• 한국융합학회논문지
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• 제10권12호
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• pp.495-502
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• 2019

본 연구는 간호대학생의 운동 자기-도식과 운동행동간의 관계를 파악하여 간호대학생의 운동실천정도에 영향을 미치는 요인을 파악하고자 시도되었다. 본 연구는 2018년 11월 1일부터 11월 30일까지 J시에 소재한 대학의 간호대학생 178명에게 실시하였다. 수집된 자료는 SPSS/WIN 21.0 프로그램을 이용하여 서술통계, t-test, ANOVA, Pearson's correlation coefficiention 및 다중회귀분석을 실시하였다. 연구결과 운동행동에 영향을 미치는 요인은 행동적 운동자기도식, 운동실천의도, 인지.감정적 운동자기도식 순이었으며, 설명력은 63.8%였다(F=104.59, p<.001). 본 연구를 바탕으로 간호대학생의 운동실천향상을 위해서는 올바른 운동자기도식을 형성시킬 수 있는 건강관련 교육과정 개발이 필요하며, 다양한 신체활동 프로그램을 운영할 수 있도록 대학차원의 적극적인 지원이 필요한 것으로 생각된다.

• 기본간호학회지
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• 제17권4호
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• pp.575-587
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• 2010

Purpose: The purpose of this study was to analyze the research on adherence for secondary prevention in patients with coronary artery disease (CAD) in Korea, and to identify the strategies for improvement that should be included in future studies. Methods: Electric literature searches were conducted for Pubmed, CINAHL, RISS4U, KISTI, DBpia, KoreaMed, National Assembly Library, and National Library of Korea. A total of forty two articles published between 1986 and 2009 were selected based on established inclusion criteria. Results: Forty research papers were related to nursing, and there was only one research paper focused 011 elderly people with CAD. There were no papers using concept analysis, qualitative study. or randomized controlled clinical trial. Almost all definitions of adherence were adopted from outdated compliance definitions with the attribute of 'paternalistic obligation', Measurement tools were not based on theoretical framework of adherence but borrowed from tools for measuring self-care, health behavior, or self-efficacy. Overall patient's adherence was analyzed in most studies, except for a few studies which focused on diet and exercise only. Educational strategy was the main strategy used in intervention studies. Conclusions: The concept of adherence and measurement tools need to be clarified, along with development of the specific adherence interventions according to the type of adherence in patients with CAD.

• 중환자간호학회지
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• 제5권1호
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• pp.34-43
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• 2012

Purpose: This study is a descriptive correlational study to examine the effects of spousal supports and self-efficacy on adherent behavior and to describe nursing intervention programs for patients with percutaneous coronary intervention. Methods: The subjects for this study were 120 patients treated with percutaneous coronary intervention in H hospital in B city > 6 months. The data was collected from June 1 to September 30, 2010. Spousal supports were measured by the Family Support questionnaire. Self-efficacy was measured by revised Self Efficacy questionnaire. Adherent behavior was measured by revised Adherence Behavior questionnaire. Results: A multiple regression analysis showed that the most significant predictor of adherent behavior was self-efficacy, followed by spousal support, whether the subjects do regular exercise and the type of diagnosis. Conclusion: Findings suggest that intervention focusing on self-efficacy and spousal support will be needed to improve the adherent behavior among patients with percutaneous coronary intervention.

• Journal of Nutrition and Health
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• 제55권6호
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• pp.642-655
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• 2022

본 연구는 과체중 및 비만 또는 복부비만 성인을 대상으로 8주간 중강도 수준의 필라테스 운동 후 필라테스 운동의 순응도에 따른 신체조성, 균형능력 및 기초대사 지표의 변화를 확인하였고, 식생활습관 개선교육후 영양지수의 변화도 함께 살펴보았다. 필라테스 운동에 대한 순응도가 높은 군이 순응도가 낮은 군에 비해 신체의 균형도와 체구성에 더 긍정적인 변화를 보였고 더불어 혈관노화지수도 유의적으로 개선되었고 공복혈당과 당화혈색소가 유의적으로 개선되었다. 그러나 필라테스 운동에 대해 순응도가 낮은 군이라도 실시하지 않았던 것에 비해서 신체균형도, 체질량지수 및 피하지방 면적은 유의적으로 개선되었다. 이는 순응군과 비순응군 모두에서 영양지수가 개선된 것과, 순응도 여부에 관계없이 전체 대상자에서 식생활 교육 후에 하루 식사횟수, 아침식사횟수, 식사의 규칙성, 과식 및 외식횟수 등이 긍정적인 방향으로 변동된 것과 관련이 있을 것으로 판단된다. 따라서, 본 연구는 필라테스 운동과 식생활 개선교육을 포함한 전반적인 생활습관의 개선을 통해 과체중 이상의 여성에서 유의미한 개선 결과가 있음을 보여주고 있다. 더불어 식생활습관 개선 교육만으로도 어느정도 비만관련 지표의 개선에 영향을 줄 수 있을 것이며, 필라테스 운동을 함께 실시했을 때에는 그 개선 효과가 좀더 잘 관찰되는 것으로 판단된다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.2949-2954
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• 2013

Background: This study was conducted to determine the relationship between lifestyle behavior and quality of life (QoL) among cancer survivors in Korea. Materials and Methods: Data for a total of 471 (173 men, 298 women) cancer survivors (CS) over 40 years old were obtained from the database of the $4^{th}$ Korean National Health and Nutrition Examination Survey (KNHANES IV). An identical number of subjects of the same age, sex, and education who had no restrictions in physical activity were randomly selected from the database and represented the control group (CG). Drinking, smoking, and exercise behavior were assessed. Results: The number of heavy drinkers was lower in CS (9.4%) than in CG (15.8%) (p<0.01); similarly, there were fewer smokers in CS (9.1%) than in CG (14.0%) (p<0.05). The percentage of individuals engaging in vigorous, moderate, and low-intensity exercise did not differ between CS (13.6%, 14.7%, and 50.0%) and CG (14.3%, 13.4%, and 49.7%, respectively). No differences in Euro QoL Questionnaire 5-Dimensional Classification (EQ-5D) scores on both drinking and smoking behaviors were noted. Compared to the non-exercisers, the low-intensity exercisers in CG ($0.91{\pm}0.10$ vs. $0.94{\pm}0.09$), vigorous-intensity exercisers in CS ($0.84{\pm}0.62$ vs. $0.91{\pm}0.11$), and low-intensity exercisers in CS ($0.82{\pm}0.22$ vs. $0.88{\pm}0.13$) scored higher on the EQ-5D. Conclusions: Although cancer survivors practiced more conscious health behavior in drinking and smoking, their engagement in exercise did not differ from that of non-cancer survivors. Since exercise engagement increases QoL in general, implementation of an educational program that promotes exercise engagement in cancer survivors may be required.

• Clinical and Experimental Pediatrics
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• 제64권5호
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• pp.196-207
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• 2021

Over the last few decades, the rates of pediatric obesity have more than doubled regardless of sociodemographic categorization, and despite these rates plateauing in recent years there continues to be an increase in the severity of obesity in children and adolescents. This review will discuss the pediatric obesity mediated cardiovascular disease (CVD) risk factors such as attenuated levels of satiety and energy metabolism hormones, insulin resistance, vascular endothelial dysfunction, and arterial stiffness. Additionally, early intervention to combat pediatric obesity is critical as obesity has been suggested to track into adulthood, and these obese children and adolescents are at an increased risk of early mortality. Current suggested strategies to combat pediatric obesity are modifying diet, limiting sedentary behavior, and increasing physical activity. The effects of exercise intervention on metabolic hormones such as leptin and adiponectin, insulin sensitivity/resistance, and body fat in obese children and adolescents will be discussed along with the exercise modality, intensity, and duration. Specifically, this review will focus on the differential effects of aerobic exercise, resistance training, and combined exercise on the cardiovascular risks in pediatric obesity. This review outlines the evidence that exercise intervention is a beneficial therapeutic strategy to reduce the risk factors for CVD and the ideal exercise prescription to combat pediatric obesity should contain both muscle strengthening and aerobic components with an emphasis on fat mass reduction and long-term adherence.

• 문화기술의 융합
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• 제10권3호
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• pp.769-782
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• 2024

본 연구는 중국 대학생들의 건강 신념, 계획 행동, 행동 제어, 운동 지속성의 네 가지 변수 간의 구조적 관계를 확인함으로써 대학생들의 건강 신념과 계획된 행동의 향상 및 개선 방안을 수립하고, 행동 통제력을 향상시킬 수 있으며, 대학생들의 운동 지속 수준 향상을 위한 기초자료를 제공하는데 그 목적이 있다. 본 연구는 예비조사를 통해 신뢰도와 타당성을 검증한 후 본조사는 2023년 5월 12일부터 7월 21일까지 52개 대학의 대학생을 대상으로 설문지를 배포하여 무효 설문지를 제외하고 총 5109부를 최종선별하여 분석하였다. 연구결과, 첫째, 변인 간의 구조적 관계는 건강 신념은 계획 행동과 행동 제어, 운동 지속성에 긍정적인 영향을 미쳤다. 둘째, 계획 행동은 행동 제어와 운동 지속성에도 정적인의 영향을 미쳤다. 셋째, 행동제어는 운동 지속성에 정적인 영향을 미쳤다. 넷째, 건강신념과 운동 지속성 간의 관계에서 계획행동과 행동제어는 정적인 매개역할을 하는 것으로 나타났다. 따라서 대학생의 건강신념 향상을 위해 학교에서는 건강심리 교육과정을 개설해야 한다. 더욱이 대학생들을 위한 맞춤형 건강교육 프로그램을 개발 보급함으로써 대학생들의 건강에 대한 신념을 강화할 필요가 있다.

• Journal of Preventive Medicine and Public Health
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• 제41권4호
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• pp.255-264
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• 2008

Objectives: This study adopted a qualitative method to explore the layman's beliefs and experience concerning high blood pressure and its management in order to develop a strategy to increase adherence to proper medical treatment. Methods: Semi-structured interviews that focused on personal experiences with hypertension and its management were conducted with 26 hypertensive patients. The participants were selected according to a BP above 140/90 mmHg (hypertension stage 1), based on the seventh report of the Joint National Committee on prevention, detection, evaluation and treatment of high blood pressure (JNC-VII). The interviews lasted for approximately 30 minutes (range: 20-60 minutes). The resulting questions were formulated into open-ended questions. The interview questionnaire was composed 17 items to examine non-adherence to treatment and 19 items to examine adherence to treatment. Results: Most participants recognized that the direct cause of high blood pressure was unhealthy behavior rather than inheritance. Thus, the hypertensive patient believed they could recover their blood pressure to a normal level through removing the direct cause of hypertension (weight reduction, diet, exercise) instead of taking drugs. The reasons for these statements were that the drugs for controlling hypertension are not natural or they are artificial, and they may have side effects, and drugs are not treatment for the root cause of hypertension. Most of the hypertensive patients chose to manage their behaviors as soon as they knew their blood pressure was high. Therefore, we should not divide the subjects into two groups according to their taking drugs or not, but they should be divided into two groups according to their willingness or not to manage their condition. Conclusions: For developing a strategy for an individual approach to hypertension management, we need to develop a client-centered attitude and strategy. That is, we need to tailor our approach to individual cases to avoid generalizations and stereotyping when developing an adherence increasing strategy.

• 대한간호학회지
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• 제38권6호
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• pp.822-830
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• 2008

Purpose: The purpose of this study was to analyze effects of a community-based case management program for clients with hypertension living in the community. Methods: The research design was a one group pre and post-test design with 30 participants with hypertension who agreed to participate in the 8-12 week case management program provided by case managers from the National Health Insurance Corporation in 2002. Data were collected three times, before and after the case management services, and 6 months later. Outcomes included changes in blood pressure, knowledge of hypertension and daily life practices, including alcohol consumption, smoking, exercise, and medication adherence. Results: Repeated-measures ANOVA and post-hoc tests of means revealed significant differences before and after service for systolic blood pressure, daily life practices (monitoring body weight and BP, low salt and cholesterol and high vegetable diet, and stress-relief practices), and exercise. The goal for medication adherence was attained after service. Significant improvements from baseline to 6 months after service were observed in measures of salt and vegetables in diet. There were no significant differences on hypertension knowledge, alcohol consumption or smoking behavior between before service and after, and at 6 months. Conclusion: The findings provide preliminary evidence that case management intervention can have positive outcomes on BP control, daily life practices, exercise, and medication adherence for clients with hypertension. However, additional interventions are needed to sustain long-term effects.

• 한국엔터테인먼트산업학회논문지
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• 제15권2호
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• pp.159-167
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• 2021

본 연구의 주요 목적은 노인의 여가 생활 스포츠 참여의 여가 만족도, 여가 능력, 운동 만족도, 일관된 운동 행동 패턴 사이의 구조적 관계를 분석하여 향후 미래사회가 요구하는 방향의 기초자료로 제공하고자 한다. 이를 위해 경기도 용인 및 성남시 스포츠 클럽 3곳을 선정하여 239명의 노인의 샘플링을 조사하여 활용하였으며, 연구의 목적에 따라 통계 기법, spss, Amos 23.0 통계 프로그램을 이용하여 분석에 사용 하였다. 이에 따른 연구 결과는 다음과 같다. 첫째, 노인운동 프로그램 참여자들의 여가경험이 운동만족도에 영향을 미친다. 둘째, 노인운동 프로그램 참여자들의 운동몰입은 운동 만족도에 영향을 미친다. 셋째, 노인운동 프로그램 참여자들의 운동 만족도는 지속적인 운동 지속성과 운동 몰입 만족도에 영향을 미친다. 이상의 연구결과를 종합해 보면 노인의 여가경험에 따른 운동몰입, 운동만족 및 운동지속행위가 성공적 노화에 중요한 역할과 윤택한 삶의 질에 기여한다 할 수 있으며 나아가 노인들의 삶의 질 개선 및 노인운동시설의 프로그램 참여자들을 위한 유기적 커뮤니케이션을 통한 다양한 재정적 지원과 연구가 절실히 요구되는 바이다.