일개 도서지역 여성의 골다공증 지식, 자기효능감과 건강신념간의 관계 연구

A Study on the Relationships between Osteoporosis Knowledge, Self-efficacy and Health Belief of Women in an Island

  • 발행 : 2002.02.01

초록

This study was to examine the relationships between knowledge, health belief and self-efficacy of osteoporosis with the women residents in an island. Method: The subjects were 64 women who lived in an island located in Incheon metropolitan city. Data collection was performed by using questionnaire that included Osteoporosis Knowledge Test, Osteoporosis Self-Efficacy Scale and Osteoporosis Health Belief Scale by Kim, Horan & Gendler (1991). The Data were analyzed using SAS computer program that included descriptive statistics, t-test, ANOVA, Pearson correlation coefficient. Result: 1) The mean of osteoporosis knowledge was 10.03 in the range of 0 to 24, shows the relatively lower score than mean score. The mean of osteoporosis health belief variables were susceptibility 18.95, seriousness 19.05, benefits of exercise 22.35, benefits of calcium 21.81, barriers to exercise 16.95, barriers to calcium 13.13, and health motivation 19.75 in every range of 6 to 30. The mean of osteoporosis self-efficacy was 37.95 in the range of 12 to 60, shows a relatively higher score than mean score. 2) There were statistically significant differences in the degree of osteoporosis knowledge according to age, education. But There was no significant difference in the degree of osteoporosis and self-efficacy according to general characteristics. There were statistically significant differences in the degree of susceptibility according to religion, family income. There were statistically significant differences in the degree of seriousness, health motivation according to family income. There was statistically significant difference in the degree of barriers to exercise according to education. 3) There were statistically significant positive correlations between osteoporosis knowledge and benefits to exercise, benefits of calcium intake. There was statistically no significant correlation between osteoporosis knowledge and osteoporosis self- efficacy. There was statistically a significant positive correlation between osteoporosis self-efficacy and barriers to exercise. There was statistically a significant negative correlation between osteoporosis self-efficacy and health motivation. Conclusion: According to the result, osteoporosis education program including exercise, calcium intake should be operated to increase benefits to exercise and calcium intake for osteoporosis prevention. In addition, the program of improving self-efficacy should be designed and operated to decrase the perception of barriers to exercise and to increase the perception of health motivation of women in island.

키워드

참고문헌

  1. Ali, N. S., & Benett, S. J. (1992). Postmeno-pausal women factors in soteoporosis preventive behavior. J of Geronto Nur, 18(12), 23-32
  2. Ali, N. S., & Twibell, R. K. (1994). Barriers to osteoporosis prevention in perimenopausal and elderly women Geriatr Nurs, 15(4), 201-205
  3. Ali, N. S., & Twibell, R. K. (1995). Health promotion postmenopausal women. Pre Med, 24(5), 528-534
  4. Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change, Psychological Review, 84(2), 191-215 https://doi.org/10.1037/0033-295X.84.2.191
  5. Bandura, A. (1986). Social foundation of thought and action Englewood cliffs: Prentice- Hall Inc
  6. Becker, M. H. (1974). The health belief model and sick role behavior: the health belief model and personal health behavior Thorofare, Newton: Charles B. Slac, Inc, 82-92
  7. Bilezikian, J. P. (1996). Current and future nonhormonal approaches to the treatment of osteoporosis. Int J Fertil Menopausal Stud, 41(2), 148-155
  8. Cho, M. E. (1996). Life style change of osteoporotic patients Master thesis, Kyungpook National University. Daegu, Korea
  9. Dunn-Merritt, S., & Patrick, L. (2000). Every-thing you need to know about osteoporosis California: A division of Prima Publishing
  10. Johnell, O. (1993). Fracture outcomes: consequences of osteoporosis for individuals and society : Christramsen C. Riis B. eds. Programme of the 4th International Symposium on Osteoporosis, Hong Kong: 27 March-2 April, 67-69
  11. Hisley, S. M. (1997). Osteoporosis prevention A Conceptual model PhD Dissertation, The Texas Women's Universtiy. Texas, U.S.A.
  12. Kasper, M. J., Peterson, M. G., Allegrante, J. P., Galsworthy, T. D., & Gutin. B. (1994). Knowledge, beliefs, and behavior among college women concerning the prevention of osteoporosis. Arch Fam Med, 3(8), 696-702
  13. Kim, A. Y. (1998). Education field application research and assignment of motivation theory-focused on the self efficacy theory Journal of Educational Psychology 12(1), 105-128
  14. Kim, K., Horan, M, & Gendler, P. (1991). Refinement of the Osteoporosis Health Belief Scale Sigma Theta Tau International Research Conference, Columbus, Ohio
  15. Kim, M. C., Choi, J. W., Kim, T. W., Hong, I. P., & Park, H. S. (1995). Women's recognition about postmenopausal osteoporosis, J Korean Acad Fam Med, 16(5), 298-126
  16. Kim, S. B. (1998). A Study on knowledge, self-efficacy and compliance in theurnatic arthritis patients Master thesis, Hanyang University. Seoul, Korea
  17. Lee, E. O., Kang, H. S., Kim, M. S., Kim, M. J., Kim, Y. J., Kim, J. L, Park, S. H, Park, I. H, Park, J. S., Bae, Y. S., Sue, M. J., Soo, H. Y., Song, K. A., Yuen, Y., Lee, Y. N., Lim, N. Y., & Han, J. S. (1996). The relationship among self-efficacy, pain depression, and ADL in chronic arthritis. The Journal of Rheumatology Health, 3(2), 194-208
  18. Lee, Y. W. (1993). A study on relationships between knowledge, self-efficacy and self care in essential hypertensive parients, The Korean Central Journal of Medicine, 58(11), 785-795
  19. Nam, M. H. (1997). The relationship between health belief, self-efficacy and exercise. diet compliance in coronary heart disease patients Master thesis, Keimyung University. Daegu, Korea
  20. Pun, K. K. Wong, F. H. W., & Loh, T. (1991). Rapid postmenopausal loss of total body and regional bone mass in normal southern Chinese females in Hong Kong. Osteoporos Int, 1, 87
  21. Riggs, B. L., & Melton, L. J. 3d. (1992). The prevention and treatment of ostecporosis. New England Journal of Medicine, 327(9), 620-627
  22. Rosenstock, I. M. (1974). Historical origins of the health belief model the health belief model and personal health behavior. Theorofare, Newton: Charles B. Slac, Inc, 1-8
  23. Rosenstock, I. M. (1990). The health belief model: explaining health behavior through expectancies health behavior and health education Theory, Research & Practice San Francisco: Jossey-Bass
  24. Rowe, S. M., Jung, S. T. & Lee. J. Y. (1997). Epiderniology of osteoporosis in Korea Osteoporo Int, 7 (suppl 3), s88-s90
  25. Shin, K. R. & Han, I. K. (2000). A study of health promotion program development for island residents-focused on Ongjin-Gun Korea Science & Engineering Foundation
  26. Siddall, L. A. (1996). Relationships of age, osteoporsis knowledge, self-efficacy, and health beliefs in adult women Master thesis, Clarkson College Iowa, U.S.A.
  27. The Gallup Organization (Conducted for weight Watchers and The American Dietetic Association (1993). Women's knowledge and behavior regarding health and fitness NJ: Princeton, com
  28. Wardlaw, G. M. (1993). Putting osteoporosis in perspective J Am Diet Assoc, 93(9), 1000-1006
  29. Yeoum, S. G. (1996). A study on the relationships of cognitive-perceptual factors and behavior about middle age women's health promotion-focus on the provention of osteoporosis Doctoral Dissertation, Chung Ang University, Seoul, Korea