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The Relationship between Health Belief and Exercise Compliance among Elderly Adults at Senior Centers

경로당 노인의 건강신념과 운동이행의 관계

  • Lee, Kyung Im (Department of Nursing, Jinju Health College) ;
  • Eun, Young (College of Nursing, Institute of Health Sciences, Gyeongsang National University)
  • 이경임 (진주보건대학교 간호과) ;
  • 은영 (경상대학교 간호대학.건강과학연구원)
  • Received : 2015.02.02
  • Accepted : 2015.05.21
  • Published : 2015.06.30

Abstract

Purpose: The purposes of this study were to examine the relationship between health belief and exercise compliance among elderly adults at senior centers and to identify factors influencing their exercise compliance. Methods: The subjects of this study were 100 elderly adults who were using senior centers in J City. Data were collected from the 5th of August to the 14th of September in 2014 using a questionnaire about general characteristics, health belief, and exercise compliance. Data analysis included one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple regression using the SPSS/WIN 18.0 program. Results: The mean score for exercise compliance was 3.85 (range 1~5), and for perceived health state 3.17 (range 1~5). The mean score for each of the sub-factors of health belief was 3.89 for benefit, 1.94 for barrier, 3.34 for severity, 2.43 for sensitivity, and 3.65 for exercise self-efficacy (range 1~5). There was a significant correlation between exercise compliance and exercise benefit, and 28% of variance in exercise compliance was explained by exercise benefit in health belief, family history of illnesses, and perceived sensitivity in health belief. Conclusion: To promote exercise compliance among elderly adults at senior centers, exercise programs emphasizing exercise benefit should be developed.

Keywords

References

  1. Statistics Korea. 2012 life tables for Korea [Internet]. Seoul: Statistics Korea. 2012 [cited 2012 September 27]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.board?bmode=read&aSeq=260368
  2. Jeong GH, Oh YH, Lee YG, Son CG, Park BM, Lee SY, et al. 2011 senior survey. Policy Report. Seoul: Ministry of health and Welfare & Korea Institute for Health and Social Affairs; 2012 April. Report No.: 11-1352000-000672-12.
  3. Kim DO, Yun SN. An exploratory study of factors associated with the health behavior of working elderly with chronic diseases. Journal of Korean Academy of Community Health Nursing. 2012;23(4):395-404. https://doi.org/10.12799/jkachn.2012.23.4.395
  4. Kim BR, Kang SJ, Chung SL, Lee DK. Effect of aerobic exercise on the hemodynamic predictors of the hypertensive patient. The Official Journal of the Korean Association of Certified Exercise Professionals. 2008;10(2):19-25.
  5. Choi ES. The metabolic syndrome and associated risk factors among male workers in an electronics manufacturing company. Annals of Occupational and Environmental Medicine. 2006;18(1):35-45.
  6. Kim TH, Kim SS, Hang YS, Shin MS, Chung YR, Kang JY. The effects of 12 weeks exercise program on superoxide dismutase and malondialdehyde of non-insulin dependent diabetes mellitus (NIDDM) patients. Journal of Coaching Development. 2005;7(4):217-224.
  7. Bak HK. A study on leisure activities, leisure life satisfaction, perceived health status and depression in the elderly. Korean Academic Society of Rehabilitation Nursing. 2009;12(2):112-119.
  8. Eun Y, Gu MO, Kim ES, Kang YS. A comparative study of the health state and need of health-related service between elderly attending the senior welfare center and elderly attending the senior citizens' club. Journal of Korean Gerontological Nursing Society. 2001;3(1):7-21.
  9. Kim HJ, Chae SO, Park YS, Woo SH. The relationship between perceived health state, health conception and health promoting behavior in the elderly. Journal of Korean Community Health Nursing Academic Society. 2001;15(2):262-274.
  10. Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Education & Behavior. 1988;15(2):175-183. https://doi.org/10.1177/109019818801500203
  11. Yang SJ, Jang SH, Kim SJ. Physical activities and health belief of elementary school students for obesity prevention and management among elementary school students. Journal of Korean Public Health Nursing. 2012;26(2):227-238. http://dx.doi.org/10.5932/JKPHN.2012.26.2.227
  12. Byun YH, Choi KS. A study on health beliefs and range of motion exercise of impaired physical mobility patients in lower extremity. The Chung-Ang Journal of Nursing. 2002;6 (1):55-60.
  13. Kim YH, Park SG, Lee HS. The effect of the people with physical impairments health belief on exercise behavior. Korean Council of Physical, Multiple & Health Disabilities. 2012;55(2):75-97. https://doi.org/10.20971/kcpmd.2012.55.2.75
  14. Choi C, Park J, Kang MG, Kim KS. The association between performance of hepatitis B vaccination and health belief factors among some aged persons. Korean Journal of Health Education and Promotion. 2006;23(4):89-104.
  15. Wang MJ, Cha NH. A study on health belief and health behaviors of the elderly. Journal of East-West Nursing Research. 2003;8(1):103-112.
  16. Marcus BH, Selby VC, Niaura RS, Rossi JS. Self-efficacy and the stages of exercise behavior change. Research Quarterly for Exercise and Sport. 1992;63(1):60-66. https://doi.org/10.1080/02701367.1992.10607557
  17. Hwang EH, Chung YS. Effects of the exercise self-efficacy and exercise benefits/barriers on doing regular exercise of the elderly. Journal of Korean Academy of Nursing. 2008;38(3): 428-436. https://doi.org/10.4040/jkan.2008.38.3.428
  18. Kim SY, Oh CO. Evaluation and needs of the elderly for spatial characteristics of senior centers in apartment complex. Korean Institute of Interior Design Journal. 2013;22(5):33-41. https://doi.org/10.14774/JKIID.2013.22.5.033
  19. Lee YK. Policy suggestions for the improvement of welfare leisure centers in Korea. Health and Welfare Policy Forum. 2013;198:56-66.
  20. World Health Organization. 2011 physical activity and adult [Internet]. Geneva: World Health Organization. 2011 [cited 2015 January]. Available from: http://www.who.int/dietphysicalactivity/factsheet_adults/en/
  21. Yun YJ. (The) model explaining variance in health promoting behavior and quality of life in women with osteoporosis [dissertation]. [Seoul]: Kyung Hee University; 2001. 142 p.
  22. Lawston MP, Moss M, Fulcomer M, Kleban MH. A research and service oriented multilevel assessment instrumen. Journal of Gerontology. 1982;37(1):91-99. https://doi.org/10.1093/geronj/37.1.91
  23. Hwang MH. A model of self-care and well being of elderly [dissertation]. [Daegu]: Kyungpook National University; 2000. 106 p.
  24. Lee JY, Seo BH, Kang SK. Development of exercise participation - measurement tool using health belief model. The Korean Journal of Measurement and Evaluation in Physical Education and Sport Science. 2012;14(2):51-60.
  25. Lee PS, Jang SO. The study on the effect of stage based exercise motivational intervention program for the elderly. Journal of Korean Academy of Nursing. 2001;31(5):818-834. https://doi.org/10.4040/jkan.2001.31.5.818
  26. Ko YJ, Lee JH. Factors influencing exercise compliance among older adult. Journal of Muscle and Joint Health. 2012;19(2): 223-232. https://doi.org/10.5953/JMJH.2012.19.2.223
  27. Shin YH, Jang HJ. Perceived exercise self-efficacy and exercise benefits/barriers of Korean adults with chronic diseases. Journal of Korean Academy of Nursing. 2000;30(4):869-879. https://doi.org/10.4040/jkan.2000.30.4.869
  28. Cho SR, Cho HI, So YH. The influence of health belief on quality of sleep and happiness index according to exercise participation in middle-aged women. Journal of Korean Physical Education Association for Girls and Women. 2013;27(1): 45-61.
  29. Song RY, Jung KJ, Ro YJ, Kim CG. Effects of motivation-enhancing program on health behaviors, cardiovascular Risk factors, and functional status for institutionalized elderly women. Journal of Korean Academy of Nursing. 2001;31(5):858-870. https://doi.org/10.4040/jkan.2001.31.5.858
  30. Kim MK, Choi SM. The effect of the regular dance sports program on physiological function, mental health and perceived health state in older women. Journal of Coaching Development. 2004;6(3):281-290.

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