본문 바로가기
KERD
논문KCI 등재

일부 종합병원 간호사의 건강신념과 자기효능감 및 의료서비스 이용

Health Beliefs, Self-efficacy and Medical Care Utilization of Korean Nurses

0

조회

0

다운로드

4

인용

0

참고문헌

키워드

초록

Purpose: It was to identify the relationship with the health beliefs, self-efficacy and medical care utilization in nurses in order to provide basic data for program development to actively help nurses' health practice. Methods: The subjects were 360 hospital nurses in P city, K Province. Instruments were health belief developed by Walker, Sechrist & Pender (1987), self-efficacy by Sherer, Maddux & Mercandante(1982), and medical care utilization by Korean National Health & Nutrition Examination Survey(2006). The data were analyzed as descriptive statistics, Chi-square,t-test, and ANOVA using SPSS 11.5. Results: There were significant differences in medical care utilization depending on age(p=.008), marital status(p=.019), education level(p=.005), types of work(p=.017), nursing units(p=.018), and period of work(p=.001). Use of outpatient clinic was significantly different depending on perceived susceptibility(F=2.463, p=.045). Nurses who consulted to doctor in other hospital had higher perceived severity(F=2.759, p=.028). Nurses who used complementary medicine had higher perceived barrier(F=2.278, p=.047). The score of self-efficacy was significantly different in medical care service frequency (F=3.030, p=.018) and to whom their health problems consulted(F=3.092, p=.010). Conclusion: Medical service utilization was different depending on the demographic characteristics, perceived susceptibility, severity, and barrier, and self efficacy. It is needed to give health promotion program considering these factors for nurses.

Abstract

Purpose: It was to identify the relationship with the health beliefs, self-efficacy and medical care utilization in nurses in order to provide basic data for program development to actively help nurses' health practice. Methods: The subjects were 360 hospital nurses in P city, K Province. Instruments were health belief developed by Walker, Sechrist & Pender (1987), self-efficacy by Sherer, Maddux & Mercandante(1982), and medical care utilization by Korean National Health & Nutrition Examination Survey(2006). The data were analyzed as descriptive statistics, Chi-square,t-test, and ANOVA using SPSS 11.5. Results: There were significant differences in medical care utilization depending on age(p=.008), marital status(p=.019), education level(p=.005), types of work(p=.017), nursing units(p=.018), and period of work(p=.001). Use of outpatient clinic was significantly different depending on perceived susceptibility(F=2.463, p=.045). Nurses who consulted to doctor in other hospital had higher perceived severity(F=2.759, p=.028). Nurses who used complementary medicine had higher perceived barrier(F=2.278, p=.047). The score of self-efficacy was significantly different in medical care service frequency (F=3.030, p=.018) and to whom their health problems consulted(F=3.092, p=.010). Conclusion: Medical service utilization was different depending on the demographic characteristics, perceived susceptibility, severity, and barrier, and self efficacy. It is needed to give health promotion program considering these factors for nurses.

참고문헌 (27)

  1. 김명숙, "간호사의 건강증진 생활양식과 관련요인 연구", 석사, pp.1999
  2. 김윤정, "간호사의 건강증진행위에 관한 관련요인분석", 한국보건협회학술지, 25(2), pp.51~64 (1999)
  3. 김선옥, "임상간호사와 보건간호사의 피로와 건강증진행위에 대한 연구", 지역사회간호학회지, 14(4), pp.1~8 (2003)
  4. 김종임, "자조집단 활동과 자기효능성 증진법을 이용한 수중운동 프로그램이 류마티스 관절염 환자의 통증, 생리적 지수 및 삶의 질에 미치는 영향", 박사, pp.1994
  5. 김진구, "노인의 의료이용과 영향요인 분석", 노인복지연구, 39(39), pp.271~300 (2008), 한국노인복지학회
  6. 김현화, "어깨 관절가동범위 제한 환자의 치료적 운동 이행과 건강신념 및 자기효능감의 관계", 석사, pp.2007
  7. 김혜영, "간호사의 건강증진 생활양식, 자원동원성과 지각된 건강상태", 임상간호연구, 16(1), pp.17~26 (2010), 병원간호사회
  8. 배상수, "국민 건강의 결정요인 3: 질병예방 및 의료이용행태", 예방의학회지, 26(4), pp.508~531 (1993)
  9. 보건복지부, "2005년도 국민건강영양조사-의료이용" (2006), 보건복지부. 보건사회연구원
  10. 박종영, "우리나라 일부지역 여성근로자의 보건의료 요구 및 이용 실태와 관련 요인 분석", 대한보건연구, 31(1), pp.12~26 (2005)
  11. 이영숙, "종합건강검진 서비스에 대한 고객만족도가 재이용의도와 건강신념, 자기효능감 및 건강증진행위변화에 미치는 영향", 석사, pp.2005
  12. 이정인, "중년기 성인의 자기 효능감 및 건강관련 강인성이 건강증진 생활양식에 미치는 영향", 한국간호교육학회지, 13(2), pp.177~183 (2007), 한국간호교육학회
  13. 임미영, "전국 저소득층 노인의 보건의료이용과 영향요인 분석", 지역사회간호학회지, 12(3), pp.589~599 (2001)
  14. 정의정, "임상 간호사의 직무스트레스, 자기효능감 및 건강증진 행위", 정신간호학회지, 11(3), pp.398~405 (2002)
  15. 조성남, "사회계층별 의료서비스 이용행태에 관한 일 연구", 한국문화연구원논집, 61(2), pp.101~154 (1992)
  16. 최주화, "건강행위와 의료이용에 관한 연구", 석사, pp.2002
  17. "통계청"[URL]
  18. 황라일, "대도시 저소득층 여성의 유방암 수검행위 예측 요인", 박사, pp.2004
  19. A behavioral model of families' use of health services. Research Series No. 25, "Anderson, R. M.", Center for Health Administration Studies, University of Chicago, ~ (1983)
  20. Becker, M. H., "Model of health -related behavior in handbook of health, health care, and the health professions", pp.539~560 (1983), The Free Press
  21. Buglar, M. E., "The role of self-efficacy in dental patients' brushing and flossing: Testing an extended Health Belief Model", Patient Educ Couns., 78(2), pp.269~272 (2010)
  22. Clark A.N., "Caregiver characteristics and their relationship to health service utilization in minority patients with first episode stroke", NeuroRehabilitation, 27(1), pp.95~104 (2010)
  23. Melnyk, K. M., "Barrier: A critical review of recent literature", Nurs Res., 37(4), pp.196~201 (1988)
  24. Maddux, J. E., "Self-efficacy expectancy and outcome expectancy: Their relationship and their effects on behavioral intentions", Cognit Ther Res, 6(2), pp.207~211 (1982)
  25. Rosenstock, I. M., "The health model and preventive health behavior", Health Educ Monogr., 2, pp.354~386 (1974)
  26. Rosenstock, I. M., "Social learning theory and health belief model", Health Educ Q, 15(2), pp.175~183 (1988)
  27. Walker, S. N., "The health-promoting lifestyle profile: Development and psychometric characteristics", Nurs Res., 36(2), pp.76~81 (1987)

관련 논문AI추천

이 간행물의 다른 논문 (14건)