Vol.9, No.2, 170-178, 2003. :,,,, 1 ) 1 ) 2 ) 3 ) 3 ) 4 ) 4 ). 1., 1970 66.7 2000 79.2 (, 2001). 40 8,998 38%. 48.3 (, 2001),..., (Margaret, 1996).,,,,, 5 (, 1996). 5 10 2 4%. 2,000 (Wilson et c., 1998), 1998 470 2000 535 (, 1995).,.. 1) 2) 3) 4) 03. 3. 6 03. 3. 15 03. 5. 30-170 -
9 2.,,., D,,, (, 2001 ;,, 2001 ;, 200 1)., (, 1998).,,, (Bandura, 1986)..,,,,.,,,.. 2.,. 1). 2). 3). 3. 1) : (Kanis et c., 1994 ), CUBA Clinical Bone Sonomet er T score - 2.0, T scor e - 2.0-2.5 (Ost eopenia ), T scor e - 2.5 (Ost eoporosis). 2) :, (Pender & Pender, 1987), Walker (1987) Singler (1982) (1996),,,,,,, 7. 3) : (Bandur a, 1977) (Bandur a, 1986). Kim, Horan Gendler (199 1). 12 12 60,. - 17 1 -
2003 6. 1. K 40. 465 40 59 46.69. 2. 1) 2000 7 1 8 31 K 485 465,. 2) CUBA Clinical Bone Sonom et er.,. CUBA Clinical Bone Sonomet er BUA (Broadband Ultr asonic At t enuation :, db/ M H z) VO S (Velocit y of Ult rasonic:, m/ sec), BUA, VOS ( ). CUBA Clinical CUBA Clinical tr ansdu cer s ( ) (Gel). CUBA Clinical. Z score T scor e T score - 2.0 :, T scor e - 2.0-2.5 : (Ost eopenia ), T scor e - 2.5 : (Ost eoporosis). 3. 1),,,,,,,. 2) 5. 12 Chronbach Alpha = 0.90. 4. 1). 2),,,,,. 3) t-t est.. 1. < 1>. 40 59 40 (59.1%), 50 (40.9%). 46.69. 292 (62.8%), 148 (31.8%), 25 (5.4%). 81.3%, 9 1.0%. 244 (52.5%), - 172 -
9 2 178 (38.3%), 43 (9.5%). 57.84. 5 122 (26.4%) 3-4 198 (42.5%), 1-2 89 (19.1%), 56 (12.0%). 5 149 (15.5%), 5-10 64 (6.35%), 10 24 (1.58%). 54 (11.6%). 2. CUBA Clinical Bone Sonomet er < 1>., - 3.52 3.06-1.30 ( :1.09). 57 (12%), 60 (13%) 25%. < 1> (N = 4 6 5 ) ( ) (%) 40-49 275 59.1 50-59 190 40.9 Mean±SD 46.69±4.42 292 62.8 148 31.8 25 5.4 378 81.3 61 13.1 26 5.6 43 9.3 244 52.5 178 38.2 42 9.0 203 43.7 220 47.3 0 56 12.0 1-2 89 19.1 3-4 198 42.5 5 122 26.4 228 49.1 237 50.9 5 149 15.5 5-10 64 6.4 10 24 1.6 54 11.6 367 98.4 ( ) < 1> BM D a cc o rd ing t o T s c o re < 2>, (t = 22.05, p = 0.000). < 2 > ( ) t p 228-1.22 0.55 22.05 0.000*** 237-1.52 0.78 3.,,,,, < 3>. 385 (82.8%), 29 1 (62.6%) 37.4 %. 4 15 (89.2%), 50 (10.8%). - 173 -
2003 6 283 (60.9%), 182 (39.1%), 446 (93.5%). 20% 80%. 171 (36.8%), 294 (63.2%). < 3 > ( N = 4 6 5 ) ( ) (%) 385 82.8 80 17.2 291 62.6 174 37.4 415 89.2 50 10.8 283 60.9 182 39.1 446 93.5 19 6.5 93 20.0 372 80.0 294 63.2 171 36.8 ( ) 12 5 12 60. 4 1.17, 3.43. 4. < 4>.,,,. (t = 5.63, p =.018). (t = 6.65, p =.010). (t = 10.80, p =.001), (t = 10.23, p =.001). < 4 > t p 36.63 2.22 5.63 0.018* 37.25 1.72 36.54 2.15 6.65 0.010** 37.08 2.12 36.67 2.19 3.82 0.051 37.30 1.81 37.00 2.04 10.80 0.001*** 36.34 2.27 36.80 2.11 10.23 0.001*** 35.27 2.68 37.17 2.06 2.37 0.094 36.63 2.14 36.31 2.94 1 0.317 36.76 2.12 * p<.05 ** p<.01 *** p<.001.. - 3.52 3.06-1.30 ( : 1.09). 12.3%, 12.9% 25.2%.. T- scor e - 1.82 (2001) T- score - 1.54. - 174 -
9 2.,,,,. 82.8%.. 37.4%. 20 19.8% (, 2000),. (, 1994), 10.8%. 6.5%, 39.1%. 1995 5.6%. (1998) 26.6%, 1989 23.6% (, 1995)., 20% 80%.. 36.8%, 63.2%. (, 2000), (, 1996 ; Sandler, 1985)., 1021 Gallup (Th e Gallu p Or ganizat ion, 1993)... 4 1.17. Laurie (1996) 100 65.03 (1999) 60 4 1.20..... Laurie (1996), (1999). (1998).,, (, - 175 -
2003 6 1996).,.,,,... 2000 7 1 8 31 K 40 465 CUBA Clinical Bone Sonomet er. SAS- P C Progr am. 1. 40 59 40 (59.1%), 50 (40.9%). 46.69. 57.84. 2., - 3.52 3.06-1.30 ( :1.09). 57 (12%), 60 (13%) 25%. 3. 17.2%, 37.4 %, 36.8%, 6.5%, 39.1%, 80.0%, 10.8%. 4. 12 5 12 60. 4 1.17, 3.4 3,, (t = 5.63, p =.018 ; t = 6.65, p =.010 ; t = 10.80, p =.001 ; t = 10.23, p =.001).. 1... Re f e re n c e s (1999).,.,. (1998).,.,. (1998).., 12 (1), 105-128., (200 1).,., 8 (2), 287-30 1. (2000). (1996)..,, (2001).., 2 (1), 215-226. (1996). :.,. (1998). - 176 -
9 2., 5 (2), 174-190. (200 1).,., 8 (1), 65-85. (1995).., 35, 167-174. (200 1).., 2 (1), 203-2 14. (1994 ).., 26 (2), 387-398. (200 1). 2000. (1995). Bandur a, A. (1986). Social foundat ion of t hou ght and action. New J er sey : Pr ent ice- Hall Inc, E nglewood cliffs. Bandur a, A. (1977). Self- efficacy : t owar d a u nifying t heory of behavioral ch ange. Psy chological Review, 84 (2), 191-215. Kanis JA, and t he WHO group (1994 ). Assessment of fr acture risk and it s applicat ion t o scr eening for post menopausal ost eoporosis : Synopsis of a WHO r eport. Ost eopor osis Int 4, 368-381. Kim. K., Horan, M. & Gendler. P. (1991). Refinem ent of t he Ost eoporosis Healt h Belief Scale. Sigm a Th et a Tau Int er national Resear ch Confer ence, Columbu s, Ohio. Laurie, A. S. (1996). Relationships of age, ost eoporosis knowledge, self- efficacy, and h ealt h beliefs in adult women. Unpublish ed m ast er ' s th esis, Clarkson College, USA. Margaret Chamberlain Wilmot h (1996). Th e Middle Years : Women Sexu alit y, and t he Self. JOGN N, 25 (7), 615-621. Pender N. J. & Pender. A. R. (1987). Healt h prom otion in nursing pract ice. New York : A Century Creft. Sandler R. B. (1985). P ostmenopau sal bone densit y and milk consum pt ion in childh ood and adolescence. Am erican J ournal of Clinical Nut rition, 42, 270-274. Th e Gallu p Organization (Conduct ed for weight Wat cher s and The American Diet et ic Associat ion (1993). Wom en' s Knowledge and Behavior Regarding Health and Fit ness. Princet on, NJ. Wilson J. D., F ost er D. W., Kr onenberg H. M., La r sen P. R. (19 98 ). Willia m s t ext book of E n docrinology. 9t h ed. 122 1-1239. philadelphia, sau nders. - Ab s t ra ct - Key w o rds : BMD, Health pr omot ing beh avior, Self- efficacy, Women Bon e Min e r a l Den s it y, Hea lt h - p r om ot in g Beh a vior s, a n d Self- effic a cy in Mid d le- a ged Wom en Jeong, Geum Hee 1 ) Y ang, Soon Ok 1 ) Lee, Kw ang Ok 2 ) Py e, Ok Jung 3 ) Lee, Mira 3 ) Baik, Sung Hee 4 ) Kim, Kyu ng W on 4 ) To identify ost eoporosis and examine t he r elat ionship between h ealth beh avior and t he self- efficacy of middle- aged wom en, a descriptive survey was conduct ed. The subj ect s were 465 h ealt hy female resident s of Kyu nggido, Kor ea, wh o u nderwent ultr asound measur ement and a h ealt h examinat ion at th e Kangm eung- Ci Healt h Cent er bet ween J uly and August 2000. Th ey wer e 40 t o 60 years old, with a m ean age of 4 6.7 year s. Th e su bj ect s com plet ed a self- 1) Associat ed Professor, Department of Nursing Science, Hallym University (Corresponding author : e-mail : ghj eong @hallym.ac.kr ) 2) Professor, College of Nur sing Science, Ewh a Women s Universit y 3) Public Health Nurse, Kangmeung- Si Health Cent er 4) Graduat e Student, College of Nursing Science, Ewha Wom ens Univer sit y - 177 -
2003 6 report ed quest ionnair e t hat consist ed of seven it ems concer ning healt h beh avior and twelve it ems concerning self- efficacy relat ed t o ost eopor osis. Bone densit y was evalu at ed fr om ultr asound measurement s of t he right heel. All th e dat a wer e analyzed using th e progr am SAS- P C. Th e st udy fou nd t hat t he mean T score relat ed t o bone densit y was - 1.30, and ranged from - 3.52 t o 3.06. Based on th e T score, 74.8% of t he subj ect s were normal, 12.9% had ost eopenia, and 12.3% h ad ost eoporosis. The m ean ost eopor osis self- efficacy score was 4 1.17 and r anged fr om 12 t o 60. Ost eoporosis self- efficacy differed significant ly with healt h beh avior r elat ed t o health supplement ary food (t = 5.63, p =.018), exer cise (t = 6.65, p =.010), alcohol drinking(t = 10.80, p =.001), and sm oking (t = 10.23, p =.00 1). A community-based health promotion progr am should be developed t o prevent ost eoporosis in middle- aged women. - 178 -