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슬관절염 비만노인을 위한 IMB 모델 기반 신체활동 증진 프로그램의 효과
Effect of a Physical Activity Promoting Program Based on the IMB Model on Obese-Metabolic Health Outcomes among Obese Older Adults with Knee Osteoarthritis 원문보기

Journal of Korean academy of nursing = 대한간호학회지, v.50 no.2, 2020년, pp.271 - 285  

김정숙 (아주대학교 간호대학.간호과학연구소) ,  김춘자 (아주대학교 간호대학.간호과학연구소)

Abstract ▼ AI-Helper 아이콘AI-Helper

Purpose: This study examined the effects of a physical activity promoting program based on the Information-Motivation-Behavioral Skills (IMB) model on physical activity and health outcomes among obese older adults with knee osteoarthritis. Methods: This study utilized a randomized controlled trial w...

주제어

#슬관절염   #비만   #노인   #신체활동   #동기  

질의응답

핵심어 질문 논문에서 추출한 답변
지식-동기-행위기술 모델 적용의 현황은? 예컨대 개인이 정보를 충분히 습득하면 행위변화에 대한 동기화가 되고 사회적 지지에 대한 지각인 사회적 동기의 인지를 통해 행위변화를 위한 기술 즉, 행위에 대한 자기효능감이 향상되어 행위변화 및 유지가 촉진 되고 이는 건강결과의 개선으로 나타난다고 제시하기 때문이다[18]. 그 동안 IMB 모델은 만성질환의 당뇨 및 심질환자, Human Immu-nodeficiency Virus (HIV) 감염대상자의 자가관리, 약물이행과 청소년의 영양습관, 흡연의 중재전략 등에서 유용하였으며[19-21], 지역 사회 골관절염 노인 대상으로 자가관리 중재 시 효과가 입증되었다 [22]. 그러나 IMB 모델의 구성요인 중 자기효능감의 측정을 제대로 하지 않거나, 동기 요인의 측정에 일관성이 없었다[23]. 지금까지 IMB 모델은 당뇨, 심질환, HIV 감염대상자 및 청소년 대상자에게 적용 되었으나, 슬관절염 비만노인 대상자를 적용한 국내외 연구는 거의 없는 실정이다[23].
슬관절염의 악영향은? 슬관절 기능상태 지표는 신체활동 증진 프로그램 적용 후 실험군 에서 대조군보다 감소하였으며 효과의 크기는 큰 것으로 나타났다. 슬관절염은 통증, 제한된 관절범위, 관절의 변형으로 일상생활을 어렵게 하며 노화로 인한 근육의 감소는 이를 악화 시킨다[4,5,9]. 따라서 근력 운동이 포함된 중재 프로그램의 구성은 슬관절 기능상태를 향상시키는 중요한 부분이다.
지식-동기-행위기술 모델의 장점은 무엇인가? 최근 다양한 건강행위에 적용되고 있는 지식-동기-행위기술 모델 (Information–Motivation–Behavior Skills [IMB] Model)은 대상자에게 질병을 이해할 수 있는 정보를 제공하며 치료 목표를 설정하도록 하고 선체활동 개선에 대상자가 스스로 참여할 수 있도록 설계 가능한 장점이 있다[17]. 즉, IMB 모델은 행위관련 요인들 간의 관계의 모호함을 명확한 관계로 제시하고 있기 때문에 기존 신체활동 증진을 위해 적용한 이론들의 제한점을 보완할 수 있다[17].
질의응답 정보가 도움이 되었나요?

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