• 제목/요약/키워드: Dietary self-efficacy

검색결과 118건 처리시간 0.038초

수도권에 거주하는 20대 여성의 비만도에 따른 심리적 요인과 식행동 및 건강 관련 삶의 질 비교 (The Relationship between Obesity Degree and Psychological Factors, Dietary Behaviors and Health-Related Quality of Life in Adult Women in their Twenties in Seoul and Kyungin Area)

  • 김상연
    • 한국식품영양학회지
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    • 제26권3호
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    • pp.535-546
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    • 2013
  • This study was carried out to analyze the relationship between body mass index (BMI) and general characteristics, psychological factors, eating habits, dietary behaviors, and health related quality of life using survey of 335 women aged 20 to 29 years in the Seoul and Kyungin areas. The 335 study subjects were divided into 4 groups by BMI ($kg/m^2$) levels; normal group($18.5{\leq}BMI{\leq}22.9$), overweight group($23.0{\leq}BMI{\leq}24.9$), mild obesity group($25.0{\leq}BMI{\leq}29.9$), and heavy obesity group ($BMI{\geq}30$) by Asian-Pacific obesity index criteria. The family income of the heavy obesity group was significantly (p<0.05) less than that of the normal weight group. Psychological factors, such as stress and depression of the normal weight group tended to be higher than those of overweight and obesity groups. The higher BMI level had the lower self-efficacy(p<0.05) among all subjects. As the BMI level increased, the preference for sweet, salty, and hot taste was significantly high. We found that normal weight women had healthier eating habits and dietary behaviors and a higher level of health-related quality of life than did those who were overweight, mildly obese, and heavily obese women. Overweight and mildly and heavily obese women were strongly associated with decreased physical and mental health related quality of life. Therefore, weight loss is desirable, and is likely to be beneficial for health-related quality of life in obese adult women. In conclusion, this study contains evidence to suggest that obesity management programs including different strategies according to obesity are required to determine the types of programs that are suitable for adult women, prior to their initiation of a program. The findings are helpful to inform researchers and practitioners who are seeking to implement appropriate strategies to create positive changes in the health behaviors of obese adult women.

사회인지론 모델을 적용한 나트륨 섭취 줄이기 소비자 영양교육 프로그램 개발 - 포커스그룹 인터뷰에 기초하여- (Development of Nutrition Education Program for Consumers to Reduce Sodium Intake Applying the Social Cognitive Theory - Based on Focus Group Interviews -)

  • 안소현;김혜경;김경민;윤진숙;권종숙
    • 대한지역사회영양학회지
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    • 제19권4호
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    • pp.342-360
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    • 2014
  • Objectives: This study aimed to develop nutrition education program for consumers to reduce sodium intake based on social cognitive theory (SCT). Methods: The main factors of SCT related to low sodium diet were investigated by using focus group interview (FGI) with 30 women who participated in consumer organizations. Results: The main target groups for the education program were housewives (H), parents (P), and the office workers (OW), for which we considered their influences on other people and the surroundings. According to the results of FGI, in carrying out low sodium diet, 'positive outcome expectation' were prevention of chronic disease and healthy dietary habit, and 'negative outcome expectation' were low palatability of foods, difficulty in cooking meals, and limited choice of foods. The contents of the program and education materials were individualized by each group to raise self-efficacy and behavioral capability, which reflected the results of the FGI. The program included 'salt intake and health' to raise positive outcome expectation. For improving the ability to practice low-sodium diet, the program contained the contents that focused on 'cooking' and 'food purchasing' for H, on 'purchasing and selection of low-sodium food with the children' for P, and on 'way of selecting restaurant menu' for OW. Also the program included 'way of choosing the low-sodium foods when eating out' with suggestions on sodium content of the dishes and snacks. Further, 'dietary guidelines to reduce sodium intake' was also suggested to help self-regulation. Conclusions: This nutrition education program and education materials could be utilized for the community education and provide the basis for further consumer targeted education program for reducing sodium intake.

임신성 당뇨병을 가진 임산부를 위한 간호중재 프로그램의 효과: 무작위 대조군 실험연구의 체계적 문헌고찰 (Effects of nursing intervention programs for women with gestational diabetes: a systematic review of randomized controlled trials)

  • 김주희;정재원
    • 여성건강간호학회지
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    • 제27권1호
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    • pp.14-26
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    • 2021
  • Purpose: This study aimed to identify the effects of nursing intervention programs for women with gestational diabetes mellitus (GDM) through a critical review of recent studies. Methods: Studies related to effects of nursing intervention programs for women with GDM published in English or Korean between 2000 and 2019 were extracted from 10 electronic databases. The quality of the studies was evaluated and double-checked for accuracy by two reviewers using the Revised Cochrane Risk-of-Bias tool for randomized controlled trials. Results: Twenty studies were selected, of which 19 had a low risk of bias and one had a high risk of bias. Interventions fell into six main groups: (1) integrated interventions, (2) self-monitoring of blood glucose levels, (3) dietary interventions, (4) exercise, (5) psychotherapy, and (6) complementary therapy. This review found that nursing interventions for GDM were of many types, and integrated interventions were the most common. However, low-carbohydrate diets and blood glucose monitoring interventions did not show statistically significant results. Evidence shows that various nursing intervention programs applied to GDM improved diverse aspects of maternal, fetal, and neonatal health, including both physical and psychological aspects. Conclusion: The composition and delivery of integrated interventions continue to evolve, and these interventions affect physical and psychological indicators. Although interventions affecting physical health indicators (e.g., blood glucose levels, diet, and exercise) are important, many studies have shown that programs including psycho-emotional nursing interventions related to anxiety, depression, stress, self- efficacy, and self-management are also highly useful.

영양교육이 이상지혈증 산업체 근로자의 영양지식 및 건강개선에 미치는 효과 (The Effect of Nutrition Education on Nutrition Knowledge and Health Improvement in Dyslipidemic Industrial Employees)

  • 심경순;이경혜
    • 대한영양사협회학술지
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    • 제18권1호
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    • pp.43-58
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    • 2012
  • This study was designed to investigate the impact of a 12-week nutrition education program on 32 male industrial workers (average age: $44.5{\pm}3.8$ yrs, work duration period: $20.1{\pm}5.6$ yrs) diagnosed as having dyslipidemia in a medical checkup at their workplace. This program was implemented with a conceptual framework on strengthening self-efficacy for the improvement of the health conditions of the workers. Most of all, the study exhibited benefits in the industrial workers by ameliorating the risk factors associated with dyslipidemia via changes in dietary behaviors, nutritional knowledge, and attitudes, as well as anthropometric and biochemical parameters. After the nutrition education, overall lifestyle, including the ratios of smoking (P<0.05) and drinking (P<0.01), significantly improved. Exactly 65.6% of the subjects reported that their dietary habits changed. Body weight, BMI, percentage of body fat, and waist circumference all significantly decreased (P<0.001). The systolic (P<0.01) as well as diastolic blood pressures (P<0.001) decreased. Moreover, the degree of increase in serum HDL-cholesterol was appreciable (P<0.001), and the atherogenic index also decreased (P<0.01). Further, risk factors related to metabolic syndrome in subjects significantly decreased (P<0.001). The average scores for nutrition knowledge increased from 9.3 to 17.7 points (P<0.001). All of the participants agreed on the need for a nutrition education program at their workplace. Further, it should be pointed out that the participants strongly indicated the need for continuing nutrition intervention.

건강신념모형에 기반한 효과적인 식품안전 정보제공 방안 연구 (A Study on Effective Food Safety Communication Based on Health Belief Model)

  • 최성희;함태식;이태연
    • 한국식품위생안전성학회지
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    • 제33권4호
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    • pp.259-265
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    • 2018
  • 가정에서 가족의 식생활을 책임지고 있는 주부들은 식품안전과 관련된 정보에 매우 민감하여 주부들에게 어떤 정보를 제공했을 때 안심하고 식품을 구매하는지를 알아보는 것은 매우 중요하다. 이 연구는 건강신념모형에서 건강행동을 촉진한다고 알려진 지각된 위협, 행동평가, 자기효능감 같은 요인들이 주부들의 실제 식품안전 인식과 행동에 얼마나 영향을 미치는지를 알아보기 위해 이루어졌다. 본 연구는 191명의 가정주부를 대상으로 이루어졌으며, 건강신념모형의 주요변수인 지각된 이익과 지각된 장애, 자기효능감, 지각된 심각성과 지각된 개연성 그리고 식품안전 행동에 영향을 미친다고 알려진 건강지향성과 지식수준을 측정하기 위한 설문지가 사용되었다. 일반적 특성을 분석한 결과를 보면 교육수준이 높을수록 그리고 대도시에 살수록 식품안전에 대한 위협을 더 많이 느끼고 안전한 식품을 구매하려는 경향이 더 높았다. 또한 연구 변수간의 상관관계를 분석한 결과를 보면 안전한 식품에 대한 지식이 더 많을수록 그리고 건강에 대한 관심이 높을수록 상대적 이익이나 자기효능감도 높으며 그에 따라 안전한 식품을 구매하려는 경향이 높은 경향을 보였다. 한편 건강신념모형에 근거한 식품안전 행동에 대한 개념모형을 구조방정식분석으로 검증한 결과 적합한 모형 적합도를 보였으며 구매행동에 지각된 위협보다 지식수준과 상대적 이익이 큰 영향을 미치는 것으로 나타났다. 이러한 결과를 볼 때 주부가 안전한 식품을 구매하도록 돕기 위해서는 방송이나 신문 같은 공적 경로를 적극 활용하는 식품안전에 대한 정보의 지속적인 제공으로 지식수준을 높여주고 위해성 정보보다는 예방이 가능한 정보 제공으로 안전한 식품을 구매하려는 노력이 실제로 가정의 건강을 지키는데 도움이 된다는 점을 홍보해야 한다는 것을 시사한다.

창원시 노인의 영양지수에 영향을 미치는 요인 (Factors Affecting Nutrition Quotient for Elderly (NQ-E) for the Elderly in Changwon City)

  • 서은희
    • 한국식품영양학회지
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    • 제35권2호
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    • pp.75-87
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    • 2022
  • The purpose of this study was to identify nutrition quotient for elderly (NQ-E) and to investigate factors affecting NQ-E of the elderly using welfare center and senior citizen's center in Changwon city. A self-administered questionnaire was conducted between June 2021 and early August 2021 for 320 elderly (≥65 years, male, n=52, female, n=268). As a result of the survey, the mean NQ-E score was 61.12, which was within the medium-high grade. The scores of balance, moderation, and dietary behavior factors were within the medium-high grade, while diversity factor was within the medium-low grade. According to the results of the Pearson's correlation coefficient analysis, NQ-E showed positive correlations with the 'with family' (p<0.01), 'education level' (p<0.01), 'health functional foods consumption' (p<0.01), 'monthly household income' (p<0.05), 'nutrition education experience' (p<0.05), 'reading nutrition labeling of health functional foods' (p<0.01), 'perception of the efficacy of health functional foods' (p<0.01), and 'the number of times of leisure activities per week' (p<0.01) and negative correlations with the 'gender' (p<0.05), 'age' (p<0.01), 'smoking' (p<0.05), and 'social frailty' (p<0.01). As a result of multiple regression analysis, 'gender' (p<0.05), 'perception of the efficacy of health functional foods' (p<0.05), 'the number of times of leisure activities per week' (p<0.05), and 'social frailty' (p<0.05) were found to be factors affecting NQ-E. Based on the results of this study, customized services by characteristic, nutrition education, and counseling for the elderly should be implemented and the development of various programs and continuous support of the community are necessary so that the elderly can carry out social exchange.

여자 청소년의 체질량지수에 따른 체중조절행위 변화단계, 변화과정과 의사결정균형 비교 (Stages of Change, Processes of Change, and Decisional Balance for Weight Control Associated with Body Mass Index in Female Adolescents)

  • 채선미
    • Perspectives in Nursing Science
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    • 제9권1호
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    • pp.1-8
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    • 2012
  • Purpose: The purpose of this study was to compare variables related to weight control between normal weight and overweight/obese female adolescents. Methods: This study is a supplementary analysis using a total of 293 female adolescents in Seoul. Data were collected through self-report questionnaires on the topics of stages of change, processes of change, and the decisional balance pertaining to weight control. Body weight and height were also measured. Results: There was a significant difference in the stages of change between the normal weight and overweight/obese groups. Of 12 processes of change, 9 processes were significantly higher in the overweight/obese group than in the normal weight groups. Also, female adolescents who were overweight or obese had significantly higher pros and eating efficacy scores comparing to those in the normal weight group. Conclusion: The findings of this study suggest that overweight/obese female adolescents, especially those in the action stage need supports to continue their weight control behaviors. In addition, a weight control program for female adolescents should emphasize their participation in physical activities in addition to their dietary control efforts.

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경기지역 일부 대학생의 지방제한 섭취 행동단계에 따른 영양소 섭취상태 비교 (Comparison of Nutrient Intakes Regarding Stages of Change in Dietary Fat Reduction for College Students in Gyeonggi-Do)

  • 정은정
    • 한국식품영양과학회지
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    • 제33권8호
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    • pp.1327-1336
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    • 2004
  • 경기지역 일부 대학생의 지방제한식에 대한 행동단계 분포는 연구대상자의 19.3%가 자각이전, 13.8%는 자각, 31.1%는 준비, 28.7%는 실시, 7.1%는 유지단계로, 성인보다 실시 및 유지 단계 비율이 낮아 대학생의 지방질을 선호하는 식생활을 엿볼 수 있었다. 행동변화 단계별로 BMI, 자신의 건강평가, 음주, 흡연 등은 차이가 없었으나 성별에 의한 차이는 뚜렷하여 남학생은 자각이전 및 자각단계가, 여학생은 준비, 실행 및 유지단계의 비율이 많았다. 식행동 단계의 주요 예측인자인 자아효능감은 자각이전에서 유지단계로 갈수록 증가하였다. 열량, 지방질, 포화지방산, linoleic acid($\omega$6), 콜레스테롤 섭취량은 남여 모두 자각이전과 준비단계에서 많고, 실행과 유지단계에서 적었다. 섭취열량중 지방질의 비율은 자각이전과 준비단계에는 권장수준인 20%를 크게 상회하였으나, 실행과 유지단계에서는 권장수준을 섭취하는 양호한 식습관을 갖고 있었다. 섭취 지방산의 P/S 비율은 모두 권장비율에 속하였으며, $\omega$6/$\omega$3 비율은 여학생은 권장범위에 속하였으나(자각이전단계 예외), 남학생은 모든 단계에서 권장범위 이상으로, 지방질의 질적 영양문제가 지적되었다. 행동단계별 영양소 섭취량의 차이는 여학생에게서 더 뚜렷하였으며 , 남학생은 실행단계보다 유지단계에서 열량, 포화지방산, 콜레스테롤 섭취량, $\omega$6/$\omega$3 비율 등이 오히려 증가하는 경향을 보여, 행동변화 모형 에 의한 대상자의 구분은 여학생에서 더 유용한 도구였다. 남학생의 열량, 지방질, 단백질 섭취량은 저녁식사에서만 행동단계별로 차이를 보였으나, 여학생은 저녁을 포함한 다른 끼니에서도 차이를 보여, 남학생보다 단계별 식행동의 차이가 뚜렷하였다. 이상의 결과에서와 같이 아주 간단한 과정을 통해 식행동 단계를 구분지어 주는 행동변화단계 모형은 대상자의 특성과 지방질 영양의 문제점을 파악할 수 있게 되어 각 개인별 맞춤 영양교육의 한 도구가 되어질 수 있음을 알 수 있었다. 따라서 본 행동변화단계 모형에서 자각이전, 자각, 준비 단계로 분류된 대상자들에게는 양적, 질적으로 모두 양호한 지방질의 섭취 패턴을 보이는 실행과 유지 단계가 되도록, 자아효능감 등을 증가시키는 영양교육이 이루어져야 할 것이다. 또한 남학생의 경우 여학생보다 지방제한식을 실시하는 비율이 적었으며, 행동변화 단계에 따라 영양소 섭취량의 차이도 뚜렷하지 않아, 이들을 위한 영양교육의 필요성이 지적되었다. 따라서 이들에게 구체적인 내용의 영양교육을 실시하기 위해, 열량과 지방질, 포화지방, 콜레스테롤 섭취량의 주요 급원식품에 대한 후속 연구가 이루어져야 할 것으로 생각된다.

노인을 위한 식품안전.영양교육 내용 개발 - 포커스그룹인터뷰와 델파이 조사를 통하여 - (Development of Food Safety and Nutrition Education Contents for the Elderly - by Focus Group Interview and Delphi Technique -)

  • 최정화;이은실;이윤진;이혜상;장혜자;이경은;이나영;안윤;곽동경
    • 대한지역사회영양학회지
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    • 제17권2호
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    • pp.167-181
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    • 2012
  • Our society is aging rapidly, and the number of elderly people who are in charge of purchasing and preparing foods at home is increasing. However, most the elderly have difficulty managing nutrition and food safety by themselves. The purpose of this study was to develop the necessary knowledge, through focus group interview and Delphi technique to establish a food safety and nutrition education program. The diet and educational needs of the elderly were surveyed through FGI. The education topics were decided by the Delphi technique. The education program consisted of a five week program, and the topics taught were 'Dietary Change for Healthy Life', 'Prevention of Food Poisoning in Everyday Life', 'Safe Food Handling for my Health', 'Healthy Dietary Life to Prevent Chronic Disease', and 'Safety! Nutrition! Healthy Dietary Life'. This education program was designed to decrease the perceived barriers, and to increase the perceived interests and the sense of self-efficacy. Education program materials, lesson plans, slides, handouts, videos, leaflets, and booklets were developed. Based on the results, the contents of the food safety guideline leaflets for the elderly were decided as the following: (1) wash your hands in the correct way; (2) select safe food; (3) cook foods safely; (4) keep foods safely; (5) keep kitchen utensils clean. In conclusion, if advanced education programs are implemented and delivered continuously in locations such as health centers and community welfare centers, those will contribute significantly to enhance the perception of food safety and to change the desirable dietary behavior of the elderly.

Factors Associated with Attendance in a Nutrition Education Program for Hyperlipidemic Patients

  • Yim, Kyeong-Sook;Kim, Young-Joo;Cho, Young-Yun;Rha, Mi-Yong;Kim, Duk-Kyoung
    • Journal of Community Nutrition
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    • 제3권1호
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    • pp.21-29
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    • 2001
  • This study was conducted to examine factors with attendance in hyperlipidemia nutrition eduction program among 101 hyperlipidemic outpatients (38 males 63 females) at Samsung Medical Center We employed the Health Belief Model (HBM) as the theoretical framework The individual nutrition education and counseling program was scheduled with 4- half hour session sin 2 to 4 weeks intervals. Upon initiation of the program a trained dietitian surveyed HBM constructs and psychosocial factors. The following were included perceived susceptibility to cardiovascular disease(CVD) perceived severity to CVD percieved benefits to diet modification perceived barriers to persistence in maintaining therapy and self efficicacy and social support from family Sociodemographic data health factors stress level nutrition knowledge, and 24-hour dietary recall behavior were also surveyed All these data was analyzed according to the number of nutrition sessions attended The subjects were 55.9$\pm$9.4 year old and 24.6$\pm$kg/㎡ Sociodemographic factors were not associated with the number of nutrition sessions attended HBM constructs and psychosocial factors were significantly associated with the number of nutrition sessions attended. According to Spearman correlation coefficients. From stepwis regression analyses using HBM constructs as independent variables perceive barriers to persistence in maintaining diet therapy (negative) proved to be the strongest predictors for the number of nutrition sessions attended (partial R$^2$= 72.3%) followed by perceived severity to CVD and self efficacy (model R$^2$=76.6% The findings indicate that HBM constructs and psychosocial factors were closely associated with patient attendance It suggests that information and guidance to minimize patients perceived barriers to diet therapy might help to improve patients to scheduled appointments in nutrition education programs.

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