여성 독거노인의 사회적 지지가 자기효능감의 매개효과를 통하여 건강증진행위에 미치는 영향
Effects of Social Support on Health Promotion Behavior through the Mediating Effect of Self-efficacy in Older Women Living Alone
2
조회
0
다운로드
15
인용
0
참고문헌
키워드
초록
Purpose: Self-efficacy encompass one’s belief in one’s ability to organize and achieve goals. Previous studies have not adequately examined the mediating role of self-efficacy between social support and health promotion behavior. Therefore, this study explored the mediating role of self-efficacy in the relationship between social support and health promotion behavior among older women living alone. Methods: Participants were 145 older women living alone attending a local welfare center for seniors. They completed the Self-efficacy Scale, Medical Outcome Study Social Support Survey Scale, and Health Promoting Lifestyle Profile II. Data were analyzed using Descriptive statistics, Pearson correlation coefficients, Baron and Kenny’s regression analysis and the Sobel test with the SPSS program. Results: The average social support, health promotion behavior, and self-efficacy were not high. Self-efficacy was a partial mediating role in the relationship between social support and health promotion behavior. Social support was positively correlated with self-efficacy(r=.31, p<.001) and with health promotion behavior(r=.43, p<.001), and self-efficacy was positively related with health promotion behavior(r=.39, p<.001). Conclusion: To enhance health promotion behavior in older women who live alone, intervention strategies to increase social support and self-efficacy for these women should be developed.
Abstract
Purpose: Self-efficacy encompass one’s belief in one’s ability to organize and achieve goals. Previous studies have not adequately examined the mediating role of self-efficacy between social support and health promotion behavior. Therefore, this study explored the mediating role of self-efficacy in the relationship between social support and health promotion behavior among older women living alone. Methods: Participants were 145 older women living alone attending a local welfare center for seniors. They completed the Self-efficacy Scale, Medical Outcome Study Social Support Survey Scale, and Health Promoting Lifestyle Profile II. Data were analyzed using Descriptive statistics, Pearson correlation coefficients, Baron and Kenny’s regression analysis and the Sobel test with the SPSS program. Results: The average social support, health promotion behavior, and self-efficacy were not high. Self-efficacy was a partial mediating role in the relationship between social support and health promotion behavior. Social support was positively correlated with self-efficacy(r=.31, p<.001) and with health promotion behavior(r=.43, p<.001), and self-efficacy was positively related with health promotion behavior(r=.39, p<.001). Conclusion: To enhance health promotion behavior in older women who live alone, intervention strategies to increase social support and self-efficacy for these women should be developed.
참고문헌 (30)
- 2017 national survey of the living condition and welfare needs of older Koreans. Health and Welfare Policy Issues Report, "Jeong GH", Korea Institute for Health and Social Affairs, ~, pp.Report No. 11-1352000-000672-12 (2017)
- Yu Chen, "Self-rated health and associated factors among older people living alone in Shanghai", Geriatrics & Gerontology International, 15(4), pp.457~464 (2015), Wiley[DOI]
- Lian-Hua Huang, "The Health Status and Needs of Community Elderly Living Alone", Journal of Nursing Research, 10(3), pp.227~236 (2002), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 김예성, "노인의 독거여부에 따른 건강증진행위와 신체적 정신적 건강에 관한 연구", 보건사회연구, 34(3), pp.400~429 (2014), 한국보건사회연구원[DOI]
- Sohyune R Sok, "A comparison of physical health status, self-esteem, family support and health-promoting behaviours between aged living alone and living with family in Korea", Journal of Clinical Nursing, 20(11-12), pp.1606~1612 (2011), Wiley[DOI]
- 송영신, "여성 노인 1인 가구의 실태 및 정책적 개선방안", 이화젠더법학, 7(2), pp.33~72 (2015), 젠더법학연구소[DOI]
- 채현탁, "농촌지역 독거노인의 사회적 지지망 강화 방안: 일본 시오야마치의 사례를 중심으로", 사회복지정책, (24), pp.225~256 (2006), 한국사회복지정책학회
- 남기민, "여성독거노인들이 인지한 사회활동과 사회적 지지가 삶의 질에 미치는 영향 :우울과 죽음불안의 매개효과를 중심으로", 노인복지연구, (52), pp.325~348 (2011), 한국노인복지학회[DOI]
- 최희정, "농촌지역 독거노인의 우울과 자기효능감이 건강증진행위에 미치는 영향", 동서간호학연구지, 17(2), pp.149~155 (2011), 동서간호학연구소
- 김명일, "전·후기 노인의 건강증진행위 유형과 우울에 관한 연구", 사회과학연구, 28(3), pp.285~307 (2017), 사회과학연구소[DOI]
- Lee JH, "The relationship of depression, self-esteem and healthpromoting behaviors in the elderly women who live alone", Journal of Korean Academy of Psychiatric and Mental Health Nursing, 14(2), pp.109~118 (2005)
- 김하정, "농촌 지역 여성독거노인의 건강증진행위와 삶의 만족도", 지역사회간호학회지, 27(3), pp.254~261 (2016), 한국지역사회간호학회[DOI]
- Jang SJ, "The impacts of homelessness experience and social support on the self-efficacy of the homeless", Korean Journal of 21st Century Social Welfare, 11(1), pp.5~24 (2014)
- 강현욱, "노인의 지각된 사회적지지와 자기효능감이 건강증진행위에 미치는 영향", 한국여가레크리에이션학회지, 33(3), pp.57~68 (2009), 한국여가레크리에이션학회
- Walker SN, "The health-promoting lifestyle profile: development and psychometric characteristics", Nursing Research, 36(2), pp.76~81 (1987)[DOI]
- 전상남, "사회적 지지가 무배우 여성노인의 삶의 질에 미치는 영향: 신체적․인지적 기능과 자기효능감의 매개효과", 한국노년학, 34(1), pp.87~101 (2014), 한국노년학회
- 이준영, "간호대학생의 마음챙김과 건강증진행위와의 관계: 자기효능감의 매개효과", Journal of The Korean Data Analysis Society, 19(6), pp.3391~3402 (2017), 한국자료분석학회[DOI]
- 신진희, "주기적인 상기(Reminding) 중재가 재가 폐암환자의 진통제 복용 이행 정도, 자기효능감, 통증에 미치는 효과", 임상간호연구, 19(3), pp.443~454 (2013), 병원간호사회
- Bandura A, "Social foundations of thought and action: a social cognitive theory", pp.617~ (1986), Prentice-Hall
- Mark Sherer, "The Self-Efficacy Scale: Construction and Validation", Psychological Reports, 51(2), pp.663~671 (2016), SAGE Publications[DOI]
- 서현미, "노인의 건강증진행위 모형 구축", 박사, 간호학, pp.2001
- Sherbourne CD, "The MOS social support survey", Social Science and Medicine, 32(6), pp.705~714 (1991)
- Baron RM, "The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations", Journal of Personality and Social Psychology, 51(6), pp.1173~1182 (1986)[DOI]
- 최연희, "농촌지역 독거노인의 건강증진행위와 삶의 질", 보건교육건강증진학회지, 21(2), pp.87~100 (2004), 한국보건교육건강증진학회
- 오현주, "노인의 건강증진행위에 영향을 미치는 요인에 관한 연구", 보건과 사회과학, (32), pp.173~197 (2012), 한국보건사회학회
- 이시은, "지역사회 거주 여성 독거노인의 삶의 의미 관련 요인", 지역사회간호학회지, 27(3), pp.221~230 (2016), 한국지역사회간호학회[DOI]
- 김지순, "인지기능, 사회활동 참여, 사회적 지지가 지역사회 재가노인의 삶의 질에 미치는 영향", 노인정신의학, 20(1), pp.25~32 (2016), 대한노인정신의학회
- 임주영, "노인의 스트레스와 불안과의 관계에 대한 위협적 상황 인지와 삶의 의미의 매개효과와 사회적 지지의 조절효과", 박사, 아동가족학, pp.2010
- Britner SL, "Sources of science self-efficacy beliefs of middle school students", Journal of Research in Science Teaching, 43(5), pp.485~499 (2006)
- Gu MO, "A review of research on health promoting behaviors of Korean older adults", Perspectives in Nursing Science, 3(1), pp.17~34 (2006)