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Ⅵ. 결론 및 제언
본 연구는 Rosenstock등(1988)의 인지된 자기효능감과 통합된 건강신념 모델을 적용한 골
다공증 예방행위 증진프로그램의 효과를 검증하기 위해 류마티스 관절염 환자 16명을 대상
으로 실시되었다. 연구대상자는 부산에 거주하는 류마티스 관절염 여자환자로 제한하였으며
자료는 1997년 4월부터 1998년 5월까지 수집하였다. 수집된 자료는 SPSS/PC＋
를 이용하여 분석하였으며 연구결과는 다음과 같다.
건강신념과 효능기대 증진 프로그램을 교육받은 후 골다공증 예방행위를 더 잘할 것이다
라는 주 가설은 지지되었다(Z= 3.5162, p=.0004, 식이 : Z= 3.2942, p=.0010, 운동). 또한 건
강신념과 효능기대 증진 프로그램을 교육받은 후 골다공증에 대한 인지된 민감성(Z =
2.3854, p=.0171)과 유익성(Z=-2.6410, p=.0083)은 증가되고, 인지된 장애성(Z= 2.4138,
p=.0158)은 감소되었으며 골다공증 예방행위에 대한 자기효능감(Z= 3.5162, p=.0004)은 증가
되었다.
결론적으로 본 연구자가 Rosenstock 등(1988)의 인지된 자기효능감과 통합된 건강신념 모
델을 적용하여 개발한 골다공증 예방행위 증진프로그램은 류마티스 관절염 환자의 골다공증
예방행위를 증진시키는 데 효과적인 것으로 평가되었다 이러한 연구결론을 바탕으로 다음과
같은 추후연구와 임상적용을 제언하고자 한다.
1) 골다공증 건강신념도구의 타당성을 검증하는 추후연구가 필요하다.
2) 건강신념과 효능기대 증진프로그램을 건강신념 증진프로그램과 효능기대 증진프로그램
으로 분리하여 골다공증 예방행위에 미치는 효과를 검증해볼 필요가 있다.
3) 건강신념과 효능기대 증진프로그램이 골다공증 예방행위 지속에 미치는 효과에 대한
추 후 연구가 필요하다.
4) 일반여성을 대상으로 건강신념과 효능기대 증진프로그램이 골다공증 예방행위에 미치
는 효과를 검증해 볼 필요가 있다.
5) 건강신념과 효능기대 증진프로그램이 다른 예방행위 증진에 미치는 효과를 검증해볼
필요가 있다.
Osteoporosis has been known as a common complication of rheumatoid arthritis and a
major preventable health problem. Lots of studies have demonstrated that changes In life
style can help delay or prevent osteoporosis.
Therefore nursing intervention related osteoporosis prevention have consisted of
education programs aimed at changing dietary and exercise habit.
However knowledge gained from education haven't always leaded to behavior change.
Therefore it is important to consider other psychological variables in effecting behavior
change. Numerous research hale found self efficacy and health belief to be an important
factor in individual decision making behavior.
The purpose of the study was to develop health belief and efficacy expectation
promoting program based on Health Belief Model & Self Efficacy Model and to
investigate its effects in women with rheumatoid arthritis.
For this purpose, one group pretest-post design was used. The subject of the study
were 16 women with rheumatoid arthritis in Pusan city and data collection was carried
out from April, 1997 to May, 1998.
The intervention program was consisted of educating on osteoporosis and enhancing
and reinforcing self efficacy by verbal persuasion during the period of 4 weeks. The
instruments were used to collect data in this study were Osteoporosis Health Belief
Scale, Osteoporosis Sel( Efficacy Scale, and Osteoporosis Preventive Behavior Scale.
Data was analyzed by Wilcoxon signed rank test using SPSS PC＋
program.
The results are as follows :
1) The behavior should be increased after Intervention was supported(Z= 3.5162,
p=.0004, diet Z= 3.2942, p=.0010, exercise).
2) The sub-hypothesis that perceived sensitivity should be increased after intervention
was supported(Z= 2.3854, p=.0171).
3) The sub-hypothesis that perceived severity should be increased after intervention was
rejected(Z 1.4327, p=.1520).
4) The sub-hypothesis that percelved benefit should be increased after intervention was
supported(Z= 2.6410, p=.0083).
5) The sub-hypothesis that perceived barrier should be decreased after intervention was
supported (Z= 2.4138, p=.0158)
6) The sub-hypothesis that efficacy expectation should be increased after intervention
was supported(Z= 3.5162, p=.0004).
As a conclusion, it was found that health belief and self efficacy promoting program
was an effective nursing intervention for preventing osteoporosis of rheumatoid arthritis.
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