건강개념, 자기효능감, 강인성과 건강증진 생활양식과의 관계연구 : 서울지역의 군장병을 대상으로

박계화 梨花女子大學校 大學院 1995 국내석사

綜合病院 勤勞者의 健康增進生活樣式 實踐 및 關聯要因

김남이 建陽大學校 保健福祉大學院 2009 국내석사

The purpose of this study was to investigate the directions and strategies of health promoting programs for the maintenance and improvement of health in general hospital worker by find out the degree of practice in their health promoting lifestyle and its affecting factors. This study was from Oct. 2 to Oct. 27, 2008 and the study was conducted for the subjects including 580 hospital worker from three general hospitals located in Daejeon Metropolitan by means of a survey. The gathered data was analyzed by using an SPSS statistics program and frequency, percentage, t-test, ANOVA and Pearson's Correlation Analysis, Stepwise Regression Analysis were also used. The findings of the study were as below. 1. The degree of practice in the subjects' health promoting lifestyle, the average of the entire questions was 2.26 points and the average of sub-sections was as in the following: 2.62 for interpersonal relations, 2.58 for spiritual growth, 2.26 for nutrition, 2.16 for stress management, 2.00 for health responsibility and 1.89 for physical activity. Thus, the section of interpersonal relations showed the highest practice rate, whereas the section of physical activity demonstrated the lowest one. 2. The degree of practice in the subjects' health promoting lifestyle was higher than others according to general features as below: a case that the subjects were more than 40 years old (p<0.01); a case of their being married (p<0.05); a case of their having more than a master's degree (p<0.05); a case that they were Catholics (p<0.05); a case that they were regularly employed (p<0.01); a case that they had more than 15 years of working experiences (p<0.01); a case that their monthly salary was higher than 2.5 million won (p<0.01); and a case that they worked for more than 8 hours (p<0.01). 3. The degree of practice in the subjects' health promoting lifestyle was higher than others as below: in case that they felt healthy subjectively (p<0.01); in case that they did not feel stress (p<0.01); in case that they did not have a depression (p<0.01); in case that they did not feel a sense of fatigue (p<0.05); in case that they had experiences of participating in education related to health promotion (p<0.01). 4. After analyzing the data using a stepwise regression analysis to figure out various features that could affect the degree of practice in health promoting lifestyle, the following cases had higher scores in health promoting lifestyle: in case that they did not feel stress; in case of having an experience of participating in education regarding health promotion; in case that they felt healthy subjectively; and in case of higher age. The explanation of this model accounted for 40.0% and was statistically significant (p=0.000). 5. As a result of conducting a regression analysis on each sub-section of health promoting lifestyle, the following results were obtained. The section of health responsibility was influenced by the presence of education participation, subjective health conditions, working hours and working experiences. The section of physical activity was affected by gender, fatigue, subjective health conditions, working hours and forms of work. The section of nutrition was affected by age, subjective health conditions, alcohol drinking, presence of education participation, forms of work, gender, depression, religion and stress. The section of spiritual growth was influenced by stress, level of monthly salary, religion and degree of depression, whereas the section of interpersonal relations was affected by working experiences, stress, departments on duty, subjective health conditions, presence of education participation. The section of stress management was influenced by stress, fatigue, subjective health conditions, presence of education participation, hours of sleeping and smoking. All of these were statistically significant (p<0.01). In conclusion, it has been noted that the degree of practice in general hospital worker's health promoting lifestyle was 2.26 on average out 4.0, which would belong to the ordinary group. When looking at its sub-sections, the section of interpersonal relations was the highest by 2.62 and it was followed by the section of spiritual growth (2.58), nutrition (2.26), stress management (2.16), health responsibility (2.00) and physical activity (1.89). The main factors affecting the degree of practice in the subjects' health promoting lifestyle included stress, presence of participating in health promoting education, subjective health conditions and age, which showed 40.0% of explanation. 본 연구는 종합병원 근로자의 건강증진생활양식 실천정도를 파악하고 이와 관련된 요인을 규명함으로써 건강증진생활양식건강유지 및 증진을 위한 건강증진 프로그램의 방향과 전략 모색을 위해 시도되었다. 연구기간은 2008년 10월 2일부터 10월 27일까지로 대전시에 소재한 3개 종합병원 근로자 580명을 대상으로 설문조사를 실시하였다. 수집된 자료는 SPSS 통계프로그램을 이용하여 분석하였으며, 빈도, 백분율, t-test, ANOVA 및 pearson의 상관분석, 단계적(stepwise) 회귀분석을 이용하였다. 연구 결과는 다음과 같다. 1. 대상자의 건강증진생활양식 실천정도는 총 4.0점 중 전체문항의 평균이 2.26점이었고, 하위영역별 평균은 대인관계영역 2.62점, 자아실현영역 2.58점, 영양영역 2.26점, 스트레스관리영역 2.16점, 건강책임영역 2.00점, 운동영역이 1.89점으로 대인관계영역이 가장 높은 실천율을 보였고, 운동영역이 가장 낮은 실천율을 보였다. 2. 일반적 특성에 따른 대상자의 건강증진생활양식 실천정도에서는 연령이 40세 이상인 경우(p<0.01), 기혼인 경우(p<0.05), 학력이 대학원이상(p<0.05), 천주교인 경우(p<0.05), 근무형태는 상시근무(p<0.01), 근무경력이 15년 이상(p<0.01), 월급여수준이 250만원 이상(p<0.01), 근무시간이 8시간 이하인 경우(p<0.01)에 실천정도가 높은 것으로 나타났다. 3. 건강 특성에 따른 대상자의 건강증진생활양식 실천정도에서는 주관적 건강상태를 건강하다고 느끼고(p<0.01), 스트레스를 느끼지 않으며(p<0.01), 우울 경험이 없고(p<0.01), 평소 피로감을 느끼지 않고(p<0.05), 건강증진에 관한 교육에 참석한 경험이 있는(p<0.01) 경우에 실천정도가 높은 것으로 나타났다. 4. 건강증진생활양식의 실천정도에 영향을 미치는 제 특성을 규명하기 위하여 단계적(stepwise) 회귀분석을 이용하여 분석한 결과 스트레스를 느끼지 않는 경우, 건강증진에 관한 교육에 참석한 경험이 있는 경우, 주관적 건강상태에서는 건강하다고 느끼는 경우, 연령이 높은 경우에 건강증진생활양식 실천점수가 높았다. 이 모형의 설명력은 40.0% 이었으며, 통계적으로 유의하였다(p=0.000). 5. 건강증진생활양식 각 하위영역별 회귀분석을 실시한 결과 건강책임영역에서는 교육참석여부, 주관적 건강상태, 근무시간, 근무경력이 영향을 미쳤고, 운동영역에서는 성별, 피로, 주관적 건강상태, 근무시간, 근무형태, 영양영역에서는 연령, 주관적 건강상태, 음주, 교육참석여부, 근무형태, 성별, 우울, 종교, 스트레스가 영향을 미쳤다. 자아실현영역에서는 스트레스, 월급여수준, 종교, 우울정도가 영향을 미쳤고, 대인관계영역에서는 근무경력과 스트레스, 근무부서, 주관적 건강상태, 교육참석여부, 스트레스관리영역에서는 스트레스와 피로, 주관적 건강상태, 교육참석여부, 수면시간, 흡연이 영향을 미치는 것으로 나타났으며, 모두 통계적으로 유의하였다(p<0.01). 결론적으로 종합병원 근로자의 건강증진생활양식에 대한 실천정도는 총 4.0점 중 평균 2.26점으로 보통 정도를 나타났고, 이를 하위영역별로 살펴보면 대인관계영역 2.62점으로 가장 높은 점수를 나타내었고, 자아실현영역 2.58점, 영양영역 2.26점, 스트레스관리영역 2.16점, 건강책임영역 2.00점, 운동영역은 1.89점으로 운동영역이 가장 낮은 점수를 나타내었다. 건강증진생활양식 실천정도에 영향을 미치는 주요요인으로는 스트레스, 건강증진교육 참석여부, 주관적 건강상태, 연령으로 40.0%의 설명력을 나타냈다. 이상의 결과를 토대로 다음과 같은 제언을 하고자 한다. 첫째, 본 연구에서는 3개의 종합병원만을 대상으로 하였기 때문에 전체 종합병원 근로자 집단에 일반화시키기 위해서는 대상자 수를 늘려 반복 연구를 할 필요가 있다. 둘째, 운동영역이 가장 낮은 실천정도를 보인 원인에 대해 규명할 필요가 있다. 셋째, 건강증진생활양식 실천에 대한 관심을 증진시키기 위한 전략개발이 요구된다. 넷째, 건강에 대한 책임감을 고취시키고 운동을 생활화 할 수 있는 행정적 지원 및 자원의 활용, 다양한 건강증진 프로그램을 개발하여 적용할 수 있도록 추가적 연구가 요구되어진다.

항공사 객실승무원의 감정노동, 건강증진생활양식 수준과 건강증진프로그램 요구도와의 관계

백상이 한국방송통신대학교 2017 국내석사

This research is a descriptive study of the relationship between emotional labor, level of health promotion lifestyle and health promotion program needs of flight attendants. The object of research included the flight attendants of one full-service carrier and a low-cost carrier in Korea, and the data collection was for the period between January 9, 2017 and February 22, 2017. In total, 140 responses were used for analysis. The research tool utilized for "emotional labor" was adopted from that used in Lee (2014)’s study, which was drawn from the studies of Kruml and Geddes (2000) and Diefendorff, Croyle and Gosserand (2005). The research tool for "health promotion lifestyle" was adopted from Park (1995)’s tool which is an adaptation from Walker, Sechrist and Pender (1987)’s 48 questionnaires of HPLP(Health Promotion Lifestyle Profile). The tool for "health promotion program" was adopted from Kim and Lee (2016)’s study. Data collected was analyzed using SPSS Statistics 21.0, utilizing the methods of frequency, percentage, average, standard deviation, t-test, χ²-test, ANOVA, Duncan test and Pearson's correlation coefficient. In terms of the subject of the study, 92.1% was female and the average age was 29.14±6.18. 47.9% of the positions were flight attendants, which was the highest in number. With regards to work experience, 42.9% belonged to over 5 years category. Of the respondents, 40% responded that they feel a lot of work-related stress, 55.7% said they work out, 97.9% are non-smokers and 60.7% drink. Emotional labor is divided into surface acting and deep acting, and the average score for each area was 3.75(±0.64) and 3.77(±0.67), respectively. Total average was 3.76(±0.50) out of 5. The result indicated a meaningfully high level of emotional labor for those over 30 years of age (p=.003), married (p=.003), have children (p=.045), with work experience of less than one year or over five years (p<.001), receive high salary (p=.020) and hold a high position (p=.001). Health promotion lifestyle is divided in 6 different sub-categories, where the average of which was 2.41(±0.36) out of 4. Of the sub-categories, diet habits category was the lowest with a score of 1.91(±0.49) and interpersonal relationship category was the highest with a score of 3.13(±0.60). The level of diet habits was meaningfully high for those over 30 years of age (p=.001), holding a college degree or higher (p=.010), married (p=.002), in a higher position (p=.005). And the level of interpersonal relationship was significantly high for those less than 30 years of age (p=.011), single (p=.041), with less than 5 years of work experience (p<.001), with a low level of work-related stress (p=.029). The level of overall health promotion lifestyle was meaningfully high for those with a low level of work-related stress (p=.003), feeling less tired (p=.007) with a low level of sadness and depression (p=.018). The result reflected a positive relationship between emotional labor and health promotion lifestyle, and of the sub-categories, it did not show a significant correlation with surface acting, but a positive relationship with deep acting. Health promotion program is divided into 4 different areas of lifestyle habits, prevention of disease, prevention services and health protection. The level of experience is the highest in lifestyle habits, and of the 26 sub-categories, it was the highest in the order of workout, prevention of sexual harassment and sex education. With regards to the need for health promotion program, it was the highest for lifestyle habits, and of the sub-categories it was the highest in the order of workout, stress management and emotional labor management. In terms of the differences between the level of experience and of the need for health promotion program, the categories that reflected a high need, compared to level of experience, was early detection of cancer, management of emotional labor and prevention of fatigue. In conclusion, the level of emotional labor was high for flight attendants, and the level of health promotion lifestyle was lower than that of other workplaces. The need for and the level of experience in health promotion program was similar with that of other workplaces, but the level of workout and emotional labor was higher. Compared to the level of experience, early detection of cancer indicated a very high need, and there also was a high need for health protection. Based on these results, this paper suggests the development of more active measures to develop programs to relieve flight attendants’ emotional labor, and to expand resources for professional consultation and provision of relevant information to raise the level of health promotion lifestyle, considering the work environment and the shifts of flight attendants. Moreover, this study suggests that companies need to work on developing relevant programs and its revitalization and continued operation in terms of early detection of cancer, emotional labor and health protection programs, where there was a big difference between the level of experience and that of the need. This study can be utilized as a solution to enhance the health promotion lifestyle of flight attendants, and can aid the development and maintenance of the program for effective health promotion. Further studies should explore the factors affecting their health promotion lifestyle in detail, and conduct an experimental study on whether mediating the influence factors leads to changes in the level of health promotion lifestyle. Key words: flight attendants, emotional labor, health promotion lifestyle, health promotion programs needs 본 연구는 항공사 객실승무원의 감정노동, 건강증진생활양식 수준과 건강증진프로그램 요구도와의 관계를 파악하는 서술적 조사연구이다. 연구대상은 국내 대형항공사와 저비용항공사 각각 1개소의 항공사 객실승무원으로, 자료수집은 2017년 1월 9일부터 2017년 2월 22일까지 하였으며 140부가 분석에 사용되었다. 감정노동은 Kruml & Geddes (2000), Diefendorff, Croyle & Gosserand (2005)의 연구에서 도출한 이승훈(2014)의 연구도구를 이용하였으며, 건강증진생활양식은 Walker, Sechrist와 Pender (1987)의 HPLP(Health Promotion Lifestyle Profile) 48문항을 번안하여 수정한 박계화(1995)의 도구, 건강증진프로그램은 김영임과 이복임(2016)의 연구도구를 이용하였다. 수집된 자료는 SPSS Statistics 21.0 프로그램을 이용하여 빈도와 백분율, 평균과 표준편차, t-test, χ²-test, ANOVA, Duncan test, Pearson's correlation coefficient로 분석하였다. 대상자는 여자가 92.1%, 평균 연령은 29.14±6.18세이며, 직급은 승무원이 47.9%로 가장 많았고, 근무경력은 5년 이상이 42.9%였다. 직무스트레스는 많이 느끼고 있는 경우가 40%, 운동은 하는 경우가 55.7%, 금연이 97.9%, 음주는 마시는 대상자가 60.7%였다. 감정노동은 표면행위와 내면행위로 나누어지며, 두 영역에 대한 점수의 평균은 5점 만점에 표면행위 3.75점(±0.64), 내면행위 3.77점(±0.67), 전체 평균은 3.76점(±0.50)으로 나타났다. 30세 이상(p=.003), 기혼(p=.003), 자녀 있음(p=.045), 근무 경력이 1년 미만 또는 5년 이상(p<.001), 급여가 많고(p=.020), 직급이 높은(p=.001) 경우 감정노동 수준이 유의하게 높았다. 건강증진생활양식은 6개 하위영역으로 나누어지며, 4점 만점에 평균 2.41점(±0.36)이었다. 하부영역 중 식습관 영역이 1.91점(±0.49)으로 점수가 가장 낮았으며, 대인관계 영역은 3.13점(±0.60)으로 점수가 가장 높았다. 30세 이상(p=.001), 대졸이상(p=.010), 기혼(p=.002), 높은 직급(p=.005)에서 식습관 영역 수준이 유의하게 높았으며, 30세 이하(p=.011), 미혼(p=.041), 근무경력 5년 미만(p<.001), 직무스트레스가 적은(p=.029) 경우 대인관계 영역 수준이 유의하게 높았다. 전체 건강증진생활양식 수준은 직무스트레스가 낮고(p=.003), 피로를 적게 느끼며(p=.007), 슬픔과 우울이 낮은(p=.018) 경우 유의하게 높았다. 감정노동과 건강증진생활양식 사이에는 정적인 상관관계가 나타났으며, 하위영역 중 표면행위와는 유의한 상관관계가 나타나지 않은 반면, 내면행위와는 정적 상관관계를 보였다. 건강증진프로그램은 생활습관, 질환예방, 예방서비스, 건강보호 4개의 영역으로 나누어지며 경험도는 생활습관 영역이 가장 높았고, 26개 하부 항목 중 운동, 성희롱예방, 성교육 순으로 높게 나타났다. 건강증진프로그램 요구도는 생활습관 영역이 가장 높았으며 하부 항목 중에서는 운동, 스트레스관리, 감정노동관리 순으로 높게 나타났다. 건강증진프로그램 경험도와 요구도의 차이에서 경험도에 비해 요구도가 높은 항목은 암 조기검진, 감정노동관리, 피로예방 순이었다. 결론적으로, 항공사 객실승무원의 감정노동 수준은 높았으며, 건강증진생활양식 수준은 다른 사업장에 비해 낮았다. 건강증진프로그램 경험도와 요구도는 다른 사업장과 비슷하였으나 운동과 감정노동의 비율이 높았고, 암 조기검진은 경험도에 비해 매우 높은 요구도를 나타냈으며, 건강보호 영역 또한 경험도에 비해 요구도가 높게 나타났다. 이러한 결과를 토대로 항공사 객실승무원의 감정노동 해소를 위한 프로그램 개발과 전문적인 상담자원의 확충이 필요하며, 건강증진생활양식 수준을 높이기 위해서 관련 정보의 제공과 교대 근무 및 근무 환경을 고려한 적극적인 대응방안을 마련할 것을 제언한다. 또한 경험도와 요구도 사이에 차이가 많은 암 조기검진, 감정노동 및 건강보호 프로그램에 대해서는 회사차원에서의 관련 프로그램 개발과 지속 운영 및 활성화를 위한 노력이 필요함을 제언한다. 본 연구는 항공사 객실승무원의 건강증진생활양식을 증진시키기 위한 중재방안으로 활용될 수 있으리라 생각되며, 효과적인 건강증진프로그램 개발과 유지에 도움이 될 수 있을 것이다. 추후 항공사 객실승무원의 건강증진생활양식에 영향을 미치는 요인에 대해서 세부적으로 살펴보고, 영향요인 중재를 통해서 건강증진생활양식 수준이 변화하는지에 대한 실험연구를 제언하는 바이다.

중년여성의 인지지각요인과 건강증진생활양식과의 관계

이금숙 가천의과학대학교 간호대학원 2006 국내석사

본 연구는 Pender(1987)의 건강증진모형을 기초로 중년여성의 건강증진생활양식을 이해하고 이에 영향을 미치는 제 변수들과의 관계를 파악하기 위하여 시도하였다. 연구는 서술적 상관관계 조사연구로 설계되었으며 인천광역시에 거주하는 중년여성 390명을 대상으로 하였고 자료수집은 2006년 4월15일부터 2006년 4월28일 사이에 이루어졌다. 연구도구는 Walker등(1987)의 도구, 문정순(1990)의 도구, Sherer등(1982)의 도구를 수정?보완하여 사용하였다. 수집된 자료는 SPSS WIN 10.0 Program을 이용하여 평균점수, 백분율, t-test, ANOVA, Pearson’s Correlation Coefficient, Stepwise multiple regression을 이용하여 분석하였다. 본 연구의 결과를 요약하면 다음과 같다. 1. 연구대상자의 인구학적인 특성 1) 대상자의 연령은 40~45세가 147명(37.7%)으로 가장 많았고, 직업이 있는 대상자가 223명(57.2%)으로 가장 많았다.. 2) 종교는 있는 대상자가 283명(72.6%)으로 많았고, 교육은 고졸이 184명(47.2%)로 가장 많았다. 3) 가족의 월 평균수입은 300만원 이상이 119명(30.5%)으로 가장 많았고, 가족 수는 평균3.7명으로 나타났다. 4) 결혼 상태는 기혼이 338명(86.7%)으로 가장 많았으며, 지각된 건강상태는 ‘건강하다’가 270명(69.2%)이었다. 2. 인지지각요인과 건강증진생활양식과의 관계 1) 건강증진생활양식정도는 4점 만점에 평균 2.83점으로 보통정도였으며, 영역별로는 자아실현(3.10)이 가장 높았으며, 건강책임(2.61)이 가장 낮게 나타났다. 2) 인지지각요인에서는 지각된 유익성이 4점 만점에 평균 3.50점으로 가장 높았으며, 자기효능감이 2.89점, 지각된 장애성이 1.92점 순으로 나타났다. 3) 일반적 특성에 따른 건강증진생활양식과의 관계는 직업(t = -3.703, P = 0.000), 교육정도(F = 5.621, P = 0.000), 가족의 월 평균수입(F = 6.914, P = 0.000), 결혼상태(F = 3.196, P = 0.013), 지각된 건강상태(F = 17.913, P = 0.000)등이 통계적으로 유의한 차이가 있었다. 4) 일반적 특성에 따른 영역별 건강증진생활양식과의 관계는 직업과 교육정도는 운동 및 영양을 제외한 자아실현, 건강책임, 대인관계지지, 스트레스 관리에서 유의한 차이가 있는 것으로 나타났으며, 가족의 월평균 수입은 자아실현, 건강책임, 운동 및 영양, 스트레스관리영역에서 유의한 차이가 있는 것으로 나타났다. 결혼상태는 자아실현, 건강책임, 스트레스 관리에서 유의한 차이가 있는 것으로 나타났고, 지각된 건강상태에서는 모든 영역에서 유의한 차이가 있는 것으로 나타났다. 5) 일반적 특성에 따른 인지지각변수와의 차이에서는 교육정도, 수입, 결혼상태, 지각된 건강상태가 인지지각변수에 통계적으로 유의한 차이를 보여 주었고, 연령, 종교, 가족 수는 통계적으로 유의한 차이가 없었다. 6) 건강증진생활양식과 인지지각변수와의 관계는 자기효능감(r = 0.622, P = 0.000)과의 상관성이 가장 높게 나타났으며, 유익성(r = 0.471, P = 0.000), 장애성(r = - 0.399, P = 0.000)모두에서 유의한 상관관계를 보였다. 7) 건강증진생활양식에 영향을 미치는 요인들은 자기효능감, 지각된 유익성, 지각된 장애성, 지각된 건강상태로서 전체의 47.1%를 설명하였으며, 자기효능감(38.7%)이 건강증진생활양식을 예측하는 변수로써 가장 큰 영향을 미치는 것으로 나타났다. 이상의 결과를 감안 해볼 때 중년 여성의 건강증진생활실천을 도모하기위한 건강증진 프로그램 개발 시 지각된 건강상태와 자기효능감과 유익성을 강화하고 장애성을 감소해주는 전략이 필요하다고 본다. The purpose of this study is to understand health promoting lifestyle of middle aged women based on Health Promoting Lifestyle Model of Pender (1987) and to understand its relationship with affecting variables. This study was designed as a descriptive correlational study. The subjects of study were 390 middle aged women living in Incheon and the data used in this study were collected between April 15, 2006 and April 28, 2006. The tools that were used in this study are revised versions of Walker (1987), Moon, Jung-soon (1990) and Sherer (1982). The collected data were analyzed using mean score, percentage, t-test, ANOVA, Pearson's Correlation Coefficient and Stepwise multiple regression by using SPSS WIN 10.0 program. The result of this study can be summarized as follows. 1. Demographic Characteristic of the Study Subjects 1) Most of the study subjects, 147 subjects (37.7%), were between 40 and 45 years old and 223 subjects (57.2%) had a job. 2) Most of the subjects, 283 (72.6%), had religion and 184 subjects (47.2%) were high school graduates. 3) Average monthly income of family was over 3 million won for 119 subjects (30.5%) and average number of family member was 3.7 persons per family. 4) 338 subjects (86.7%) were married and 270 subjects (69.2%) recognized that they were healthy. 2. Relationship between Cognitive Perception Factors and Health Promoting Lifestyle 1) Mean score of health promoting lifestyle was 2.83 out of 4 which was normal. Self-actualization score was the highest (3.10) while health responsibility was the lowest (2.61). 2) In cognitive perception factors test, perceived benefit was the highest (3.50 our of 4) and 2.89 for self-efficacy and 1.92 for perceived barriers. 3) Job (t=-3.703, p=0.000), educational background (F=5.621, p=0.000), family monthly income (F=6.914, p=0.000), marital status (F=3.196, p=0.013) and perceived health condition (F=17.913, p=0.000) were statistically significant in the relationship with health promoting lifestyle based on general characteristics. 4) In relationship with health promoting lifestyle of each field based on general characteristics, occupation and educational background showed significant difference in self-actualization, health responsibility, supportive interpersonal relationship and stress management but not in exercise and nutrition. Average family monthly income was significantly different in self-actualization, health responsibility, exercise and nutrition, and stress management. Marital status was significantly different in self-actualization, health responsibility and stress management. Perceived health condition was significant in all fields. 5) Cognitive perception variable based on general characteristics was statistically significantly different according to educational background, income, marital status, and perceived health condition. Age, religion and number of family members did not show any statistical difference. 6) In relations between health promoting lifestyle and cognitive perception variables, self-efficacy showed the highest correlation (r=0.622, p=0.000). Benefit (r=0.471, p=0.000) and barrier (r=-0.399, p=0.000) also showed significant correlations. 7) The factors affecting health promoting lifestyle are self-efficacy, perceived benefit, perceived barrier, and perceived health condition which explained 47.1%. Self-efficacy (38.7%) had the biggest effect on estimating health promoting lifestyle. Based on the result of this study, health promoting program should have a strategy that can strengthen perceived health condition, self-efficacy and benefit and reduce barrier when developing a program to promote health promoting lifestyle for middle aged women.

병원근로자의 건강증진 생활양식 실천정도에 관한 연구

최명희 조선대학교 2003 국내석사

This study was performed to examine the relationships between health promoting lifestyle and its related factors of administrative workers at hospitals. The study subjects were 192 administrative workers who were working in three hospitals in Gwangju and the data were collected from 23th August to 11th September, 2002 using self-administrated questionnaire. Data analysis were conducted t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression analysis. The results were as follows : 1. The mean scores of health promoting lifestyle were 121.2 for male and 114.6 for females. According to the domains of health promoting lifestyle, scores of self-actualization and nutrition were high, while those of exercise and health responsibility were low. 2. Health promoting lifestyle was significantly different by marital status, religion, smoking, perceived health status, concept about body weight and trial to weight control in male and alcohol drinking, health examination, barriers to conducting general life and trial to weight control in female. 3. Statistically significant correlation were observed between health promoting lifestyle and self-efficacy, stress in both sexes. 4. Health promoting lifestyle was significantly predicted by self-efficacy, trial to weight control and smoking in male, and by self-efficacy, barriers to conducting general life, trial to weight control and alcohol drinking in female. Conclusively, these results suggested that it is necessary to develop programs improving the healthful lifestyle and the level of perceived self-efficacy.

일부 지방공무원의 건강증진 생활양식과 그 관련요인 연구

송금숙 연세대학교 보건대학원 2000 국내석사

This study attempts to provide basic information that can be useful in developing effective health promoting programs for civil servants by surveying the extent to which they follow health promoting lifestyles and analyzing the modifying factors that may affect their health promoting lifestyles. These factors include their general characteristics(age, income, etc.), and their cognitive and perceptive factors. Data for this study are collected by the questionnaire method from civil servants who work at the city hall of a local government for the period between October 26, 1999 and November 2, 1999. After omitting the responses with insufficient information, 285 valid responses are used for analysis. A questionnaire consisting of 103 questions is used as a research instrument. The questionnaire includes 8 questions on general characteristics, 45 questions on health promoting lifestyles, one question on perceived health status, one question on awareness of the importance of health, 13 questions on health concept, 17 questions on self-esteem, and 18 questions on health locus of control. For data analysis, the following statistical methods are implemented by the SAS (Statistical Analysis System) program: Chonbach's alpha, percentile, arithmetic average, t-test, Chi-square test, Pearson correlation coefficient, analysis of variance, and step-wise multiple regression. The results of this study are as follows. First, the overall average score for health promoting lifestyle questions is 2.43 on a scale of 1-4. The highest score is obtained in the area of interpersonal support with the average score of 2.87 while the lowest score comes from exercise with the average score of 2.0. Second, in analyzing the relationship between general characteristics and health promoting lifestyles, two variables, age and monthly average income, turn out to be statistically significant at the five percent level (t =3 본 연구는 일부 지방공무원의 건강증진 생활양식의 실천정도와 이에 영향을 미치는 조정요인인 일반적 특성과 인지·지각요인을 규명하여 공무원들의 효과적인 건강증진 프로그램을 개발하는데 유용한 기초자료를 제공하고자 시도된 연구이다. 대상자는 지방 A시의 시청에 근무하는 지방직공무원을 대상으로 하였다. 질문지법을 이용하여 1999년 10월 26일부터 11월 2일까지 자료를 수집하였으며, 수집된 자료는 기재가 불충분한 질문지를 제외한 총 285부가 분석에 사용되었다. 연구도구는 일반적 특성 8문항, 건강증진 생활양식 45문항, 건강상태지각 1문항, 건강의 중요성인식 1문항, 건강개념 13문항, 자기효능감 17문항, 건강통제위 18문항등 총 103문항으로 이루어진 설문지를 사용하였다. 자료분석은 SAS 통계프로그램을 이용하여 Chonbach's α, 백분율, 산술평균, t-test, X2-test, 피어슨 상관계수, 분산분석, 단계적 다중회귀분석등의 통계방법을 사용하였다. 본 연구의 결과는 다음과 같다. 1) 대상자들의 건강증진생활양식 실천정도는 전체평균 2.43점(4점척도)이었고, 실천정도가 가장 높은 영역은 지지적 대인관계(평균 2.87점)이었고, 가장 낮은 영역은 운동(평균2.0점)이었다. 2) 일반적특성과 건강증진 생활양식과의 관계에서 연령과 평균월수입이 전체 건강증진 생활양식과 통계적(t=3.62, p<0.05, t=5.04, p<0.05)으로 유의한 차이를 보였다. 연령은 건강책임, 운동, 영양영역에서 수행정도가 높았으며 평균 월수입은 건강책임, 운동, 지지적 대인관계에서 유의한 차이가 있었다. 3) 건강증진 생할양식과 인지·지각요인과의 상관관계를 본 결과 타인의존적 통제위에서 유의한 순상관관계를 나타내었고(r=

학교스포츠클럽 참여 경험에 따른 대학생들의 운동지속수행 및 건강증진생활양식 차이

이용석 한국교원대학교 교육대학원 2021 국내석사

본 연구의 목적은 학창 시절 학교스포츠클럽의 참여 경험에 따른 대학생들의 운동지속수행 및 건강증진생활양식의 차이를 분석하는 것이다. 이를 위해 전국의 대학생 남·여 총 450명을 대상으로 설문조사를 실시하였다. 450명의 자료를 연구의 목적에 맞게 SPSS 22.0의 일원변량분석(One-way ANOVA), 다중회귀분석(Multiple Regression Analysis)을 사용하여 분석하였으며 그 결과는 다음과 같다. 첫째, 학창 시절 학교스포츠클럽 참여 경험이 없는 경우보다 참여 경험이 있는 경우 현재 운동지속수행이 높았으며, 학교스포츠클럽 참여 경험이 있는 경우 그 기간이 길수록 운동지속수행이 높았다. 둘째, 학창시절 학교스포츠클럽 참여 경험이 있는 경우 참여 빈도가 높을수록 현재 운동지속수행이 높았다. 셋째, 학교스포츠클럽에 참여에 대한 높은 자기결정성동기가 대학생들의 현재 운동지속수행에 긍정적인 영향을 주었으며, 자기결성동기가 가장 낮은 무동기는 현재 운동지속수행에 모두 부정적인 영향을 미쳤다. 넷째, 학창 시절 학교스포츠클럽 참여 경험이 없는 경우보다 참여 경험이 있는 경우가 현재 건강증진생활양식이 우수하며, 학교스포츠클럽 참여 경험이 있는 경우 그 기간이 길수록 우수한 건강증진생활양식을 갖고 있다. 다섯째, 학창시절 학교스포츠클럽 참여 경험이 있는 경우 참여 빈도가 높을수록 현재 건강한 생활양식을 가지고 있었다. 여섯째, 학교스포츠클럽 참여 동기 중 상대적으로 내적동기와 같은 자기결정성동기가 대학생들의 현재 건강증진생활양식에 긍정적인 영향을 주었으며, 자기결정성동기가 가장 낮은 무동기는 현재 건강증진생활양식에 부정적인 영향을 미쳤다. 이러한 결과를 토대로 체육 수업으로부터의 변화, 사회적 제도 마련 등 학생들이 학교스포츠클럽에 관심을 두도록 하는 환경을 구축하여 학창시절부터 학교스포츠클럽에 대한 지속적이며 높은 빈도로 참여를 유도해야 한다. 이를 위해 학창 시절 학생들에게 학교스포츠클럽 참여 동기에 대한 자기결정성을 높여 스포츠는 즐겁고 의미 있는 행위라는 인식을 내재화시켜야 할 것이다.

일부 지역 미용사의 건강증진 행위에 관한 연구

김상은 조선대학교 환경보건대학원 2002 국내석사

This study was performed to compare the practice for the health promotion of hairdressers according to general characteristics, health-related factors and occupational factors. The study subjects were 235 hairdressers working in local shops in Iksan, Jeollabukdo, and they were investigated general characteristics, health-related factors, occupational factors and health promoting lifestyle profile (HPLP) using a self-administered questionnaire. This survey were performed from September 1st through October 31st, 2001. To identify characteristics associated with HPLP, t-test and analysis of variance were used. The results were summarized as follows: 1. The mean of HPLP was 3.57 and the mean of domain of HPLP were 4.70 for self-realization, 3.96 for social relationships, 3.46 for stress management, 3.28 for nutrition, 2.63 for responsibility for health and 2.32 for exercise. 2. In the general characteristics of the study subjects, it was not statistically significant factor according to sex, age, marital status, religion, or educational background. 3. Considering occupational characteristics, it was not statistically significant factor according to rank, career experience, salary or hours of work. 4. For health-related characteristics, it was not statistically significant factor according t o smoking, drinking, health perception and physical condition, but body mass index, current experience of medical treatment, and degree of life disturbance were statistically significant associated factors with HPLP. Therefore, it was showed that the health condition of hairdressers affects practicing degrees of health promotion of hairdressers. It is thought that additional studies will be required t o assess the degrees to which practicing health promotion has on health

학령기 비만아동의 자기효능감과 건강증진 생활양식과의 관계 연구

박경숙 조선대학교 대학원 2002 국내석사

The purpose of this study was to offer basic data concerning the prevention of obesity for obese children to identify the relationship between their self-efficacy and the degree of performance on health promoting lifestyle profile. The subjects were 148 fourth to sixth grade elementary school students in Gwang-ju, Korea during the period from September 10 to September 25, 2001. The instruments used in this study were the Health Promoting Lifestyle Profile developed by Walker et al., modified by Kim Min-hoee, and the Self-Efficacy scale developed by Sherer & Meddux and was modified by Kim Min-hoee. The collected data were analyzed by mean, standard deviation, t-test, ANOVA, Pearson's Correlation Coefficient and Stepwise Multiple Regression by using the SPSS program. The results of this study were as follows : 1. The mean score of self-efficacy was 3.96. The factor with the highest mean score was self-actualization(4.11) and the factor with the lowest mean score was exercises(3.73). 2. The mean score of performance on health promoting lifestyle profile was 3.94. The factor with the highest mean score was self-actualization(4.24) and the factor with the lowest mean score was eating habit(3.71). 3. The relationship between general characteristics of subjects and self-efficacy were significant differences according to eating time(F=5.338, p=.006). 4. The relationship between general characteristics of subjects and health promoting lifestyle profile were significant differences according to grade(F=5.615, p=.005), eating time(F=8.591, p=.000), concern about weight control(F=3.915, p=.022), experience of weight control(t=7.632, p=.006). 5. Health promoting lifestyle profile was showed significant positive correlations with self-efficacy(r=.537, p=.000). As the result, the hypothesis that the more his degree of self-efficacy, the higher his health promoting lifestyle profile was supported. 6. Self-efficacy(27.6%) was the highest factor predictor health promoting lifestyle profile of obesity students In addition to eating time, concern about weight control, explained for 33.3% in health promoting lifestyle profile.

중년여성의 폐경기 증상 영향요인: 건강증진생활양식과 배우자 지지를 중심으로

정영훈 조선대학교 대학원 2021 국내석사

Purpose: The purpose of this study is to understand the effect of health promotion lifestyle and spouse support on menopausal symptoms in middle-aged women. Methods: The data collection was performed from 112 middle-aged women aged 45-60 working at the Seo-gu Healthy Family Support Center and the Seo-gu Healthy Family and Multicultural Family Support Center in G City. The data collection period was from August 1st to August 14th, 2020. Menopause symptoms was measured using Menopause Rating Scale (MRS) Korean version. Health promotion lifestyle evaluated using Health Promoting lifestyle Profile (HPLP-Ⅱ) Korean version. And spouse support was evaluated using a spouse support assessment tool developed in Korea. The collected data were analyzed using the stepwise multiple regression with the SPSS WIN 24.0 program. Results: Middle-aged women's health promotion lifestyle level was 124.07±18.69, and the level of spouse support was 20.31±8.05. The menopausal symptom level was 15.27±8.95. The factors affecting the menopausal symptoms (R2=40.6%, F=18.29, p<.001) and subdomain 1 (body autonomy) of menopausal symptoms (R2=33.0%, F=13.16, p<.001) and subdomain 3 (genitourinary) of menopausal symptoms (R2=53.5%, F=20.13, p<.001) were health responsibility, a subdomain of the health promotion lifestyle. Conclusion: A further study is proposed to understand the menopause symptoms and to develop an intervention program to relieve menopausal symptoms in middle-aged women.