- Calf raise, Leg press
20분 세라밴드 (노란색)/
직접체험
정리운동 스트레칭 10분
2차시의 목표인 신체활동을 통한 심폐지구력 및 근력 강화를 위하여 유산소
차시 - Calf raise, Leg press
20분 세라밴드
차시 - Calf raise, Leg press
20분 세라밴드
소정의 선물을 증정하고, 지표가 그대로 유지된 대상자는 노랑색 스티커를 붙 - Calf raise, Leg press
20분 세라밴드
차시 - Calf raise, Leg press
20분 세라밴드
차시 - Calf raise, Leg press
20분 세라밴드
차시 - Calf raise, Leg press
20분 세라밴드
차시 - Calf raise, Leg press
20분 세라밴드 (노란색)/
직접체험
정리운동 스트레칭 10분
16차시의 목표로 신체활동을 통한 심폐지구력 및 근력 강화를 위하여 유산 - Calf raise, Leg press
20분 세라밴드 (노란색)/
직접체험
정리운동 스트레칭 10분
18차시의 목표로 신체활동을 통한 심폐지구력 및 근력 강화를 위하여 유산 - Calf raise, Leg press
20분 세라밴드 (노란색)/
직접체험
정리운동 스트레칭 10분
20차시의 목표로 신체활동을 통한 심폐지구력 및 근력 강화를 위하여 유산 - Calf raise, Leg press
20분 세라밴드 (빨강색)/
직접체험
정리운동 스트레칭 10분
22차시의 목표로 신체활동을 통한 심폐지구력 및 근력 강화를 위하여 유산소
차시 - Calf raise, Leg press
20분 세라밴드
25차시의 목표는 동기부여를 통해 대상자들이 보건소로 직접 방문하여 교육 - Calf raise, Leg press
20분 세라밴드
27차시의 목표는 동기부여를 통해 대상자들이 보건소로 직접 방문하여 교육 - Calf raise, Leg press
20분 세라밴드
29차시는 신체변화에 대한 자신감 및 성취감 형성을 위하여 연구자와 연구 - Calf raise, Leg press
20분 세라밴드
차시 - Calf raise, Leg press
20분 세라밴드
32차시의 목표로 평가를 위하여 회상, 활동정리 발표, 프로그램 진행에 대한 상황과 감정을 떠올릴 수 있도록 유도한다. 좋았던 점 및 아쉬운 점에 대한 발 표, 프로그램이 주는 의미, 프로그램 종료 후 나의방향 또한 자신의 경험한 긍 정적인 변화 이야기, 본 프로그램 참여자들 자조집단이 지속운영 되도록지지 해주는 시간을 가졌다.
-ABSTRACT-The Effect of a Self-efficacy promoting intervention for lifestyle modification among older adults with
metabolic syndrome
Kim, Gyeong Ran Department of Nursing Science The Graduate School, Ajou University (supervised by Professor Mi-Sook Song, R.N., Ph.D.)
This study is a quasi-experimental research which was used by non-equivalent control group with pre &post design after consisting of life style intervention program based on self- efficacy theory (Bandura, 1986) in the elderly who does have metabolic syndrome, and also this program was verified with the effects such as self-efficacy, lifestyle, Physiological index of metabolic syndrome.
The purpose of this study is to improve a life style and reduce the physiologic risk factors associated with metabolic syndrome by preventing &
managing the transfer to a chronic disease, therefore to support the healthy aged life for the elderly with metabolic syndrome. The candidates of this study are 30 experimenters and 33 control groups who are agreed to participate in the research voluntarily through recruitment ad. among the senior citizens aged 60 or older who live at S city , Kyeonggi province.
The experimental group provided 16 weeks of intervention in lifestyle,
while the control group provided single- health counseling, general health information in the pre-survey and also health manual book after completion of the research. The intervention program included group and individual education for the understanding and managing of metabolic syndrome, and physical activity through the operation of the Silver Movement classroom once a week, and also individual activity which was shared the experience by case presentations with consisting of self-monitoring and self-help groups etc. Also, it enhanced a self efficacy through experiencing a sense of accomplishment by checking a current health status monthly with regular test of metabolic risk factors such as blood pressure, blood sugar, waist circumference, and body composition. Also, to reinforce practical motives in health life, we provided phone coaching and text messaging weekly for 16 weeks. Data collection was done with self report questionnaires about self efficacy and life style, blood test for physiologic index in metabolic syndrome, and also was investigated for 16weeks before and after the program was provided, The data collected were analyzed with using the SPSS 22.0 program. The homogeneity of the general characteristics in the experimental group and control were verified with using the Chi-square test, Fisher’s exact test, and the reliability verification of the measurement tools were calculated as a Cronbach’ ɑ. The verification of the homogeneity and hypothesis in the dependent variables were analyzed with the Independent sample t-test, Chi-square test. All statistical significance levels were taken in p<.05. The results of this study are as follows:
1. In the first hypothesis, The self-efficacy score will be higher in the experimental group that participated with life style intervention program than non-participating comparison’s: the general self-efficacy score is
statistically significant because the experimental group will be increased over the control (t=4.23, p=<.001). In the specific self-efficacy, exercise, diet, and stress management items except for daily life and smoking cessation showed significant differences(t=3.65, p=.001). The first hypothesis was partially supported.
2. In the second hypothesis, The group that participated in the lifestyle intervention program will have a higher score of living habits than the non-participated comparison’s.The items such as physical activity and weight control, drinking and smoking, stress, sleep and rest and health examination except eating style showed significant differences and the overall average of living habits (t=3.65, p= 001) was partially supported.
3. In the third hypothesis, The experimental group participating in the lifestyle interventions program will improve the physiological metrics of the metabolic syndrome compared to those not participating, the number of metabolic syndrome patients after mediation at the incidence of metabolic syndrome (χ²=16.49, p=＜.001), Reduced to systolic blood pressure(t=-5.87, p=<.001), diastolic blood pressure(t=-8.19, p=<.001), fasting blood glucose level(t=-2.39, p=.020) was found to have significantly decreased after arbitration at. However, waist circumference(t=1.11, p=.270), triglyceridel(t=-1.43, p=.162), high-density cholesterol(t=.160, p=.873) was not improved, and the third hypothesis was partially supported.
When considering of the above findings, life style intervention program based on the self-efficacy theory has improved the self-efficacy of the
elderly in the metabolic syndrome and improved life style and also, upgraded on the physiological metrics of the metabolic syndrome. Therefore, it is effective to prevent chronic disease in the elderly.
Keywords : lifestyle interventions program, self-efficacy), lifestyle, physiological metrics of the metabolic syndrome