• 제목/요약/키워드: TTM

검색결과 69건 처리시간 0.022초

근감소증 노인을 위한 범이론적 모델 적용 복합운동프로그램 개발 및 효과 검증 (Development and Effects of Combined Exercise Program for Older Adults with Sarcopenia Based on Transtheoretical Model)

  • 박서연;구미옥
    • 대한간호학회지
    • /
    • 제48권6호
    • /
    • pp.656-668
    • /
    • 2018
  • Purpose: The purpose of this study was to develop and examine the effects of combined exercise program for older adults with sarcopenia based on transtheoretical model (TTM). Methods: A non-equivalent control group with a pretest-posttest design was used. The subjects consisted of 43 older adults with sarcopenia in precontemplation stage, contemplation stage and preparation stage of TTM (experimental group: 22, control group: 21). The developed program consisted of 36 sessions for 12 weeks including combined exercise (60 minutes) and TTM based strategies for enhancing exercise behavior (10 minutes) per session. Data were collected before, immediately after the program between July 31 to October 27, 2017. The data were analyzed using independent t-test, Mann-Whitney U test with SPSS/WIN 18.0. Results: Compared with their counterparts in the control groups, older adults with sarcopenia in the experimental group showed a significantly greater improvement in process of exercise behavior change, pros and cons of decisional balance for exercise behavior, exercise self-efficacy, parameters of muscle, and the level of physical performance. Conclusion: The study findings indicate that this combined exercise program for older adults with sarcopenia based on TTM model was effective and can be recommended as a nursing intervention for older adults with sarcopenia.

당뇨환자를 위한 운동행위 변화단계별 중재프로그램 개발 - Transtheoretical Model을 중심으로 - (Development of a Exercise Intervention Program Based on Stage of Exercise Using the Transtheoretical Model in Patients with Type 2 Diabetes Mellitus)

  • 김춘자
    • 기본간호학회지
    • /
    • 제9권1호
    • /
    • pp.123-132
    • /
    • 2002
  • Purpose: The purpose of this study was to develop an exercise intervention program based on stage of exercise using the Transtheoretical Model (TTM) for patients with type 2 diabetes mellitus (DM). Method : A methodological research design was used to develop the exercise intervention program based on stage of exercise using TTM. Result: The exercise intervention program consisted of theoretical background and goals of program, assessment tool for stage of change, and an exercise intervention program based on stage of exercise. Details for the exercise and a glossary are included, Conclusion : The exercise intervention based stage of exercise can apply for DM patients who are in any stages properly.

  • PDF

Testing the Transtheoretical Model in Predicting Smoking Relapse among Malaysian Adult Smokers Receiving Assistance in Quitting

  • Yasin, Siti Munira;Retneswari, Masilamani;Moy, Foong Ming;Taib, Khairul Mizan;Isahak, Marzuki;Koh, David
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제14권4호
    • /
    • pp.2317-2323
    • /
    • 2013
  • The role of The Transtheoretical Model (TTM) in predicting relapse is limited. We aimed to assess whether this model can be utilised to predict relapse during the action stage. The participants included 120 smokers who had abstained from smoking for at least 24 hours following two Malaysian universities' smoking cessation programme. The smokers who relapsed perceived significantly greater advantages related to smoking and increasing doubt in their ability to quit. In contrast, former smokers with greater self-liberation and determination to abstain were less likely to relapse. The findings suggest that TTM can be used to predict relapse among quitting smokers.

웹 서비스 제품에서 탐색 및 리스크를 결합한 테스트 방법 (A Testing Method of Integrating Exploratory and Risk on Web Services Product)

  • 이효선;김능회;이동현;인호
    • 한국정보과학회:학술대회논문집
    • /
    • 한국정보과학회 2012년도 한국컴퓨터종합학술대회논문집 Vol.39 No.1(B)
    • /
    • pp.132-134
    • /
    • 2012
  • 웹 서비스 제품은 그 특성상 패치와 릴리즈가 잦고, 개발주기도 아주 짧다. 따라서 한정된 자원으로 많은 양의 품질 보증 활동이 요구되지만, 실시간으로 이루어지는 TTM(Time to market)을 맞추려면 신속하면서도 높은 수준의 품질을 보증하기 어렵다. 본 논문에서는 탐색적 테스팅 기법과 위험기반 테스팅 기법을 간소화하여, 리스크 분석 시 탐색적 기법으로 판단하여 바로 우선순위를 매기고 테스트를 진행한다. 여기서 리스크 Matrix에 리스크 분석 테이블을 적용하여 테스트 우선순위를 판단한다. 검증의 방법은 적용 전/후 프로젝트 수 대비 TTM 준수율 및 품질을 기준으로 한다.

목표체온유지치료를 적용한 심정지 후 증후군 환자에서 반동성 고체온 발생군과 비발생군의 임상결과 비교 (Comparison of Clinical Outcomes between Rebound Hyperthermia and Non-Rebound Hypertherma Groups in Postcardiac Arrest Syndrome Patients Undergoing Targeted Temperature Management)

  • 이하나;박정윤
    • 중환자간호학회지
    • /
    • 제16권3호
    • /
    • pp.99-108
    • /
    • 2023
  • Purpose : This retrospective study aims to provide basic data for intervention to improve clinical outcomes and identify the characteristics of the rebound hyperthermia (RHG) and non-rebound hyperthermia (NRHG) groups by checking body temperature in patients with post-cardiac arrest syndrome. Method : The study involved 118 patients who completed target temperature management (TTM) in an acute-care unit. Data were analyzed for frequency, percentages, mean, standard deviation, median, and quartiles, and compared using the chi-squared test and Mann-Whitney U-test. Results : Rebound hyperthermia (RH) was observed in 74 (62.7%) patients, predominantly male (69.5%), with an average age of 64.54 ± 15.98, and a body mass index of 23.22 ± 4.75kg/m2 (overweight). Hypertension (50%) was the most common co-morbidity, followed by diabetes and heart disease (33.1%). Neuron-specific enolase levels were higher in the NRHG 24, 48, and 72 hours after recovery of spontaneous circulation (p = .037, p < .001, p = .008). The APHCHE IV was also higher in the NRHG (p < .001). RH occurred 25.49 (7.28-52.96) hours after TTM completion, lasting for 2 (1-3) hours. Temperature reduction strategies included notifying doctors, administering antipyretics, and nursing intervention, with the latter being the most common at 94.6%. Half of the subjects in the RHG and 77.3% in the NRHG fell into cerebral performance categories 3, 4, and 5 (p = .003). Conclusion : RH is more likely a body mechanism related to CPR and TTM than a result of pathogenic infection. Therefore, we require an active intervention for hyperthermia, and a patient-specific nursing intervention protocol.

Empowering Rural Housewives in Iran: Utilizing the Transtheoretical Model to Increase Physical Activity

  • Mahboobe Borhani;Zakieh Sadat Hosseini;Najme Shahabodin;Ali Mehri;Mohadese Kiani;Marzieh Abedi
    • Journal of Preventive Medicine and Public Health
    • /
    • 제57권2호
    • /
    • pp.167-175
    • /
    • 2024
  • Objectives: Rural housewives are integral to household management and family care, yet their sedentary lifestyles present significant health risks. This study used the transtheoretical model (TTM) to investigate strategies that encourage and maintain regular exercise habits among rural housewives. Methods: A semi-experimental study was conducted in 2021 with 114 housewives aged 30 to 59 who attended rural health centers in Gorgan, Iran. Participants were randomly assigned to 1 of 2 groups. Data collection involved a validated questionnaire that gathered demographic information and constructs of the TTM. The intervention group participated in a comprehensive educational program, which included four 60-minute sessions. Data were collected again 6 months post-intervention and analyzed using descriptive and inferential statistics in SPSS version 21. Results: The study encompassed women with an average age of 39.75±6.05 years, the majority of whom had educational levels below a diploma, and over 90% were married. We observed strong correlations between the processes of change, self-efficacy, and decisional balance. At the outset, there were no significant differences in demographics or model structures between the 2 groups. However, 6 months post-intervention, the intervention group exhibited statistically significant differences in the mean scores of model structures, stages of change, and body mass index (p<0.05). Conclusions: This study highlights the importance of physical activity training for rural housewives. The findings suggest that the educational intervention, which utilized the TTM, significantly impacted the participants' model structures and their stages of change.

범이론모형(Transtheoretical Model) 기반의 운동행위강화 프로그램이 고혈압 노인의 혈압 및 신체활동량에 미치는 효과 (Effects of a Transtheoretical Model Based Exercise Behavior Improving Program on Blood Pressure and Physical Activity for Older Adults with Hypertension)

  • 송미순;김선호
    • 한국콘텐츠학회논문지
    • /
    • 제11권12호
    • /
    • pp.364-377
    • /
    • 2011
  • 본 연구는 범이론모형에 기반하여 운동행위강화 프로그램을 개발하고 이를 고혈압 노인에게 적용하여 혈압 및 신체활동량에 미치는 효과를 규명하고자 하였다. 연구대상자는 서울시 소재 노인복지관에 내원하며 연구에 참여를 허락한 65세 이상 고혈압 노인 41명으로 실험군 20명, 대조군 21명이었다. 실험군에게는 범이론모형에 기반한 운동행위강화 프로그램을 8주 동안 적용하였다. 연구결과 실험군은 대조군에 비하여 운동행위 변화단계, 전체 변화과정 점수, 행위적 변화과정 점수, 운동 자기효능감, 신체활동량이 유의하게 증가하였으나, 경험적 변화과정 점수, 의사결정균형, 혈압 등은 유의한 차이가 없었다. 이러한 결과를 바탕으로 운동행위강화 중재는 비활동 고혈압 노인의 운동행위로의 이행과 신체활동량을 증진시키는데 효과가 있음을 확인하였다. 본 프로그램이 지역사회에 거주하는 고혈압 노인에게 적용된다면 운동습관을 형성하게 하여 고혈압 합병증을 예방하는데 기여할 것으로 기대된다.