대한지역사회영양학회지 (Korean Journal of Community Nutrition)

대한지역사회영양학회 (The Korean Society of Community Nutrition)
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건강신념 모델을 적용한 고혈압 영양교육 프로그램 개발 -포커스그룹 인터뷰에 기초하여-

Development of Nutrition Education Program for Hypertension Based on Health Belief Model, Applying Focus Group Interview

  • 박서연 (가톨릭대학교 생활과학부 식품영양학전공) ;
  • 권종숙 (신구대학교 식품영양과) ;
  • 김초일 (한국보건산업진흥원 영양정책지원팀) ;
  • 이윤나 (한국보건산업진흥원 영양정책지원팀) ;
  • 김혜경 (가톨릭대학교 생활과학부 식품영양학전공)
  • Park, Seoyun (Department of Food Science & Nutrition, The Catholic University of Korea) ;
  • Kwon, Jong-Sook (Department of Food & Nutrition, Shingu College) ;
  • Kim, Cho-il (Nutrition Policy & Promotion Team, Korea Health Industry Development Institute) ;
  • Lee, Yoonna (Nutrition Policy & Promotion Team, Korea Health Industry Development Institute) ;
  • Kim, Hye-Kyeong (Department of Food Science & Nutrition, The Catholic University of Korea)
  • 투고 : 2012.09.28
  • 심사 : 2012.10.26
  • 발행 : 2012.10.31
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초록

Health Belief Model is a socio-psychological theory of decision making to individual health-related behaviors. This study was aimed to develop an effective education program for hypertension based on health belief model. The main factors of health belief model were investigated by focus group interview (FGI) with 23 hypertensive or prehypertensive subjects aged over fifty years. 'Perceived susceptibility' to hypertension was family history, neglect of health care, preference for salty food, broth of soup and stew. Lifelong medication, complications, and medical costs were reported as 'perceived severity' of hypertension. 'Perceived benefits' of hypertension management were decrease of medicinal dose, reduction of medical costs, and healthy eating habits of the family, while 'perceived barriers' were lack of palatability of low salt diet, convenience-oriented dietary habits, and limited choice of foods when eating out. Subjects mentioned TV health programs, public health center programs, and advice from doctors and family as 'cues to action' of hypertension management. These qualitative information provided basis for developing a nutrition education program for hypertension which could be implemented in the public health center. Eight week program was composed of understanding hypertension, risk factor management (eating habits, weight), low salt diet (principles, cooking), advanced management for healthy diet in 2 sessions, and summary. Each session was designed to alert the susceptibility and severity, to emphasize the benefits, and to reduce the barriers by providing dietary monitoring, practical advice, and action tips.

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참고문헌

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