• 성인간호학회지
• /
• 제14권1호
• /
• pp.83-92
• /
• 2002

Purpose: This study was performed to identify the process of change, decisional balance and self-efficacy corresponding to the stage of exercise behavior using Transtheoretical Model in patients with type 2 diabetes mellitus. Method: The study method was a survey in 100 type 2 DM patients at out-patients clinic of Y medical center from March 19, 2000 to October 30, 2000. Result: The results were as follows: The subjects were divided into five stages of exercise behavior ; 15.0% in pre-contemplation stage, 33.0% in contemplation stage, 17.0% in preparation stage, 16.0% in action stage and 19.0% in maintenance stage. The subjects in pre-contemplation stage used all processes of change in the least. "Dramatic relief(DR)", "Environmental reevaluation(ER)" and "Self reevaluation(SR)" were identified as main processes of change in contemplation stage. "Consciousness raising(CR)", "DR" were used higher than average in preparation stage. Helping relationships(HR)", "CR", "ER", "SR", "Social liberation(SL)", "Counter conditioning (CC)", "Reinforcement management(RM)", "Self iberation(SEL)" and "Stimulus control(SC)" were used higher than average in action stage. The subjects in maintenance stage used all process of change the highest except "DR"and "HR". "Cons" score of decisional balance was the highest in pre-contemplation stage, "Pros" score was the highest in action stage and "Self-efficacy" score was the highest in maintenance stage. Conclusion: This study can provide the basis of staged matching exercise program using TTM for more effective and useful intervention.

• 기본간호학회지
• /
• 제4권1호
• /
• pp.87-101
• /
• 1997

This Research is an attempt to find out what effects the resistance exercise program has on the rheumatoid arthritis patient's functional disability and biochemical parameters. The research took place from June to November 1996, and the target included an experimental group of 25 cases of rheumatoid arthritis and a control group of 26 cases of rheumatoid arthritis taken from the Anam Medical Center at Korea University. The resistance exercise program was executed on these patients five times a week during a period of eight weeks. Before and after the experiments, measurements of functional disability score, ESR, CRP, self-efficacy, and family support were taken and closely analysed. The results of this analysis are as follows : 1. After the experiment, the experimental group had less functional disabilities compared to the control group(t=9.11, P=0.0017). 2. After the experiment, the ESR of both the experimental and the control groups decrease, but there was not notable difference between the two groups(t=0.07, P=0.9546). 3. After the experiment, the CRP of both the experimental and the control groups decreased, with no significant different between them(t=0.53, P=0.6022). 4. After the experiment, the self-efficacy of the experimental group increased significantly compared to the control group(t=3.15, P=0.0042), but the self-efficacy had no effect on the actual practice of the program. 5. After the experiment, the family support of the experimental group was higher than of the control group(t=6.33, P=0.0013), but again the family support had no effect on the actual practice of the program. Judging from the results of these experiments, the resistance exercise program not only diminishes rheumatoid arthritis patients' functional disabilities, but also has a great influence on increasing their self-efficacy and family support. Concluding, in diminishing the functional disabilities of rheumatoid arthritis, the resistance exercise program would be appropriate nursing intervention.

• 가정∙방문간호학회지
• /
• 제15권1호
• /
• pp.29-36
• /
• 2008

Purpose: The purpose of this study was to develop and evaluate an exercise program for elderly community-dwelling adults. The program was intended to improve joint flexibility and self-efficacy and to reduce blood pressure. Methods: A quasi-experimental, nonequivalent control group pre-post test design was used to evaluate the program. Twenty-six subjects were enrolled in the experimental group, and twenty-seven subjects were enrolled in the control group. The program was carried out between March 6 and May 4, 2006. The experimental group subjects participated in the exercise program once a week for eight weeks and received a phone call weekly to encourage self-exercise at home. Results: After program participation, the experimental group subjects showed significantly higher flexibility in the right shoulder joint and higher self-efficacy than subjects in the control group. Systolic and diastolic blood pressures were also significantly lower in the experimental group subjects. However, there were no significant differences in knee joint flexibility between the two groups after the intervention. Conclusion: The eight-week exercise program was effective in decreasing blood pressure and improving joint flexibility and self-efficacy in older adults. This study suggests that this exercise program could be utilized as an effective independent nursing intervention modality in elderly persons.

• 기본간호학회지
• /
• 제14권2호
• /
• pp.181-188
• /
• 2007

Purpose: The purpose of this study was to evaluate the effects of BeHaS exercise program on pain, balance, and falling efficacy in elderly with osteoarthritis. Method: A convenience sample of 52 elderly people with osteoarthritis who lived in C city were recruited through the public health center. For this quasi-experimental study design, 31 of the elders were assigned to the experimental group which received the BeHaS exercise program twice week for eight weeks, and 24 were assigned for the control group (no intervention). Outcome measures were numeric pain scale, standing on one leg for balance, fall efficacy scale. Analysis was performed with SPSS version 12.0 program. Results: Pain was decreased significantly in the experimental group as compared to the control group, Balance and fall efficacy were improved significantly in the experimental group as compared to the control group. Conclusion: The BeHaS exercise program can be effective in improving pain, balance, and fall efficacy in elders with osteoarthritis.

• 한국산학기술학회논문지
• /
• 제20권4호
• /
• pp.129-136
• /
• 2019

본 연구는 폐결핵 환자의 건강증진행위에 대한 관련요인으로서 신체적 증상, 지각된 장애성, 자기효능감, 우울 간의 상관관계를 확인하고 대상자의 건강증진행위에 미치는 영향을 파악하기 위해 수행되었다. 연구대상자는 전라남도 M시에 소재한 일개 국립병원 외래를 통해 치료를 받고 있는 폐결핵 환자 152명이었으며, 자료수집은 2016년 7월부터 9월까지 실시하였다. 자료분석은 기술통계 분석과 독립표본 t검정, 일원배치분산분석, Duncan test, Pearson's correlation analysis, 다중회귀 분석을 실시하였다. 연구결과, 대상자의 건강증진행위 점수는 총 5점 만점에 평균 $3.29{\pm}0.87$점이었고 영양, 운동, 휴식/스트레스 관리, 대인관계, 건강관리, 자아실현의 6개 하위영역에 따라 분석한 결과, 자아실현 점수가 $3.50{\pm}0.88$점으로 가장 높았고 건강관리 $3.35{\pm}0.84$점, 대인관계 $3.30{\pm}0.95$점, 영양 $3.19{\pm}0.98$점, 휴식/스트레스 관리 $3.18{\pm}0.95$점, 운동 $3.14{\pm}1.00$점 순이었다. 신체적 증상 점수는 총 4점 만점에 평균 $1.91{\pm}0.65$점이었고, 지각된 장애성 점수는 총 5점 만점에 평균 $2.90{\pm}1.20$점, 자기효능감 점수는 총 5점 만점에 $3.11{\pm}1.02$점, 우울 점수는 총 5점 만점에 평균 $2.85{\pm}0.70$점이었다. 신체적 증상과 지각된 장애성, 우울은 건강증진행위와 유의한 부정적 상관관계를 보였고, 자기효능감은 건강증진행위와 정적 상관관계를 보였다. 대상자의 건강증진행위에 영향을 미치는 주요 변인은 우울로 63.5%의 설명력을 나타냈다. 따라서 폐결핵 환자의 건강증진행위를 향상시키기 위해서는 대상자의 우울수준을 파악하고 우울을 감소시킬 수 있는 중재프로그램의 개발이 요구된다.

• 지역사회간호학회지
• /
• 제23권3호
• /
• pp.316-326
• /
• 2012

Purpose: This study was to identify the factors associated with stages of exercise behavior change of residents in a community on the basis of the Transtheoretical Model. Methods: Data were collected from 520 residents of a community using a self-report questionnaire. The survey variables comprised the stages of exercise behavior change, the process of change, decisional balance and self efficacy. Results: There were significant differences in the process of change, decisional balance and self efficacy by the stages of exercise behavior change. The factors associated with transition from pre-contemplation to contemplation were consciousness raising and self efficacy; regarding those from contemplation to preparation, cons of the decisional balance and social liberation; regarding those from preparation to action, dramatic relief and counter conditioning; regarding that from action to maintenance, cons of the decisional balance. Conclusion: TTM would be applicable to explain the exercise behavior of some residents in a community, which suggested that the programs for improving exercise behavior of residents in a community need to be developed.

• 한국엔터테인먼트산업학회논문지
• /
• 제13권7호
• /
• pp.361-373
• /
• 2019

낙상은 노인의 신체적 건강은 물론 총체적 삶의 질을 위협하는 요인이다. 이 연구의 목적은 어떤 운동유형이 노인의 균형 능력 증진에 효과적인가를 확인하고, 이에 기초하여 노인 낙상 예방 운동 프로그램 개발에 필요한 기초 자료를 얻는 것이었다. 65세 이상 80세 미만의 여성 노인들을 스텝운동집단(21명), 코어근육운동집단(20명), 통제집단(21명) 중 한 집단에 무선 할당하였고, 8주 동안, 주 2회, 회당 20~30분의 운동을 처치하였다. 운동 효과는 기능적 균형검사(한발 정적균형검사)와 자기보고식 균형검사(낙상효능감, 균형자신감)로 평가하였다. 연구 결과를 요약하면 다음과 같았다. 첫째, 리드미컬한 스텝운동이 체간의 코어근육 강화운동보다 기능적 균형 증진에 효과적이었다. 특히, 눈을 뜨고 측정하는 한발 정적 균형검사에서 스텝운동의 효과가 뚜렷하게 나타났다. 둘째, 자기보고식 균형검사에서도 스텝운동이 코어근육운동보다 우수한 결과를 보였다. 특히, 리드미컬한 스텝운동이 체간의 코어근육운동보다 낙상 효능감 증진에 효과적이었다. 이상의 연구 결과를 종합해 볼 때, 리드미컬한 스텝운동이 체간의 코어근육운동보다 노인의 균형 능력 증진에 효과적이었다. 이는 리드미컬한 스텝운동이 하지 근육의 관여가 상대적으로 높고, 다양한 지면 변화 속에서 스텝운동을 수행하므로 낙상 발생 환경과 유사하며, 발목 고유수용성 강화에 적합한 운동유형이었기 때문이라고 사료된다. 따라서 향후 연구를 위해서 노인 낙상 사고가 발생하는 구체적인 동작 상황을 조사하고, 이에 기초하여 과제지향의 발목 고유수용성 감각강화 운동 중재 프로그램 및 운동 장비의 개발을 제안하였다.

• 치위생과학회지
• /
• 제4권3호
• /
• pp.141-148
• /
• 2004

본 연구는 2004년 9월 13일부터 17일까지 전라남도 K시에 소재하는 4개의 대학에 재학중인 치과위생과 학생 1,2,3학년을 대상으로 자기기입식 설문지로 건강증진 행위와 자기효능감, 인지된 이익, 인지된 장애, 건강통제위, 자아존중감과 인구사회학적 요인을 조사하여 건강증진 행위에 영향을 미치는 요인을 조사하였으며 결과는 다음과 같다. 1. 대상자의 건강증진 행위는 2.60 이었고, 하부요인으로 자아실현 2.89, 건강책임 2.12, 운동 1.89, 영양 2.45, 대인관계 2.97, 스트레스관리 2.63 이었다. 자기효능감은 2.56, 인지된 이익문항은 3.45, 인지된 장애 문항은 2.32, 건강통제위는 3.04, 자아존중감은 2.81이었다. 2. 인구사회학적 특성과 건강증진 행위와의 관계에서는 학년, 종교, 경제수준, 가족질병경험, 본인의 질병경험, 인지된 건강상태(p<0.05)에 따라 유의한 차이가 존재하였고, 인지된 구강건강상태(p<0.001)에 따라 유의한 차이가 존재하였다. 하부영역중 자아실현은 학년, 경제수준, 인지된 건강상태(p<0.05)에 따라 유의한 차이가 있었고 종교, 인지된 구강건강상태(p<0.01)에서 유의한 차이를 보였다. 건강책임은 학년, 종교, 경제수준, BMI(p<0.05)에 따라 유의한 차이가 있었고, 본인의 질병경험, 인지된 구강건강상태(p<0.001)에 따라 유의한 차이가 있었다. 운동영역은 모의 교육정도, 가족 질병경험, 인지된 구강건강상태(p<0.05)에서 유의한 차이를 보였고, 영양영역은 경제수준, 인지된 구강건강상태(p<0.01)에서 유의한 차이를 보였으며, 인지된 건강상태(p<0.05)에서 유의한 차이를 보였다. 대인관계 영역은 인지된 구강건강상태(p<0.05)에서 만이 유의한 차이를 보였으며, 스트레스 관리 영역은 학년, 인지된 구강건강상태(p<0.05)에서 유의한 차이를 보였다. 3. 인구사회학적 특성과 인지-지각요인과의 관계에서는 자기 효능감은 경제수준, 인지된 건강상태(p<0.05)에 따라 유의한 차이를 보였고, 인지된 구강건강상태(p<0.01)에 따라 유의한 차이를 보였다. 인지된 유익성은 종교(p<0.05)에 따라 유의한 차이를 보였다. 인지된 장애는 경제수준, 인지된 구강건강상태(p<0.05)에 따라 유의한 차이를 보였고, 본인의 질병경험(p<0.01)에 따라 유의한 차이를 보였다. 건강통제위는 학년(p<0.05)에 따라 유의한 차이를 보였으며, 자아존중감은 인지된 구강건강상태(p<0.01)에 따라 유의한 차이를 보였다. 4. 건강증진행위와 자기효능감(r=0.376), 인지된 유익성 (r=0.188), 인지된 장애(r=-0.155), 건강통제위(r=0.064), 자아존중감(r=0.318), 인지된 건강(r=0.084), 인지된 구강 건강(r=0.165)은 모두 통계적으로 의미있는 상관이 존재하였다. 5. 건강증진 행위에 영향을 미치는 변수를 조사한 결과 가장 영향력 있는 변수는 자기효능감이었고, 자아존중감, 인지된 유익성, 인지된 구강건강 순서였으며, 이 네 변수를 투입하여 건강증진 행위 18.5%를 설명할 수 있었다. Pender의 건강증진모형을 이용하여 건강증진행위에 영향을 미치는 요인을 찾아 보았으나 설명력이 18.5%로 낮아 좀 더 많은 요인을 찾아내는 연구가 필요할 것으로 사료된다.

• 근관절건강학회지
• /
• 제19권2호
• /
• pp.223-232
• /
• 2012

Purpose: The purpose of this study was to examine the relationships among perceived health status, exercise self-efficacy, social support, and exercise compliance and factors influencing exercise compliance in older adults in an area. Methods: The sample consisted of 154 older adults who attended a senior welfare center in D metropolitan city. Data were collected from the 25th to the 31th of January in 2012. Results: The mean score for perceived health status was 2.94, 911.69 for exercise self-efficacy, 46.99 for social support, and 6.83 for exercise compliance. The highest score on social support domains was emotional support, followed by self-esteem, material, and informational support. There were significant correlations between perceived health status and exercise self-efficacy, between perceived health status and exercise compliance, between exercise self-efficacy and social support, between exercise self-efficacy and exercise compliance, between emotional support and exercise compliance. Findings of multiple regression indicated that only exercise self-efficacy significantly explained exercise compliance. Conclusion: Health care providers may need to develop various intervention program to promote exercise self-efficacy in order to influence on exercise compliance and adherence among older adults.

• 근관절건강학회지
• /
• 제17권1호
• /
• pp.47-57
• /
• 2010

Purpose: The purpose of the study was to identify the effects of a 9-week self-help management aquatic exercise program on pain, flexibility, balance, fatigue and self-efficacy in the patients with osteoarthritis living in the suburban area. Methods: Utilizing a quasi-experimental design, 43 osteoarthritis patients consisted of the experimental group (n=20) and the control group (n=23). Due to the busy schedule of the patients working in the farm, the program was provided for 9 weeks instead of 12 week program under the guidance of professional advice. The questionnaires and physical measurements were used to measure the outcome variables before and after the program. Data were analyzed with the SPSS WIN using descriptive statistics, t-test and ANCOVA. Results: The age was significantly different between the groups. After controlling for the age, pain and fatigue in the experimental group decreased significantly more than the control group. Flexibility, balance and self-efficacy in the experimental group improved significantly more than the control group. Conclusion: This 9-week program could be an effective nursing intervention to be used especially for osteoarthritis patients in the suburban area during the leisure seasons of the farmers to improve their arthritic symptoms and self-efficacy.