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스리랑카 고혈압 환자의 영양지식, 건강신념, 자기효능감, 식이조절행위의 융복합적 관계 연구

Convergence Relationships among Nutrition Knowledge, Health Beliefs, Self-efficacy, and Diet Management Behaviors in Persons with Hypertension in Sri Lanka

  • 투고 : 2017.06.03
  • 심사 : 2017.08.20
  • 발행 : 2017.08.28

초록

본 연구의 목적은 스리랑카 고혈압 환자의 영양지식, 건강신념, 자기효능감과 식이조절행위와의 관련성을 파악하여 고혈압 식이조절행위를 개선하기 위한 효과적인 중재 프로그램 개발의 기초자료를 제공하기 위함이었다. 본 연구의 대상자는 스리랑카의 한 대학병원에서 고혈압으로 진단받은 91명의 환자를 대상으로 하였다. 수집된 자료는 IBM SPSS Statistics 20.0 프로그램을 사용하여 기술통계, t-test, one-way ANOVA, Pearson's correlation coefficient, step-wise multiple regression을 통해 분석하였다. 연구결과 대상자의 영양지식(r=0.26, p=.013), 건강신념(r=0.35, p=.001), 자기효능감(r=0.34, p=.001)은 고혈압 식이조절행위와 유의미한 양의 상관관계가 있는 것으로 나타났다. 또한 영양지식(${\beta}=.25$, t=2.50, p=.014)과 자기효능감(${\beta}=.29$, t=2.75, p=.007)은 고혈압 식이조절행위에 영향을 미치는 주요요인으로 나타났다. 본 연구결과를 바탕으로 스리랑카 고혈압 환자의 식이조절행위를 개선하기 위해서는 영양지식과 자기효능감을 고려한 융복합적 중재 프로그램 개발이 필요할 것으로 생각된다.

This study aimed to identify the convergence relationships among nutrition knowledge, health beliefs, diet self-efficacy, and diet management behaviors among Sri Lankans with hypertension (HTN). 91 adults diagnosed with HTN for more than one year participated in this study. A set of interviewer-administered questionnaire was used to assess general characteristics, nutrition knowledge, health beliefs, diet self-efficacy, and diet management behaviors. A stepwise multiple regression analysis was conducted to identify the factors that might influence diet management behaviors. There were statistically significant positive correlations between nutrition knowledge (r=0.26, p=.013), health beliefs (r=0.35, p=.001), diet self-efficacy (r=0.34, p=.001) and HTN diet management behaviors. Three variables, nutrition knowledge, health beliefs, and diet self-efficacy, explained 19.9% of the variance in HTN diet management behaviors (F=8.36, p=.001). Diet self-efficacy was the most significant influencing factor (${\beta}=.29$, t=2.75, p=.007), followed by nutrition knowledge (${\beta}=.25$, t=2.50, p=.014). The findings of this study can be used as valuable data for developing effective interventions to improve diet management behaviors of persons with HTN.

키워드

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