DOI QR코드

DOI QR Code

습관형성모델을 기반으로 한 간호대학 여학생의 신체활동에 대한 영향요인 분석

Analysis of Factors Influencing Physical Activity in Female Nursing Students based on the Habit Formation Model

  • 김경희 (진주보건대학 간호학과) ;
  • 구미옥 (경상대학교 간호대학, 경상대학교 건강과학연구원 노인건강연구센터)
  • Kim, Kyunghee ;
  • Gu, Mee-Ock (College of Nursing, Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University)
  • 투고 : 2020.10.14
  • 심사 : 2020.11.06
  • 발행 : 2020.11.30

초록

본 연구의 목적은 습관형성모델을 기반으로 간호대학 여학생의 신체활동 정도와 신체활동에 미치는 영향요인을 파악하여 간호대학 여학생의 신체활동 증진 및 유지 전략을 개발하는데 기초자료를 제공하기 위함이다. 연구대상은 J시에 소재한 G대학교와 J대학교에 간호학과에 재학중인 여학생 207명이었고, 자료수집 기간은 2020년 8월 31일에서 9월 13일까지였다. 자료 분석은 IBM SPSS Statistics Ver. 22.0 통계프로그램을 사용하여 빈도, 백분율, 평균, 표준편차, ANOVA 및 Scheffĕ test, Pearson's correlation coefficient, Univariate, and Multivariate multinomial logistic regression을 이용하였다. 연구결과 간호대학 여학생의 신체활동 정도는 평균 2506.31±2807.05 MET-min/week이었고 신체활동 분류기준에 따라 세 군으로 분류한 결과 건강증진 신체활동군은 59명(28.5%), 최소한 활동군은 98명(47.3%), 비활동군은 50명(24.2%)으로 나타났다. 다변량 로지스틱 회귀분석에서는 신체활동 습관강도가 간호대학 여학생의 신체활동에 유의한 영향요인으로 규명되었다. 따라서, 간호대학 여학생의 신체활동 증진 및 유지를 위해 습관형성 프로그램을 개발하고 효과를 검증하는 연구가 필요하다.

This study was conducted to investigate factors influencing physical activity in female nursing students based on the habit formation model. The participants were 207 female students at G nursing college and J nursing college located in J city. All data were collected from 31, August to 14, September in 2020 and analyzed by descriptive statistics, ANOVA and Scheffĕ test, Pearson's correlation coefficient, Univariate, and Multivariate multinomial logistic regression using SPSS/WIN 22.0 program. The average level of physical activity measured by the Korean version of IPAQ was 2506.31±2807.05 MET-min/week. According to the physical activity category classified by IPAQ, there were 59students(28.5%) in the high group, 98students(47.3%) in the moderate group, and 50students(24.2%) in the low group. Physical activity habit strength was the significant factor influencing physical activity in female nursing students. Therefore, this study suggests that it is necessary to develop the habit formation program and verify effectiveness for enhancing and maintaining the physical activity in female nursing students.

키워드

참고문헌

  1. World Health Organization. (2010). Global recommendations on physical activity for health. Copenhagen: World Health Organization.
  2. American Heart Association. (2015). Physical activity improves quality of life. Retrieved from http://www.heart.org/HEARTORG/GettingHealthy/PhysicalActivity/StartWalking/Physical-activityimproves-quality-of-life_UCM_307977_Article.jsp#.Vo7YLcYrK70
  3. Ministry of Culture, Sports and Tourism. (2017). 2017 Survey on participation in physical activity in national life. Retrieved from http://stat.mcst.go.kr/mcst/WebPortal/public/visual/statReport.html
  4. Ministry of Health and Welfare. (2014). The Physical Activity Guide for Koreans. Retrieved from http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=337177
  5. Ministry of Health & Welfare. (2011). National Health Plan 2020. Retrieved from https://www.mindbank.info/item/4070
  6. Korea Centers for Disease Control & Prevention. Korea Health Statistics 2016: Korea National Health and Nutrition Examination Survey (KNHANES VII-1). Retrieved from Available at https://knhanes.cdc.go.kr/knhanes/sub04/sub04_03.do?classType=7
  7. Seo, K. S. (2019). Factors affecting regular physical activity in nursing students. Journal of Health Informatics and Statistics, 44(1), 92-101. https://doi.org/10.21032/jhis.2019.44.1.92
  8. Brevard, P. B., & Ricketts, C. D. (1996). Residence of college students affects dietary intake, physical activity, and serum lipid levels. Journal of the American Dietetic Association, 96(1), 35-38. http://dx.doi.org/10.1016/S0002-8223(96)00011-9
  9. Lee, M. S., & Gu, M. O. (2017). Level of physical activity and influencing factors of the first and second year nursing students. Journal of the Korea Academia-Industrial cooperation Society, 18(6), 53-67. https://doi.org/10.5762/KAIS.2017.18.6.53
  10. Kim, Y. B., Park, C. M., Kim, H. H., & Han, C. H. (2010). Health behavior and utilization of university health clinics. The Journal of Korean Society for School & Community Health Education, 11(1), 79-91.
  11. Bae, J. H., Lee, Y. H., & Lee, A. S. (2014). The perception and barriers of physical activity to university freshmen. Korean Association of Sport Pedagogy, 21(4), 119-137.
  12. Kim, J. M., Koh, K. W., Kim, Y. J., & Shin, Y. H. (2011). Status of and challenges for physical activity in Korean university students. Korean Journal of Health Education and Promotion, 28(5), 51-60.
  13. Kim, W. K. (2012). Relationship among individual, social, environmental factor and leisure time physical activity of undergraduates. The Korean Journal of Sport Science, 21(2), 1189-1198.
  14. Lim, H. J. (2008). Relationship between body composition and physical fitness according to physical activity using International Physical Activity Questionnaires(IPAQ) in women university students. The Korea Journal of Sports Science, 17(4), 1185-1192.
  15. Kim, G. S., Lee, C. Y., Kim, I. S., Lee, T. H., Cho, E., Lee, H., ... & Lim, S. (2013). Assessing correlates of physical activity levels in female university students. Journal of Korean Public Health Nursing, 27(3), 466-479. http://dx.doi.org/10.5932/JKPHN.2013.27.3.466
  16. Shin, S. H. (2014). Influence from the academic stress by the achievement pressure of their parents and adjustment effect of self-differentiation. Journal of the Korea Academia-Industrial cooperation Society, 15(11), 6756-6766. http://dx.doi.org/10.5762/KAIS.2014.15.11.6756
  17. Cho, O. H., Hwang, K. H., & Park, H. S. (2015). The relationships among freshman nursing students' academic stress, depression, and physical activity. Journal of Muscle and Joint Health, 22(2), 121-129. https://doi.org/10.5953/JMJH.2015.22.2.121
  18. Bae, P. W. (2012). Application of the transtheoretical model to exercise behavior change stages of women in nursing college and factors affecting the stages. Journal of Korean Public Health Nursing, 26(1), 147-157. https://doi.org/10.5932/JKPHN.2012.26.1.147
  19. Lee, S. (2018). Domestic research trends on nurse happiness. The Journal of the Convergence on Culture Technology, 4(1), 201-206. http://doi.org/10.1703/JCCT.2018.4.1.201
  20. Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211. https://doi.org/10.1016/0749-5978(91)90020-T
  21. Lee, B. H., Ko, D. S., Bae, S. Y., Noh, J. S., Choi, M. S., & Park, J. (2010). Factors associated with physical activity among female college students: Using TPB. Korean Journal of Health Education and Promotion, 27(3), 23-31.
  22. Kim, M. J., & Kim, S. K. (2013). The structural relations between social support, exercise attitude and intention in sport participation of college students based on the theory of planned behavior. The Korea Journal of Sports Science, 22(3), 83-99.
  23. Park, J. K. (2011). Predicting adolescent' s intention for physical activity and behavior using the theory of planned behavior: The roles of family support and personality. Korean Society of Sport Psychology, 22(1), 129-144.
  24. Ju, Y. J., Oh, H. K., & Seo, H. E. (2020). Factors affecting practice of personal hygiene in Senegal women applying health belief model. The Journal of the Convergence on Culture Technology, 6(1), 231-239. https://doi.org/10.17703/JCCT.2020.6.1.231
  25. Salema, N. E. M., Elliott, R. A., & Glazebrook, C. (2011). A systematic review of adherence-enhancing interventions in adolescents taking long-term medicines. Journal of Adolescent Health, 49(5), 455-466. https://doi.org/10.1016/j.jadohealth.2011.02.010
  26. Webb, T. L., & Sheeran, P. (2006). Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychological bulletin, 132(2), 249. https://doi.org/10.1037/0033-2909.132.2.249
  27. Wood, W., & Neal, D. T. (2007). A new look at habits and the habit-goal interface. Psychological review, 114(4), 843. https://doi.org/10.1037/0033-295X.114.4.843
  28. Lally, P., & Gardner, B. (2013). Promoting habit formation. Health Psychology Review, 7(1), 137-158. https://doi.org/10.1080/17437199.2011.603640
  29. Lin, P. Y., Wood, W., & Monterosso, J. (2016). Healthy eating habits protect against temptations. Appetite, 103, 432-440. https://doi.org/10.1016/j.appet.2015.11.011
  30. Park, M. H. (2018). Development of SNS platform based healthy lifestyle coaching program and effectiveness evaluation (Doctoral dissertation). Seoul National University, Seoul, South Korea.
  31. Wood, W., & Rünger, D. (2016). Psychology of habit. Annual Review of Psychology, 67. https://doi.org/10.1146/annurev-psych-122414-033417
  32. Verplanken, B. (2006). Beyond frequency: Habit as mental construct. British Journal of Social Psychology, 45(3), 639-656. https://doi.org/10.1348/014466605X49122
  33. Verplanken, B., & Aarts, H. (1999). Habit, Attitude, and Planned Behaviour: Is Habit an Empty Construct or an Interesting Case of Goal-directed Automaticity? European Review of Social Psychology, 10(1), 101-134. https://doi.org/10.1080/14792779943000035
  34. Wood, W., & Neal, D. T. (2009). The habitual consumer. Journal of Consumer Psychology, 19(4), 579-592. http://dx.doi.org/10.1016/j.jcps.2009.08.003
  35. Hall, P. A. (2013). Temporal self-regulation theory. Encyclopedia of Behavioral Medicine, 1960-1963.
  36. Tangney, J. P., Baumeister, R. F., & Boone, A. L. (2004). High self‐control predicts good adjustment, less pathology, better grades, and interpersonal success. Journal of personality, 72(2), 271-324. http://dx.doi.org/10.1111/j.0022-3506.2004.00263.x
  37. Moffitta, T. E., Arseneault, L., Belsky, D., Dickson, N., Hancox, R. J., Harrington, H., ... & Sears, M. R. (2011). A gradient of childhood self-control predicts health, wealth, and public safety. Proceedings of the National Academy of Sciences of the United States of America, 108(7), 2693-2698. https://doi.org/10.1073/pnas.1010076108
  38. Galla, B. M., & Duckworth, A. L. (2015). More than resisting temptation: Beneficial habits mediate the relationship between self-control and positive life outcomes. Journal of Personality and Social Psychology, 109(3), 508-528. https://doi.org/10.1037/pspp0000026.
  39. Johnston, L., Bulik, C. M., & Anstiss, V. (1999). Suppressing thoughts about chocolate. International Journal of Eating Disorders, 26, 21-27. http://dx.doi.org/10.1002/(SICI)1098-108X(199907)26:121::AIDEAT33.0.CO;2-7
  40. Kim, J. H. (2010). The Influence on exercise immersion of satisfaction with participation by motives for participation in exercise of members of sport for all(Masters dissertation). Korea University, Seoul, South Korea.
  41. Csikszentmihalyi. M.(1975). Beyond boredom and anxiety: The experience of play in work and games. San Francisco: Jossey-Bass Publishers.
  42. Deci. E. L. & Ryan. R. M.(1985). Intrinsic motivion and self-determination in human behavior. NewYork: Plenum.
  43. Gardner, B., & Lally, P. (2013). Does intrinsic motivation strengthen physical activity habit? Modeling relationships between self-determination, past behaviour, and habit strength. Journal of Behavioral Medicine, 36(5), 488-497. https://doi.org/10.1007/s10865-012-9442-0
  44. Oh, J. Y., Yang, Y. J., Kim, B. S., & Kang, J.H. (2007). Validity and reliability of Korean version of International Physical Activity Questionnaire (IPAQ) short form. Journal of the Korean Academy of Family Medicine, 28(7),532-541
  45. IPAQ Research Committee (2005). Guidelines for data processing and analysis of theinternational physical activity questionnaire(IPAQ) - Short and long forms. Retrieved from https://sites.google.com/site/theipaq/scoring-protocol
  46. Vallerand, R. J., Pellettier, L. G., Blais, N. M., Senecal, C., & Vallieres, E, F. (1992). The academic motivation scale: A measure ofintrinsic, extrinsic and motivation in education. Educational and Psychoiogical Measurement, 52(1), 1003-1007. https://doi.org/10.1177/0013164492052004025
  47. Weissinger, E. & Bandalos, D. L. (1995). Development, reliability andvalidity of a scale to measure intrinsic motivation in leisure. Journal of Leisure Research, 27(4), 379-400. https://doi.org/10.1080/00222216.1995.11949756
  48. Jeong, Y. G. (1997). The influence of sport participation motivation, arousal seeking and affects on the behavior of sport commitment (Doctoral dissertation). Pusan National University, Pusan, South Korea.
  49. Hong, H. G., Kim, H. S., Kim, J. H., & Kim, J. H. (2012). Validity and reliability validation of the Korean version of the Brief Self-Control Scale (BSCS). Korean Journal of Psychology: General, 31(4), 1193-1210.
  50. Orbell, S., & Verplanken, B. (2010). The automatic component of habit in health behavior: Habit as cue-contingent automaticity. Health Psychology, 29(4), 374. https://doi.org/10.1037/a0019596
  51. Verplanken, B., & Orbell, S. (2003). Reflections on past behavior: a self‐report index of habit strength. Journal of Applied Social Psychology, 33(6), 1313-1330. https://doi.org/10.1111/j.1559-1816.2003.tb01951.x
  52. Lee, M. S. (2018). Development and effects of exercise habit formation program for undergraduate nursing students (Doctoral dissertation). Gyeongsang National University, Jinju, South Korea.
  53. American College of Sports Medicine (2007). Guidelines for exercise testing and prescription(4th ed.). Pennsylvania: Lea & Febiger.
  54. Suh, B. D. (2006). Influencing factors of exercise behavior change in nursing students. Korean Journal of Adult Nursing, 18(4), 573-581.
  55. Cho, J. H., & Kim, Y. J. (2016). The impact of physical activity on quality of life and subjective health. Asian Journal of Physical Education and Sport Science, 4(1), 65-72.
  56. Gardner, B., de Bruijn, G. J., & Lally, P. (2011). A systematic review and meta-analysis of applications of the self-report habit index to nutrition and physical activity behaviours. Annals of Behavioral Medicine, 42(2), 174-187. https://doi.org/10.1007/s12160-011-9282-0
  57. Park, S. G. (2015). Exercise intention and behavior: Conditional process analysis of exercise habits, self-efficacy, and parental support (Doctoral dissertation). Chung-Ang University, Seoul, South Korea.
  58. Bae, S. H., & Park, J. J. (2015). The influence of university students' participation motivation in fitness center upon exercise flow and exercise adherence intention. Journal of Physical Education & Lifetime Sports Science, 27, 109-121.
  59. Deci. E. L. (1975). Intrinsic motivation and self-determination in human behavior. Newyork: Plenum.
  60. Kwon, T. W., & Choi, Y. C. (2010). Structural relationship among intrinsic motivation, extrinsic motivation, leisure satisfaction and intention to continuance of general sport class participants in university. The Korean Society of Sports Science, 19(13), 203-215.
  61. Keele-Smith, R., & Leon, T. (2003). Evaluation of individually tailored interventions on exercise adherence. Western Journal of Nursing Research, 25(6), 623-640. https://doi.org/10.1177/0193945903255404
  62. Kim, S. J. (2007). The effect of empowered motivation on exercise adherence and physical fitness in college women. Chonnam National University, Gwangju, South Korea.
  63. Duckworth, A. L., Gendler, T. S., & Gross, J. J. (2014). Self-control in school-age children. Educational Psychologist, 49, 199 -217. http://dx.doi.org/10.1080/00461520.2014.926225
  64. Gollwitzer, P. M. (1999). Implementation intentions: Strong effects of simple plans. American Psychologist, 54, 493-503. http://dx.doi.org/10.1037/0003-066X.54.7.493
  65. Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2, 271-299. http://dx.doi.org/10.1037/1089-2680.2.3.271
  66. de Ridder, D. T. D., Lensvelt-Mulders, G., Finkenauer, C., Stok, F. M., & Baumeister, R. F. (2012). Taking stock of self-control: A meta-analysis of how trait self-control relates to a wide range of behaviors. Personality and Social Psychology Review, 16, 76-99. http://dx.doi.org/10.1177/1088868311418749
  67. Gardner, B., & Rebar, A. L. (2019). Habit Formation and behavior change. In Oxford Research Encyclopedia of Psychology, Retrieved from https://oxfordre.com/psychology/view/10.1093/acrefore/9780190236557.001.0001/acrefore-9780190236557-e-129
  68. Dickinson, A., & Balleine, B. (2002). The role of learning in the operation of motivational systems. Stevens' Handbook of Experimental Psychology, 497. https://doi.org/10.1002/0471214426.pas0312