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Factors Associated with Health Promotion of Caregivers Based on a Socio-ecological Model

사회생태모형에 기초한 요양보호사 건강증진행위의 관련요인

  • Received : 2010.12.08
  • Accepted : 2011.03.07
  • Published : 2011.03.31

Abstract

Purpose: To investigate the behavioural factors of the health promotion for caregivers based on a socio-ecological model. Methods: This study was a cross-sectional descriptive study using a self administered questionnaire. The survey was conducted in 219 people chosen through convenient sampling between September and December 2008. The collected information included general characteristics, individual, interpersonal, community, policy level. Results: For the statistical analysis, the t-test was used for the health promotion according to the general characteristics and to each level of the socio-ecological model, by assessing the high and low values and dividing them into mean points. The influence elicited by different health promotion factors was determined using the hierarchical multiple regression. At the individual level, the factors influencing health promotion in caregivers included perceived seriousness, perceived benefits, and self efficacy. Social support was important at interpersonal level, and the use of community resource was relevant for the community level. We found no statistically significant factors relating to the policy level. Conclusions: In conclusion, the socio-ecological models seems appropriate for explaining health promotion and its associated factors in caregivers. We suggest that, for caregivers, strategies should be developed for their social support and to offer information about how to use community resources in relation with factors relating to the individual level.

Keywords

References

  1. Bae, S., Jo. H., Kim. D., Choi. Y., Lee. H., Lee. T. et al. (2008). Factors associated gastric cancer screening of Koreans based on a socio-ecological model. Journal of Preventive Public Health, 41(2), 100-106. https://doi.org/10.3961/jpmph.2008.41.2.100
  2. Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavior change. Psychological Review, 84, 191-215. https://doi.org/10.1037/0033-295X.84.2.191
  3. Bull, S., Eakin, E., Reeves, M. & Riley, K. (2006). Multi-level support for physical activity and health eating. Issues and Innovations in Nursing Practice. 585-593. https://doi.org/10.1111/j.1365-2648.2006.03861.x
  4. Chai, H. S. (2001). Factors influencing drinking behaviors of college students using health belief model. Yunsei University. Seoul.
  5. Cho, B. (1999). Factors related to health behaviors of the people in an urban community - based on health belief model. Korean Journal of Epidemiology, 21(2), 151-158.
  6. Cho, M. (2005). The utilization of community resource of celebral paralysis. Unpublished doctoral dissertation, Daegu University, Daegu.
  7. Choi, H. (2008). A study on factors affecting burnout of staffs taking care of elders in nursing facilities. Journal of the Korean Gerontological Society, 28(1), 157-176.
  8. Chong, Y. (2008). A study of the subjective qualities of life, and locus of control of caregiver trainees. Journal of Korean Academic Science Nursing Education, 14(1), 117-126. https://doi.org/10.5977/JKASNE.2008.14.1.117
  9. Dolansky, M. (2002). Effect of cardiac rehabilitation on older adult's recovery outcomes following coronary artery bypass surgery. Unpublished doctoral dissertation, Case Western Reserve University, USA.
  10. Grzywacz, J., & Marks, N. (2001). Social inequalities and exercise during adulthood: Toward an ecological perspective. Journal of Health and Social Behavior, 42, 202-220 https://doi.org/10.2307/3090178
  11. Jo, H., Kim, C., Lee. H., & Jeong, H. (2004). A meta-analysis of health related behavior study based on health belief model in Korean. The Korean Journal of Health Psychology, 9(1), 69-84.
  12. Haley, W., Roth, D., Coleton, M., Ford, G., West, C., Colllins, R. et al. (1996). Appraisal, coping, and social support as mediators of well-being in black and white family caregivers of patients with Alzheimer's disease. Journal of Consulting and Clinical Psychology, 64(1), 121-130. https://doi.org/10.1037/0022-006X.64.1.121
  13. Lee, M. (2008). The status problems educating care giver in Korea. Journal of Korean Association Occupational Therapist, 2(1), 69-74.
  14. Lim, J., Kang, K., Bae, S., Yi, G., Kang, H., & Hwang, Y. (2010). The effect of social capital on health-promoting behaviors of the poor. Journal of Korean Social Policy, 16(2), 131-180. https://doi.org/10.17000/kspr.16.2.201001.131
  15. Linnan, L. Sorensen, G., Colditz, G., Klar, N., & Emmoms, K. (2001). Using theory to understand the multiple determinants of low participation in worksite health promotion programs. Health Education & Behavior, 28(5), 591-607. https://doi.org/10.1177/109019810102800506
  16. McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15, 351-377. https://doi.org/10.1177/109019818801500401
  17. McMahan, S., Wells, M., Stokols, D., Phillips, K., & Clitheroe, H. (2001). Assessing health promotion programming in small business. American Journal of Health Studies, 17, 3, 120-128.
  18. National Health Insurance Corporation, (2010), Retrieved December 10, 2010, from http://www.nhic.or.kr
  19. Paik, Y. (2004). Prediction model on health promotion behaviors in male office workers. Unpublished doctoral dissertation, Ewha Womans University. Seoul.
  20. Park, Y., Lee, S., Park, E., Ryu, H., Lee, J., & Chong, S. (2000). A meta-analysis of explanatory variables of health promotion behavior. Journal of Korean Academy of Nursing, 30(4), 836-846. https://doi.org/10.4040/jkan.2000.30.4.836
  21. Pender, N. J. (1996). Health promotion in nursing practice. 3rd edition. Conneticuts: Appleton & Lange Stanford.
  22. Quinn, L. A., Thompson, J., & Ott. K. (2004). Application of the social ecological model in folic acid public health initiatives. Journal of Obstetric Gynecologic and Neonatal Nursing, 34(6), 672-681.
  23. Riley, L., Tayor, M., & Elliott, S. (2001). Determinants of implementing heart health promotion activities in Ontario public health units: A social ecological perspective. Health Education Research, 16(4), 425-441. https://doi.org/10.1093/her/16.4.425
  24. Sick, R. (1999). Care giver burden and health promotion. International Journal of Nursing Studies, 37(1), 37-43. https://doi.org/10.1016/S0020-7489(99)00053-X
  25. Tang, Y., & Chen, S. (2002). Health promotion behaviors in Chinese family caregivers of patients with stroke. Health Promotion International, 17(4), 329-339. https://doi.org/10.1093/heapro/17.4.329
  26. Yoon, H. (2007). An analysis of the utilization of health promotion program in health care centers: Social ecological model. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  27. Yoon, H., & Cho, Y. (2007). Relationship between job stress contents, psychosocial factors and mental health status among university hospital nurses in Korea. Journal of Preventive Public Health, 40(5), 351-362. https://doi.org/10.3961/jpmph.2007.40.5.351