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PRECEDE-PROCEED 모형을 적용한 의무경찰의 건강증진교육프로그램의 개발 및 효과

Development and Effects of Health Promotion Education Program for the Auxiliary Police - Based on the PRECEDE-PROCEED Model -

  • 투고 : 2022.01.27
  • 심사 : 2022.02.27
  • 발행 : 2022.02.28

초록

본 연구는 PRECEDE-PROCEED 모형을 기반으로 의무경찰을 위한 건강증진교육프로그램의 효과를 검증하였다. 연구대상자는 2018년 7월부터 10주간 D지방경찰청 의무경찰 2개 부대를 편의표집하여 실험군25명, 대조군 26명으로 하였다. 모든 참가자는 자기 효능감, 사회적 지지, 자원이용가용성, 건강증진행위, 삶의 질에 대한 설문지를 작성하고 객관적인 스트레스 테스트를 받았다. 실험군은 5주간 PRECEDE-PROCEED 모형에 따른 7회의 건강증진교육프로그램을 이수하였다. 자료분석은 SPSS/WIN 21.0 프로그램을 이용하여 실험군 대조군의 일반적 특성 및 건강관련 특성의 동질성 검증을 위해 카이제곱 검정과 독립표본 t-검정, Fisher's exact test을, 가설검증은 반복측정 분산분석(Repeated Measures ANOVA)을 통해 분석하였다. 연구결과, 건강증진행위(F=7.63, p<.001), 자율신경활성도(F=29.24, p<.001), 스트레스저항도(F=31.22, p<.001), 스트레스지수(F=22.42, p<.001), 피로(F=12.87, p<.001), 삶의 질(F=3.49, p=.042)로 나타났다. 의무경찰의 건강증진교육프로그램은 삶의 질 향상에 긍정적인 효과가 있는 것으로 검증되어 의무경찰에게 유용하게 활용될 수 있을 것이다.

The purpose of this study was to develop and examine the effect of the Health Promotion Education Program for the Auxiliary Police based on the PRECEDE-PROCEED Model. This study was conducted using a nonequivalent control group pretest-posttest design. Twenty-five participants were selected by convenience sampling method and assigned to the experimental group, and 26 participants were assigned to the control group. The data were collected from Auxiliary Police officer in D provincial Police Agency. All of participations completed questionnaires about self-efficacy, social support, availability of resources, health promotion behavior, quality of life and received the objective stress test. In addition, the experimental group completed 7 sessions of health promotion Education programs according to PRECEDE-PROCEED model for 5 weeks. Data were analyzed using the SPSS/WIN 21.0 Program. There was significant differences over time between the groups in terms of health promotion behavior (F=7.63, p<.001), autonomic nervous activity (F=29.24, p<.001), stress resistance (F=31.22, p<.001), stress index (F=22.42, p<.001), fatigue (F=12.87, p<.001), and quality of life (F=3.49, p=.042). The results may be crucial to develop strategy in order to decrease the disease prevalence as well as increase the participants' overall quality of life. As a result, the Health Promotion Education Program for the auxiliary police was proved to be an effective intervention in order to improve the quality of life. Therefore, the program may be a useful intervention for the auxiliary police.

키워드

참고문헌

  1. NLIC. Law on the instalation and operation of the mandatory police station No. 14839 [Internet]. National Law Information Center; 2018 [cited 2018 March 20].
  2. B. H. Lee, "A Study on the Characteristics of New-generation Auxiliary Policemen", Korean Association for Public Security Administration, Vol.11, No.3, pp.117-140, (2014).
  3. Y. K. Jung, C. H. Lee, "Influence of preventive measurements on military life adjustment mediated by stress", Korean Security Science Review. Vol.1, No.41, pp. 241-61, (2014).
  4. Open. Ranking of diagnosis names by medical department in 15-17 [Internet]. Open Information; 2018 [cited 2018 Jan 28]. Available from: https://www.open.go.kr/.
  5. M. S. Kim, M. S. Sohn, M. G. Choi, "Current State and Characteristics of Military Survey in Developed Countries: Focused on the Surveys of United States, Australia, and Canada", Journal of Digital Convergence, Vol.11, No.12, pp.537-549, (2013). https://doi.org/10.14400/JDPM.2013.11.12.537
  6. K. T. Choi, C. G. Kim, "The effect of stress management program for maladjusted soldiers", Korean Academy of Military Social Welfare, Vol.8, No.1, pp.69-103, (2015).
  7. H. Y. Hong, "The relationships of perfectionism, self-efficacy and depression", Unpublished master's thesis, Ewha Womans University, (1995).
  8. K. E. Lee, Y. H. Yom, H. K. Chang, "Influences of acculturative stress and social support on subjective quality of life among Chinese students in Korea", The Journal of Korean Academic Society of Nursing Education, Vol.17, No.3, pp.514-523, (2011). https://doi.org/10.5977/JKASNE.2011.17.3.514
  9. J. H. Cho, M. J. Kang, J. M. Seok, S. J. Jeun, Y. S. Lim, J. K. Jeong, et al, "Survey of the musculoskeletal disorders of riot police and conscripted policeman in radiologic examination", Journal of the Korean Society of Radiology, Vol.5, No.6, pp.315-324, (2011). https://doi.org/10.7742/JKSR.2011.5.6.315
  10. Y. J. Kim, K. M. Park, "Relation of Health Promoting Behaviors, Mental Health and Military Life Adjustments of Conscripted Policemen", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol.6, No.1 , pp.197-212, (2016). https://doi.org/10.35873/AJMAHS.2016.6.1.020
  11. E. H. Burm, Y. J. Kim, G. Y. Kang, "The relationship between trauma experience, anger level and stress coping of Conscripted Policemen", Asia-Pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol.7, No.6, pp.567-577, (2017). https://doi.org/10.14257/ajmahs.2017.06.86
  12. S. Y. Joe, H. S. Hyun, O. J. Jung, Y. S. Jung, "Development of a health promotion program for small unit Soldiers Using PRECEDE Model", Journal of military nursing research, Vol28., No.2, pp.14-28, (2010).
  13. Green L, Kreuter M. Health Program Planning: An Educational and Ecological Approach, (1991).
  14. M. Sherer, J. E. Maddux, B. Mercandante, S. Prentice-Dunn, B. Jacobs, R. W. Rogers, "The self-efficacy scale: Construction and validation", Psychological reports, Vol.51, No.2, pp.663-671, (1982). https://doi.org/10.2466/pr0.1982.51.2.663
  15. E. M. Tracy, J. K. Whittaker, "The social network map: Assessing social support in clinical practice", Families in Society, Vol.71, No.8, pp.461-470, (1990). https://doi.org/10.1177/104438949007100802
  16. J. W. Park, "A study to development a scale of social support" Unpublished doctoral dissertation, Yonsei University, (1985).
  17. H. C. Park, "A study on the quality of life improvement of soldier: focusing on the stressor, social support" Unpublished master's thesis, Yonsei University, (2001).
  18. H. S. Hyun, "Lee IS. A study on stress and symptoms of stress in soldiers in the army", Journal of Korean Academy of Nursing, Vol.38, No.2, pp.238-247, (2008). https://doi.org/10.4040/jkan.2008.38.2.238
  19. T. R. Prodaniu, R. C. Plotnikoff, J. C. Spence, P. M. Wilson, "The influence of self-efficacy and outcome expectations on the relationship between perceived environment and physical activity in the workplace", International Journal of Behavioral Nutrition and Physical Activity, Vol.1, No.1, pp.7-11, (2004). https://doi.org/10.1186/1479-5868-1-7
  20. M. Y. Roh, H. K. Lee, C. Y. Lee, G. S. Kim, "Correlates of physical activity among Korean Navy Personnel: An ecological approach", Journal of Korean Academy of Community Health Nursing, Vol.23, No.3, pp.296-306, (2012). https://doi.org/10.12799/jkachn.2012.23.3.296
  21. S. N. Walker, K. R. Sechrist, N. J. Pender, "The health-promoting lifestyle profile: development and psychometric characteristics", Nursing research Vol.36, No.2, pp.76-81, (1987).
  22. E. J. Na, "Analysis of variables related to the health promotion lifestyle of patients in the recovery period of military hospitals", Unpublished master's thesis, YonSei University, (1998).
  23. H. Y. Choi, K. H. Min, D. G. Lee, "Stress Responses by Ambivalence over Emotional Expression Based on Heart Rate Variability Analysis", The Korean Journal of Health Psychology, Vol.15, No.3, pp.463-481, (2010). https://doi.org/10.17315/kjhp.2010.15.3.006
  24. B. M. Choi, G. J. Noh, "Objective stress", Korean Society for Intravenous Anesthesia, Vol.8, No.2, pp.45-86, (2004).
  25. W. Group, "Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL)", Quality of life Research, Vol.2, No.2, pp.153-159, (1993). https://doi.org/10.1007/BF00435734
  26. S. K. Min, C. I. Lee, K. I. Kim, S. Y. Suh, D. K. Kim, "Development of Korean Version of WHO Quality of Life Scale Abbreviated Version (WHOQOL-BREF)", Journal of Korean Neuropsychiatric Association, Vol.39, No.3, pp.571-579, (2000).
  27. KCDC. Disease information [Internet]. KCDC; 2018 [cited 2018 Jan 2]. Available from: http://tbzero.cdc.go.kr/tbzero/contents.do?leftMenuId=3¶mMenuId=13&menuIdx1=0&menuIdx2=0.
  28. B. R. Cross, "First Aid Manual: The Authorised Manual of St John Ambulance, St Andrew's Ambulance Association of the British Red Cross", London: Dorling Kindersley, (2002).
  29. B. J. Park, "The effect of seated complex exercise on functional fitness and activities of daily living in frail elderly", Unpublished master's thesis, Korea University, (2012).
  30. J. W. Hwang, Y, O, Lee, E, J, Jun, Y. H. Sim, C. H. Gun, "The basic study for development of mental health promotion program which is executed by collaboration of the military and the civilian", Korean Academy of Military Social Welfare, Vol.4, No.2, pp.99-125, (2011).
  31. A. Ewert, A. Yoshino, "The influence of short-term adventure-based experiences on levels of resilience", Journal of Adventure Education and Outdoor Learning, Vol.11, No.1, pp.35-50, (2011). https://doi.org/10.1080/14729679.2010.532986
  32. E. R. Choi, W. J. Kim, Y. K. Ahn, "A Study on Preventive Measures in Suicides of Conscript Policemen", The Journal of Social Science, Vol.18, No.1, pp.69-, 88, (2011).
  33. H. Kim, "A study on the police manager's leadership style and empowerment: at the point of police chief and middle manager's leadership", Korean Association for Public Security Administration, Vol.7, No.4, pp.27-51, (2011).
  34. S. M. Kim, E. J. Lee, "The effects of CPR clinical training on CPR performance and self efficacy in nursing students", Journal of the Korea Academia-Industrial Cooperation Society, Vol.12, No.12, pp.5759-5765, (2011). https://doi.org/10.5762/KAIS.2011.12.12.5759
  35. S. M. Shin, K. T. Kim, H. Ko, "Fatigue diagnostic measure research through the heart rate variability of chronic fatigue patients and healthy students in Korean Medical Hospital", Journal of Physiology & Pathology in Korean Medicine, Vol.29, No.5, pp.409-415, (2015). https://doi.org/10.15188/kjopp.2015.10.29.5.409
  36. M. Davis, E. R. Eshelman, M. McKay, The relaxation and stress reduction workbook, California: New Harbinger Publications, (2008).
  37. S. H. Joe, "Stress assessment and management", Journal of the Korean Medical Association, Vol.47, No.3, pp.226-234, (2004). https://doi.org/10.5124/jkma.2004.47.3.226
  38. I. H. Kim, "Effects of relaxation therapy and exercise therapy on the ACTH and cortisol hormone level in workers", Journal of Korean Academy of Fundamentals of Nursing, Vol.8, No.3, pp.293-301, (2001).
  39. M. Kim, Y. Yoo, E. Lee, M. Son, "The effect of Maum meditation program on the aggression and autonomy of the children and the juveniles", Journal of Emotional & Behavioral Disorders, Vol.29, No.1, pp.145-171, (2013).
  40. C. Maddison, G. Strang, "Do action learning sets facilitate collaborative, deliberative learning?: a focus group evaluation of graduate entry preregistration nursing (GEN) students' experience", Nurse education in practice, Vol.28, No.1, pp.285-291, (2018). https://doi.org/10.1016/j.nepr.2017.10.023
  41. KNPA. Compulsory Police Education Center [Internet]. Korea National Police Agency; 2018 [cited 2018 April 30]. Available from: https://ap.police.go.kr/ap/main/contents.do?menuNo=200017.
  42. M. B. Kinzie, "Instructional design strategies for health behavior change", Patient Education and Counseling, Vol.56, No.1, pp.3-15, (2005). https://doi.org/10.1016/j.pec.2004.02.005
  43. S. A. Jung, "Study about the stress factors of Military and Auxiliary Police", The Journal of Police Science Korea National Police University, Vol.12, No.1, pp.175-196, (2012).
  44. S. Y. Min, K. S. Paek, "The effects of a health education program on health promoting behavior and self-efficacy in university students", J Korean Acad Community Health Nurs, Vol.18, No.4, pp.562-563, (2007).
  45. Y. J. Oh, J. S. Park, "Development of the tailored health promotion program for rural elderly: based on the PRECEDE Model", Korean Journal of Health Education and Promotion, Vol.22, No.4, pp.179-202, (2005).
  46. A. Bandura, "Self-efficacy: toward a unifying theory of behavioral change", Psychological review, Vol.84, No.2, pp.191-215, (1977). https://doi.org/10.1037/0033-295X.84.2.191
  47. H. S. Yoon, Y. C. Cho, "A study on the preventive attitudes and health behavior of life-style related diseases in college students", Korean Journal of Health Education and Promotion, Vol.22, No.4, pp.229-244, (2005).
  48. C. A. Atkin-Plunk, G. S. Armstrong, "Transformational leadership skills and correlates of prison warden job stress", Criminal Justice and Behavior, Vol.40, No.5, pp.551-568, (2013). https://doi.org/10.1177/0093854812460036
  49. Y. K. Kim, E. G. Oh, "Health Behavior and Quality of Life among Korean Navy", Journal of military nursing research, Vol.33, No.1, pp.53-66, (2015). https://doi.org/10.31148/kjmnr.2015.33.1.53
  50. H. S. Kim, E. Y. Choi, "Continuity of BLS training effects in nursing students", The Journal of Korean Academic Society of Nursing Education, Vol.18, No.1, pp.102-110, (2012). https://doi.org/10.5977/JKASNE.2012.18.1.102