• 재활간호학회지
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• 제17권2호
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• pp.72-80
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• 2014

Purpose: The objective of this study was to analyze the factors affecting the stages of exercise behaviors changes of low back pain patients. Methods: The participants in this study were 220 low back pain patients who have been treated by therapeutic exercise or had the exercise treatment under the doctor's advice. The tools used for this study were the stages of exercise behavior change, intrinsic motivation questionnaires, and physical activity social support scale (PASS). Results: The group that did exercise (preparation stage, maintenance stage, action stage) was 75.9% but the group that did not exercise (precontemplation stage, contemplation stage) was 24.1%. Social supports from family members and friends and motivation affected the exercise behaviors changes. And 34.6% of the exercise behavior change can be explained by the social support (family, friend) and motivation. Conclusion: There were two recommendations for maintaining the exercise behaviors of low back pain patients based on theoretical background. First, we recommended more exercise programs which reinforce social supports from family and friend for constant exercise behaviors of low back pain patients. Second, more exercise programs for the low back pain patients who have similar health goals or problems were needed for motivating them to join the exercise programs.

• 대한간호학회지
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• 제36권4호
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• pp.587-595
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• 2006

Purpose. The purpose of this study was to differentiate the change in exercise behavior into different stages and to investigate differences in the process of change, self efficacy, decisional balances and depression according to the stages of exercise behavior change among middle aged women in Korea by using the transtheoretical Model. Methods. A convenience sample of 434 middle aged women (40-64 years) completed measures of all transtheoretical model constructs involved in exercise behaviors (stages and processes of exercise behaviors change, self efficacy and decisional balance) and depression. The data were analyzed by using the SPSS 10.0 program including descriptive statistics, and one-way ANOVA. Results. The subjects were distributed in each stage of change in exercise behaviors: pre-contemplation (n = 106; 24.4%), contemplation (n = 126; 29%), preparation (n = 88; 20.3%), action (n = 51; 11.8%), and maintenance (n = 63; 14.5%). The processes of change, pros (advantages of behaviors), self-efficacy and depression were significantly differentiated across the stages of exercise behavior change. Cons(disadvantage of behaviors) was not significantly differentiated across the stages of exercise behavior change. Conclusions. Results of this study suggested that discriminating of processes of change, self-efficacy, decisional balance, and depression could provide positive information to people about the stages of change in exercise behavior. Therefore, in designing interventions, the stage of a client's exercise behaviors change needs to be assessed prior to application of intervention programs in order to increase and maintain exercise behavior in middle aged women.

• 대한간호학회지
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• 제30권5호
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• pp.1265-1278
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• 2000

This study was carried out to assess the perception of decisional balance of Korean subjects about 4 health behaviors and to identify the influencing factor of decisional balance for exercise acquisition, smoking cessation, mammography screening and Kegel's exercise acquisition. All are representative health behaviors nurses can intervene in Korea based on the Transtheoretical model. Convenient samples of 2,484 subjects (191; exercise, 169; smoking cessation, 1903; mammography screening and 221; Kegel's exercise) were selected from cities and counties over 9 provinces throughout Korea, and the data was collected from January 1, 1999 to February 29, 2000. The research instrument were the Decisional Balance Measure for Exercise (Marcus & Owen., 1992), Smoking Cessation (Velicer et al., 1985), Mammography Screening (Rakowski et al.,1992) and Kegel Exercise (Lim, 1999) and Stage of Change Measure for Exercise (Marcus et al, 1992), Smoking Cessation (DiClemente et al., 1991), Mammography Screening (Rakowski et al.,1992) and Kegel's Exercise (Lim, 1999). The data was analyzed by the SAS Program. The results are as follows; 1. According to the stage of change measure, 2,484 subjects were distributed in each stage of change for four health behaviors: 1,233 subjects (49.8%), 745 subjects (30.2%), 113 subjects (4.7%), 156 subjects (6.5%), and 216 (8.7%) belonged to the pre- contemplation stage, contemplation stage, preparation stage, action stage and maintenance stage. They were all series of stages of change in their efforts to do health behavior. 2. Factor analysis identified 3 factors (1 of Pros, 2 of Cons) for the exercise, 4 factors for smoking cessation (2 of Pros, 2 of Cons), 2 factors (1 of Pros, 1 of Cons) for the mammogram screening and 2 factors (1 of Pros, 1 of Cons) for Kegel's exercise of decisional balance. 3. The analysis of variance and multiple comparison analysis showed that for all 4 samples, the Cons of changing the problem behaviors outweighed the Pros for subjects who were in the pre- contemplation stage, The opposite was true for subjects in action and maintenance stage. 4. Through the discriminant analysis, it was found that one factor of Pros for exercise, one factor of Cons for smoking cessation, 1 factor of Cons for mammogram screening and one factor of Cons for Kegel's exercise were the more influencing factors, than others in discriminating the stages of change. Results are consistent with the applications of the Transtheoretical model, which have been used to understand how people change health behaviors. This results provide some evidence that subject's report of his/her health behavior corresponds to beliefs about usefulness of related health behaviors. The results of this study have implications for patients' health education and health intervention strategies. The findings of this study give useful information for nursing educators for 4 health behaviors, especially the factors relating to decision making in the different stages of change.

• 대한간호학회지
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• 제37권2호
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• pp.249-256
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• 2007

Purpose. Tai Chi exercise, an ancient Chinese martial art, has drawn more and more attention for its health benefits. The purpose of the study was to identify the effects of a Sun-style Tai Chi exercise on arthritic symptoms (joint pain and stiffness), motivation for performing health behaviors, and the performance of health behaviors among older women with osteoarthritis. Methods. Total of 72 women with the mean age of 63 years old were recruited from outpatients clinic or public health centers according to the inclusion criteria and assigned randomly to either the Tai Chi exercise group or the control. A Sun-style Tai Chi exercise has been provided three times a week for the first two weeks, and then once a week for another 10 weeks. In 12 weeks of study period, 22 subjects in the Tai Chi exercise group and 21 subjects in the control group completed the posttest measure with the dropout rate of 41 %. Outcome variables included arthritic symptoms measured by K-WOMAC, motivation for health behavior, and health behaviors. Results. At the completion of the 12 week Tai Chi exercise, the Tai Chi group perceived significantly less joint pain (t = -2.19, P = 0.03) and stiffness (t = -2.24, P = 0.03), perceived more health benefits (t = 2.67, P = 0.01), and performed better health behaviors (t = 2.35, P = 0.02), specifically for diet behavior (t = 2.06, P = 0.04) and stress management (t = 2.97, P = 0.005). Conclusion. A Sun-style Tai Chi exercise was found as beneficial for women with osteoarthritis to reduce their perceived arthritic symptoms, improve their perception of health benefits to perform better health behaviors.

• 한국보건간호학회지
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• 제28권1호
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• pp.5-21
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• 2014

Purpose: The purpose of this study was to examine perceived needs for exercise programs among adults in the workforce based on sociodemographic characteristics and health-related behaviors. Methods: The sample consisted of 182 office workers, sales workers, and service workers recruited at a worksite in Seoul (97 males and 85 females, Mean age=34.6, SD=7.71). Study participants completed a structured questionnaire on health-related behaviors and areas of needs for exercise programs. Analysis of data was performed using descriptive statistics and chi-square tests. Results: Workers with greater interest in exercise reported to engage in exercise. Significant differences were observed in goals of exercise, preferred exercise, preferred methods for delivery of exercise, preferred exercise monitoring, and social support for exercise maintenance according to age, sex, marital status, education, commuting time, occupation, alcohol use, smoking, and current participation in exercise. There were no differences in areas of exercise program needs by consumption of high calorie foods. Conclusion: Public health nurses can use these findings for development and implementation of tailored exercise programs to promote health for workers whose physical activity is insufficient.

• Journal of Preventive Medicine and Public Health
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• 제56권6호
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• pp.552-562
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• 2023

Objectives: Adolescents who engage in unhealthy behaviors are particularly vulnerable to anxiety. We hypothesized that participation in physical activity could influence the relationship between anxiety and unhealthy behaviors in adolescents. These behaviors include smoking, alcohol consumption, and unsafe sexual activity. Methods: This study included 50 301 students from the first year of middle school to the third year of high school, all from Korea. The unhealthy adolescent behaviors examined included current alcohol consumption, current smoking, and unsafe sexual behavior. Anxiety levels were assessed using the Generalized Anxiety Disorder-7 questionnaire (GAD-7). Results: The participants had a mean age of 15.19 years and an average GAD-7 score of 4.23. No significant differences were observed in GAD-7 score among exercising participants when categorized by smoking status (p=0.835) or unsafe sexual behavior (p=0.489). In contrast, participants in the non-exercise group who engaged in these behaviors demonstrated significantly higher GAD-7 scores (p<0.001 and 0.016, respectively). The only significant interaction was found between unsafe sexual behavior and exercise (p=0.009). Based on logistic regression analysis, within the non-exercise group, significant positive associations were observed between current smoking and anxiety (odds ratio [OR], 1.36; 95% confidence interval [CI], 1.18 to 1.57), as well as between unsafe sexual behavior and anxiety (OR, 1.33; 95% CI, 1.02 to 1.73). However, within the exercise group, no significant association was found between anxiety and either smoking or unsafe sexual behavior. Furthermore, no significant interaction was observed between unhealthy behaviors and exercise. Conclusions: These findings are insufficient to conclude that physical activity influences the relationship between unhealthy behaviors and anxiety.

• 한국직업건강간호학회지
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• 제11권1호
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• pp.31-43
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• 2002

This study was conducted on the basis of the Theory of Planned Behavior to analyze factors affecting intentions for health behaviors defined as non smoking, moderate drinking and exercise in male office workers. The participants of this study consisted of 230 male office workers of 10 workplaces located in Seoul. The results of this study can be summarized as follows: 1. Non smoking For smokers. perceived behavioral control, subjective norm and attitude were factors affecting on intention for non smoking, and these factors explained 29% of the total variance of non smoking intention. 2. Moderate drinking For drinkers, subjective norm, perceived behavioral control and attitude were factors affecting on intention for moderate drinking. and these factors explained 5% of the total variance of moderate drinking intention. 3. Exercise For those who exercise irregularly or don't exercise, perceived behavioral control, subjective norm and attitude were factors affecting on intention for exercise, and these factors explained 26% of the total variance of exercise intention. 4. Health Behaviors For all participants, perceived behavioral control, subjective norm and attitude were factors affecting on intention for health behaviors, and these factors explained 34% of the total variance of intention for overall health behaviors. And health behavior intention affected practice of health behaviors, but perceived behavioral control didn't.

• 보건교육건강증진학회지
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• 제29권5호
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• pp.61-75
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• 2012

Objectives: A great number of the elderly are not aware of having metabolic syndrome, and this pattern differs among regions of the nation. This issue is particularly important for the elderly people with chronic diseases. This study was conducted in order to identify the prevalence, predicting factors of perception and exercise behaviors of among the elderly population. Methods: Using data from the 2009 Korean Community Health Survey, we employed two-level logistic regression models to determine whether individual and community factors are associated with perception and exercise behaviors among the elderly population. Results: Results from weighted two-level logistic regression analyses indicated the individual-level factors of smoking, education level, health center education, community exercise program participation and unmet needs in men, and marital status (being separated), health center education women predicted the elders' perception. As for the community-level predictors, higher smoking and living in regions with high suicide rates significantly predicted the elders' perception and exercise behaviors of metabolic syndrome. Conclusions: These findings demonstrate that education according to stage would increase the perception and motivation toward healthier behavior particularly for the elderly with lower perception levels of metabolic syndrome.

• 한국노년학
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• 제28권4호
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• pp.1213-1225
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• 2008

본 연구는 고령자들의 운동지속 행동에 영향을 미치는 사회심리적 결정요인들을 분석하는데 목적을 두었다. 계획된 행동이론을 바탕으로 본 연구는 고령자들의 건강에 대한 위험지각, 역경의 상황에서도 운동을 실천할 수 있다는 믿음(자기효능감), 운동결과에 대한 기대와 평가(태도), 운동에 대한 주위 사람들의 의사를 따르려는 생각(집단동조)과 같은 사회인지적 요인들이 고령자들의 운동지속 행동(의도성, 실행력, 지속성)에 영향을 미치는 결정요인이라고 예상했다. 연구 대상자들은 서울시에 위치한 노인복지관과 노인대학 등에서 선정된 65세 이상의 남녀 노인 453명(남: 171명, 여: 282명)이었다. 이들의 사회인지적 요인들과 운동지속 행동 요인들은 일련의 질문지를 사용하여 측정됐다. 위계적 중다회귀분석 결과는 본 연구에서 제안된 사회인지적 요인들(자기효능감, 운동태도, 집단동조, 건강위험지각)이 운동의도에 영향을 미치는 결정요인이라는 사실을 제시해 주고 있다. 그러나 운동의도에 대한 집단동조와 건강위험지각의 예측력은 매우 미약하게 나타났다. 또한 운동의도는 초기 운동실행의 가장 강력한 결정요인으로 나타났으며, 초기 운동실행은 지속적인 운동행동을 가장 강력하게 예측해 주었다. 이러한 결과들은 고령자 운동지속 행동에 영향을 미치는 사회심리적 결정요인들이 시간의 경과에 따라 역동적으로 변화할 수 있다는 가능성을 시사해 주고 있다.

• 동아시아식생활학회지
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• 제17권5호
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• pp.607-614
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• 2007

This study was conducted to investigate the dietary behaviors and health-related lifestyles, according to exercise habits, of female university students in the Jeonju area. Self-administered questionnaires were collected from 285 students, and the statistical data analysis was completed using the SPSS v. 10.0 program. The results are summarized as follows. The weight, height, and BMI averages of the regular exercise and non-exercise groups were 53.05 kg, 162.46 cm, and 20.23, and 50.81 kg, 161.46 cm, and 19.48, respectively. The breakfast skipping ratio was higher in the non-exercise group than the exercise group. More than 72% of the exercise and 71% of the non-exercise group responded to regularly having lunch at the university canteens or restaurants around campus. Approximately 70% of the exercise and 71% of the non-exercise group responded to having dinner irregularly, which was mainly caused by reasons such as 'irregularity of life style' and 'appointments with friends'. The snack intake ratios of the exercise and non-exercise groups were high, but the exercise group ate more fruit, yogurt, and milk than the non-exercise group. The favorite sports of the exercise group were 'walk(jogging)', 'yoga', 'bicycle,' 'swim,' etc. In particular, 5.3% of the exercise group had ridden a bicycle to the university. More than 97% of the students were non-smokers. About 14% of the exercise and 15% of the non-exercise group rank alcohol once or twice a week. The exercise group did not show exceptional health-oriented dietary behaviors in comparison to the non-exorcise group. Therefore, an exercise-oriented nutrition education program would be beneficial to the students, in order to improve their dietary behaviors and health-related lifestyles.