• 한국환경과학회지
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• 제24권1호
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• pp.117-131
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• 2015

Purpose: In this study a pilates exercise program using self-efficacy sources was provided for women 65 years of age or older and the effects on physical fitness, body composition, depression, self-efficacy, and health-related quality of life were tested. Methods: A quasi-experimental study employing a nonequivalent control group, pre-post design was conducted. The subjects consisted of 30 older women in the experiment group and 30 in the comparison group. The intervention was conducted twice a week for a period of 12 weeks. During this period, the pilates exercise program using self-efficacy sources (health education, phone coaching, mentoring, checking homework, recreation) were provided in the experiment group and pilates exercise program were offered in the comparison group. Chi-square test, independent t-test, ANCOVA were used for data analysis. Results: Following completion of the program, upper muscle strength (F=4.131, p=.047), low muscle strength (F=5.558, p=.022), upper flexibility (F=5.252, p=.026), static balance (F=5.957, p=.018), dynamic body balance & agility(F=18.971, p<.001), endurance(F=10.058, p=.002), muscle mass (F=5.748, p=.020), depression (F=4.493, p=.038), Self-efficacy (F=33.853, p<.001), and Health-related quality of life(F=5.586, p=.022) were significantly better in the experimental group. Conclusion: Findings from this study indicate that the pilates exercise program using self-efficacy sources are effective in enhancing physical fitness, body composition, self-efficacy and health-related quality of life and in decreasing depression for female elders and could therefore be regarded as positive program for promotion of physical and mental health for older women.

• 디지털융복합연구
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• 제13권11호
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• pp.549-559
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• 2015

본 연구의 목적은 운동행동 변화단계에 따른 노인의 운동자기효능감과 지각된 건강상태의 차이를 확인하여 노인의 운동행위에 대한 융복합적인 정보를 제공하는데 있다. 본 연구의 대상은 D시에 소재한 60세 이상 노인을 모집단으로 선정하여 편의표본추출법을 사용하여 총 231(남:91, 여:140)명을 대상으로 하였다. 본 연구의 실험설계는 연구 대상자의 운동행동 변화단계에 따른 운동자기효능감, 지각된 건강상태의 차이를 알아 보기위해 One-way ANOVA와 Tukey HSD 사후 검증, 단순회귀분석을 이용하여 분석하였다. 모든 통계적 유의수준은 .05로 설정하였다. 운동행동 변화단계에 따른 노인들의 운동자기효능감 차이에 대한 분석결과, 운동행동의 단계가 보다 상위단계로 올라감에 따라 자기효능감이 향상되는 것으로 나타났다. 그리고 운동행동 변화단계에 따른 노인들의 지각된 건강상태에 대한 분석 결과, 운동행동의 단계가 계획 전 단계, 계획단계, 준비단계 보다 행동단계와 유지단계에서 지각된 건강상태가 높은 것으로 나타났다. 또한 노인들의 운동행동 변화단계가 운동자기효능감과 지각된 건강상태에 미치는 영향을 분석한 결과, 노인의 운동행동 변화단계가 운동자기효능감과 지각된 건강상태에 정적(+)의 영향을 미치는 것으로 나타났고, 각각 84.3%와 59.8%의 설명력을 보였다. 따라서 본 연구결과들을 종합해 보면 운동행위 변화단계에 따른 운동 자기효능감과 지각된 건강상태는 긍정적으로 유의한 관련성이 있는 것으로 나타났으며, 운동행동의 단계가 상위단계로 올라 갈수록 노인들에게 긍정적인 영향력을 미친다는 것을 알 수 있었다.

• The Journal of Korean Physical Therapy
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• 제33권3호
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• pp.148-154
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• 2021

Purpose: This study covered the effect of shoulder stabilization exercise on muscle activity, postural alignment and self-efficacy of the elderly people with round shoulders by visiting village hall in rural area. Methods: 40 elderly people with round shoulders were recruited for this study (experimental group: 20 subjects and control group: 20 subjects). The experimental group was asked to perform shoulder stabilization exercise 60 minutes per one time for 8 weeks and three times in a week and the control group was asked to receive education related to pain management for the initial one time. Before and after the experiment, we measured the subjects' muscle activity of upper trapezius, serratus anterior, infraspinatus, pectoralis major and the lower trapezius, then postural alignment of craniovertebral angle and round shoulder posture. In addition, self-efficacy is measured through the questionnaire. Results: Compared to the control group, the experimental group showed significant differences in the muscle activity of all muscles, posture alignment of the craniovertebral angle. round shoulder posture, and improvement of self-efficacy. Conclusion: We found that shoulder stabilization exercise is effective in muscle activity, postural alignment and self-efficacy of the elderly people through visit-rehabilitation service. This study can be used for improving the physical and mental abilities through active visit-rehabilitation service for areas where have poor medical benefits. It is considered that systematic visit rehabilitation service should have institutional framework ultimately.

• 근관절건강학회지
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• 제5권1호
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• pp.39-56
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• 1998

This study was an quasi-experimental study, done to identify factors Influencing the reduction of symptoms in patients with fibromyalgia. The primary purpose of the study was to develop a Self-Help Program suitable for patients with fibromyalgia in Korea. The secondary purpose was to identify the effects of a Self-Help Program which included stretching exercise. This study was carried out between Feb. 24 and July 8, 1997 and patients in the study Included out patient diagnosed with fibromyalgia based on the criteria developed by the American College of Rheumatology(1990) and H, University which is a tertiary patient care clinic for Rheumatism. The experimental group included 38 patients who were residents of Seoul or Kyungi province, and a control group of 38 patients who were residents of other areas. The control patients were matched to the experimental group patients and they were selected considering the number of tender points on the Fibromyalgia Impact Questionnaire score and a score of self-efficacy. The experimental group participated in a Self-Help Program based on the American Arthritis Foundation(1995) guidelines. The program participants participated in a small group which consisted of 12-15 members attending the program once a week, for 6 weeks with each program lasted two to two and a half hours. The stretching exercise was carried out in each patient's home every day following the video tape exercise provided by the researcher, and the researcher provided encouragement and concern to the patients by calling them once a week. The number times the exercise was performed was divided by the number of participants to calculate the percentage of performance and determine the amount of exercise. Self-efficacy was measured by the Self-Efficacy Scale developed by Lorig et al. (1989) for arthritis patients. The degree of pain was converted to scores based on the Visual Analog Scale, the number of tender points was converted to scores based on the criteria of the ACR(1990) and of Yunus. Depression was measured by CES-D and physical disability, sleep disturbance, fatigue, and anxiety of patients with fibromyalgia were measured by the Fibromyalgia Impact Questionnaire. The level of the exercise performance was converted to scores using the number of times the exercise was performed following the video tape prepared by Association of Rheumatology Health Professionals. Data were analyzed by SPSS windows and the results ire described below. 1. The experimental group which participated in the Self-Help Program showed higher efficacy scores than the control group when both groups were analyzed for depression and the number of tender points as common variables(F=9.146, p=.003). 2. The experimental group which participated in the Self-Help Program showed lower scores than the control group, for pain, the number of tender points, depression, physical disability, fatigue, sleep disturbance and anxiety. These symptoms of fibromyalgia can all be seen to have subsided(F=9.483, p=.003 : F=32.680, p=.001 ; F=11.104, p=.001, F=5.344 : p=.024, F=7.630 : P=.007, F=15.6512, p=.003 : F= 7.5412, p=.008). 3. In the experimental group, the self-efficacy score for the first three weeks showed a positive correlation with the exercise-performance score for four to six weeks (r=.387, p=.043). 4. In the experimental group, the relationship between the level of exercise-performance and the reduction of symptoms showed a significant correlation only to physical disability(r= -.500, p=.001). 5. In the experimental group, the relationship between the self-efficacy score and pain, the number of tender points, depression, physical disability, fatigue, sleep disturbance and anxiety score showed inverse correlations and thus, a reduction of symptoms occured when the self-efficacy score increased(r=-.325, p=.004 ; r= -.253, p=.027, r=-.452, p=.001 : r=-.434, p=.001 ; r=-.316, p=.005 ; r=-.460, p=.001 ; r=-.397, p=.014). Therefore, self-efficacy improved following the Self-Help Program including the stretching exercise. It was also found that physical symptoms (pain, number of tender points, level physical disability) and psychological symptoms (depression, fatigue, sleep disturbance, anxiety) were reduced. Moreover, It was found that the higher the self-efficacy, the the higher the degree of achievement of goals set for the stretching exercises. In addition, the level of exercise-performance influenced the level of physical disability, one of the symptoms of fibromyalgia. Accordingly, the conclusions from this study are that exercise-performance and the reduction of symptoms is achieved through promotion of self-efficacy. Therefore, it is proposed that are the Self-Help Program including stretching exercises is an appropriate nursing intervention for the reduction of symptoms of fibromyalgia.

• 디지털융복합연구
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• 제17권6호
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• pp.279-286
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• 2019

본 연구의 목적은 성인의 운동 자기효능감, 심리적 욕구만족, 웰니스와의 관계를 탐색함으로써 이들 요인이 성인의 웰니스에 미치는 영향을 규명하기 위해서 수행되었다. 본 연구의 대상자는 만 19세~60세 미만 남녀 성인 88명을 대상으로 2017년 4월 6일~6월 8일 동안 자가보고형 설문조사 자료를 수집하였다. 수집된 자료는 SPSS/WIN 22.0 프로그램을 이용하여 기술통계, 피어슨 상관계수분석, 다중 회귀분석 등의 방법으로 분석하였다. 연구결과 성인의 웰니스에 영향을 미치는 요인은 심리적 욕구만족의 하위요인중 관계성(${\beta}=.316$, p=.012), 운동 자기효능감(${\beta}=.279$, p=.008)이었다. 본 연구결과를 바탕으로 성인의 심리적 욕구만족과 운동 자기효능감을 향상시키기 위한 맞춤형 웰니스프로그램 개발 및 적용이 필요하다.

• 대한간호학회지
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• 제28권1호
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• pp.132-142
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• 1998

This study was conducted to investigate whether exercise therapy applied in an efficacy expectation promoting program based on the self-efficacy theory of Bandura(1977) would increase self-efficacy and metabolism in NIDDM patients. The study design was a nonequivalent control group pre-test post-test quasi-experimental desist The exercise therapy applied in the efficacy expectation promoting program was composed of a staged exercise program, a small booklet relating personal experience with diabetes mellitus and a telephone coaching program on performance accomplishment. vicarious experience and verbal persuasion, which are all induction modes of efficacy expectation. The subjects of the study were twenty eight NIDDM patients who received follow-up care regularly through the out-patient department of endocrine medicine in one general hospital which had a diabetic clinic. Fourteen were assigned to the experimental group and fourteen to the control group. The experimental group participated in the exercise therapy applied in the efficacy expectation promoting program from three to five times per week for four weeks and the control group did not have the program. The collected data were analyzed using the X²-test, t-test, paired t-test, and Cronbach's Alpha using SPSS /PC/sup +/. The results are summarized as follows 1. Experimental group had higher efficacy score than control group(t=5.98, p=.00). And. There was a significant different in the efficacy score before exercise therapy applied in the efficacy expectation promoting program and after in experimental group(t=-6.42, p=.00). 2. Experimental group did not have lower level of glucose metabolism than control group(FBS : t=.32, p=.75, HbAlC : t=.60, p=.55, pc 2hrs. glucose : t=-.29, p=.78). But, There was a significant different in the aunt of glucose metabolism before exercise therapy applied in the efficacy expectation promoting program and after in experimental group(FBS : t=3.63, p=.003, HbAlC t=4.20, p=.00, pc 2hrs. glucose : t=1.93, p=.001). 3. Levels of lipid metabolism were partly a significant different between Experimental group and control group(triglyceride t=-1.87, p=.07, HDL cholesterol : t=-.29, p=.77. body weight : t=1.78, p=.09, Total cholesterol : t=-2.17, p=.04). And, There was partly a significant different in the amount of lipid metabolism before exercise therapy applied in the efficacy expectation promoting program and after in experimental group(triglyceride : t=2.50, p=.03, HDL cholesterol : t=-.43, p=.67, body weight : t=5.34. p=.00, Total cholesterol : t=2.26, p=.04). In conclusion, it was found that exercise therapy applied in an efficacy expectation promoting program was an effective nursing intervention for increasing self-efficacy and metabolism.

• 대한간호학회지
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• 제46권5호
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• pp.710-719
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• 2016

Purpose: In this study an examination was done of the effect of self-efficacy promoting vestibular rehabilitation (S-VR) on dizziness, exercise self-efficacy, adherence to vestibular rehabilitation (VR), subjective and objective vestibular function, vestibular compensation and the recurrence of dizziness in patients with vestibular hypofunction. Methods: This was a randomized controlled study. Data were collected 3 times at baseline, 4 and 8 weeks after beginning the intervention. Outcome measures were level of dizziness, exercise self-efficacy, and level of adherence to VR. Subjective and objective vestibular function, vestibular compensation and the recurrence of dizziness were also obtained. Data were analyzed using Windows SPSS 21.0 program. Results: After 4 weeks of S-VR, there was no difference between the groups for dizziness, subjective and objective vestibular functions. However, exercise self-efficacy and adherence to VR were higher in the experimental group than in the control group. After 8 weeks of S-VR, dizziness (p =.018) exercise self-efficacy (p <.001), adherence to VR (p <.001), total-dizziness handicap inventory (DHI) (p =.012), vision analysis ratio (p =.046) in the experimental group differ significantly from that of the control group. The number of patients with recurring dizziness were higher in the control group than in the experimental group (p <.001). Conclusion: The results indicate that continuous 8 weeks of S-VR is effective in reducing dizziness, and improving exercise self-efficacy, subjective vestibular function and adherence to VR. Objective vestibular function and vestibular compensation were also improved in the experimental group at the end of 8 weeks of S-VR.

• 재활복지
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• 제20권1호
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• pp.189-210
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• 2016

본 연구는 신체활동 참여 노인의 인지기능과 자기효능감, 건강행위와의 관계를 알아보기 위하여 실시하였다. 연구는 2015년 11월부터 2016년 1월까지 실시하였으며, 건강타운을 방문하는 65세 이상 노인 61명을 대상으로 신체활동 참여노인의 일반적 특성과 한국판 몬트리올 인지평가(K-MoCA), 일반적 자기효능감 척도, 운동에 대한 자기 효능 도구, 한국 노인의 건강행위 사정도구를 이용하여 정보를 수집한 값을 분석하였다. 연구 결과 일반적 특성에 따른 인지기능과 운동자기효능감은 남성, 고학력, 배우자가 있고, 동거인이 있는 경우, 프로그램 참여기간이 오래된 경우 높은 수행을 보였으며(p <.05), 일반자기효능감은 남성, 70에서 74세 연령, 고졸, 경제적 어려움이 없고, 프로그램 기간이 오래된 경우 높은 수행을 보였고(p <.05), 건강행위는 남성, 고학력, 배우자가 있고, 함께 거주하며, 경제적인 어려움이 없고, 동적인 프로그램에 참여하며, 프로그램 참여 기간이 길수록 높은 수행을 보였다(p <.05). 인지기능과 운동자기효능감, 건강행위는 유의한 상관성을 보였으며(p <.01), 중간정도의 정적방향 관계가 확인되었다. 일반자기효능감은 운동자기효능감, 건강행위와 운동자기효능감은 건강행위와 유의한 상관성을 보였으며(p <.01), 높은 정적방향 관계가 확인되었다. 운동자기효능감은 인지기능에 영향을 미치는 것을 알 수 있었다(p <.01). 따라서 노인의 신체활동에 대한 지속적인 참여와 실천을 위한 활동프로그램 개발이 이루어져야 할 것으로 생각된다.

• 대한간호학회지
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• 제54권2호
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• pp.250-265
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• 2024

Purpose: This study aimed to develop an app-based self-management program based on the transtheoretical model (TTM) for breast cancer survivors' exercise practice, as well as to investigate the program's effects on the stage of change for exercise, exercise self-efficacy, exercise decisional balance, exercise amount, and body composition. Methods: This non-randomized controlled study included 52 participants (26 in each of the experimental and control groups, respectively). An app-based self-management program based on the TTM was conducted with the experimental group for a 12-week period. The program comprised three components: individual coaching for each stage of change for exercise based on TTM, amount of exercise and body composition monitoring, and online self-help meetings. Results: Compared with the control group, the experimental group had significantly higher stages of change for exercise (p < .001), exercise self-efficacy (p < .001), exercise decisional balance (p = .002), exercise amount (p < .001), and body composition (body weight [p = .006], body mass index [p = .005], and body fat percentage [p = .010]) immediately and four weeks after the intervention. Conclusion: An app-based self-management program based on the TTM improves exercise behaviors in breast cancer survivors and provides physical benefits.

• Journal of Korean Biological Nursing Science
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• 제2권1호
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• pp.64-75
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• 2000

This study was conducted to identify the effects of exercise therapy applied in an efficacy expectation promoting program that was based on Bandura's self efficacy model on self-efficacy, cardiopulmonary function and metabolism in type 2 diabetes mellitus patients. The study design was nonequivalent pre-test post-test control design. 34 type 2 diabetes mellitus patients who received follow-up care regularly through the diabetic out-patient clinic were randomly sampled for this study. Twenty patients were assigned to the experimental group and fourteen patients were assigned to the control group. To the experimental group, exercise therapy applied in an efficacy expectation promoting program that is composed of individualized exercise prescription for 12 weeks was provided. In case of the control group, they were instructed to continue their usual lives. Data collection period was from March 1998 to June 2000 Data were analyzed using SPSS/WINDOW 10.0 program. The results were as follows. In experimental group, The score of self efficacy has increased from 64.20 to 66.65 after exercise therapy applied in an efficacy expectation promoting program and it was statistically significant(t=2.07, p=.04). The anaerobic threshold has increased from $18.20\;m{\ell}$/kg/min to $19.07\;m{\ell}$/kg/min and it was statistically significant(t=2.05, p=.04). Level of fasting blood sugar has decreased from $188.20\;mg/d{\ell}$ to $155.55\;mg/d{\ell}$ after exercise therapy applied in an efficacy expectation promoting program and it was statistically significant.(t=-2.69, p=.01). For the lipid metabolism, percent body fat has decreased from 27.16% to 26.57% after exercise therapy applied in an efficacy expectation promoting program. In conclusion, the exercise therapy applied in an efficacy expectation promoting program showed positive effect of self-efficacy, cardiopulmonary function and glucose and lipid metabolism.