Korean Journal of Adult Nursing (성인간호학회지)
- Volume 12 Issue 1
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- Pages.40-51
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- 2000
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- 1225-4886(pISSN)
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- 2288-338X(eISSN)
Decisional balance corresponding to the Stage of Change of Exercise in Elderly
노인운동의 변화단계에 따른 의사결정 균형에 대한 연구
- Kim, So In (College of Nursing, Korea University) ;
- Chun, Young Ja (College of Nursing, Korea University) ;
- Lee, Pyoung Sook (College of Nursing, Korea University) ;
- Kim, Soon Yong (College of Nursing, Korea University) ;
- Lee, Sook Ja (College of Nursing, Korea University) ;
- Park, Eun Sook (College of Nursing, Korea University) ;
- Chang, Sung Ok (College of Nursing, Korea University)
- 김소인 (고려대학교 간호대학) ;
- 전영자 (고려대학교 간호대학) ;
- 이평숙 (고려대학교 간호대학) ;
- 김순용 (고려대학교 간호대학) ;
- 이숙자 (고려대학교 간호대학) ;
- 박은숙 (고려대학교 간호대학) ;
- 장성옥 (고려대학교 간호대학)
- Published : 2000.03.30
Abstract
Purpose : This study was carried out to identify the factor of decisional balance for exercise. This was composed of a set of variables at the level of decision making when the elderly decide to do exercise. It was used to classify and identify the characteristics of the stages of change for exercise to which the elderly belong, and was used to identify the variables of decisional balance which influence the stage of change for exercise in the elderly. Methods : Convenient samples of 198 subjects over age 60 in Seoul( mean age=70) were selected from community living, mentally competant older adults and the data was collected from April 1, 1999 to May 31, 1999. The research instrument was the Decisional Balance Measure for Exercise(Marcus & Owen., 1992), Stage of Change Measure(Marcus et al,1992). The data was analyzed by SAS Program. Results: 1. According to stage of change measure, without missing data,191 subjects were distributed in each stage of change for exercise : 50 subjects(26.1%), 7 subjects (3.6%), 52 subjects(27.2%), 4 subjects(2%), and 78(40.8%) belonged to the precontemplation stage, contemplation stage, preparation stage, action stage and maintenace stage. 2. Factor analysis identified 3 factors of decisional balance as appropriate factors for exercise of the elderly and named by researchers; 1)'Perceived Physical-psychological benefit', 2)'Perceived Physical-psychological burden', and 3)'Perceived time burden'. 3. The analysis of variance showed that the two components Perceived Physical - psychological benefit(F=45.95, P=.0001), and Perceived Physical-psychological burden (F=26.52, P=.0001) were significantly associated with stage of change. 4. Through the discriminant analysis, it was found that both 'Self Perceived Physical - Psychological benefit' and 'Perceived Physical-Psychological burden' were the influential variables in discriminating the three stages of change(pre-contemplation, preparation, and maintenance). Conclusion : Results are consistent with the application of the Transtheoretical model, which has been used to understand how people change health behaviors. Even though this study is a cross-sectional, not a longitudinal study, the findings of this study give useful information for exercise intervention about especially the factors relating to decision making for exercise of the elderly in the different stages of change of exercise.