficacy in older subjects living in different environments. Quality of Life Research, 19(3), 351-361. DOI:10.1007/s11136-010-9601-0
  19. G. B. J. Andersson.(1999). Epidemiological features of chronic low-back pain. The lancet. 354,(9178), 581-585. https://doi.org/10.1016/S0140-6736(99)01312-4
  20. M. H. Park, E. H. Choi, & K. S. Choi.(2015). A study on health knowledge, health promoting behavior and needs for healthcare service in the elderly in a rural area. Journal of East-West Nursing Research. 21(1), 18-27. DOI:10.14370/jewnr.2015.21.1.18
  21. S. Y. Jeong, H. C. Kim, H. J. Kim, & R. Park. (2016) Effects of healing yoga training for old women on physical ability and stress levels. Journal of the Korea Convergence Society, 7(3), 1-14. DOI:10.15207/JKCS.2016.7.3.001
  22. L. M. Marshall, et al.(2016). A prospective study of back pain and risk of falls among older community dwelling women. Journals of Gerontology: Series A, 71(9), 1177-1183. DOI:10.1093/gerona/glv225