생활습관개선 프로그램이 일개 대학 의대생들의 건강행동에 미치는 영향
The Effect of Lifestyle Modification Program for Medical Students’ Personal Health Practices
1
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
연구배경: 음주, 흡연, 운동부족, 비만 등의 생활습관은 순환 기 질환을 포함한 여러 질환의 위험요인이다. 환자의 생활습 관개선을 위해서는 건강한 의사를 양성해야 하지만 의대생에 게 의학지식을 가르치는 것만으로는 생활습관을 개선시키기 힘들다. 이에 저자들은 의대생들의 건강행동을 조사하고, 생 활습관개선 프로그램을 통해 건강행동이 얼마나 개선되는지 평가하고자 하였다. 방법: 일개 의과대학 2학년 학생들에게 그룹간 경쟁과 피드 백을 포함한 생활습관개선 프로그램을 실시하였다. 학생들의 흡연, 음주, 운동, 비만, 식습관 등의 건강행동을 조사하고 개선 방법을 교육하고 실행할 수 있는 동기부여에 초점을 두었으 며 학생들의 기능성 질환 증상과 약물 복용, 불안, 우울 및 삶의 만족도 여부도 확인하였다. 자료는 생활습관개선 프로그램 전후에 학생들이 인터넷으로 입력한 설문지를 통해 수집하였 다. 결과: 2개월 간의 생활습관개선 프로그램을 통해 비만자가 감소했고(P=0.0455), BMI의 평균이 감소하였으며(P<0.001), 흡연자의 12.5%인 2명이 금연을 시작하였다. 규칙적인 운동 을 하는 의대생이 증가하였고(P=0.011), 아침식사를 하지 않 거나, 잦은 약물사용을 하던 의대생이 감소하였으며(각각 P= 0.0047, P=0.0001), 전반적인 삶의 만족도도 증가(P=0.003)하 였다. 결론: 경쟁적 생활습관개선 프로그램이 의대생의 운동 부족 과 비만, 흡연 등의 생활습관을 개선시켰고, 이와 함께 삶의 만 족도가 증가되는 것이 관찰되었다.
Abstract
Background: Lifestyle is an important risk factor for many diseases. We need to educate medical students for advocating health promoting behaviors to their patients. Teaching knowledge, however, was not enough for medical students to change their health-related lifestyle. In this study, we investigated health promoting behaviors of medical students, and the improvement of their health behaviors after competitive lifestyle modifi cation program. Methods: All sophomores of medical college in Seoul National University were included in this study. We performed lifestyle modifi cation program consisting of lecture, group competition, and feedback. We focused on reforming health behaviors like smoking, drinking, exercise, stress management and eating habits. And we also checked common symptoms of functional diseases, medication frequency for relieving these symptoms and general life satisfaction. Results: After 2 months of lifestyle modifi cation program, the obese (P = 0.0455) and the average value of BMI (P < 0.001) were decreased and two of smokers quitted smoking. Numbers of medical students with health related habits such as regular exerciser (P = 0.027), frequent user of symptom-relief medication (P < 0.001), breakfast skipper (P = 0.005) were signifi cantly changed in positive way, and the average value of general life satisfaction score (P = 0.003) was improved. Conclusion: Lifestyle modification program improved medical students’ health habits and enhanced general life satisfaction.
참고문헌 (21)
- Helzer JE, "Alcoholism-North America and Asia: a comparison of population surveys with the diagnostic interview schedule", Arch Gen Psychiatry, 47, pp.313~319 (1990)
- Kim DH, "Health risk of cigarett e smoking", J Korean Med Assoc, 45, pp.653~665 (2002)
- Bray GA, "Office management of obesity. 12th ed" (2004), Elservier Inc
- American College of Sports Medicine, "ACSM’s guidelines for exercise testing and prescription. 6th ed" (2000), Lippincott Williams & Wilkins
- Frank E, "Correlates of physicians' prevention-related practices. Findings from the women physicians' health study", Arch Fam Med, 9, pp.359~367 (2000)
- Yi SH, "The attitude to patients smoking of the family physicians", J Korean Acad Fam Med, 16, pp.38~48 (1995)
- Frank E, "Predictors of US medical sAtudents' prevention counseling practices", Prev Med, 44, pp.76~81 (2007)
- 김남균, "의과대학생과 법과대학생의 건강증진에 대한 인식도와 건강행위실천도", 가정의학회지, 27(5), pp.376~383 (2006), 대한가정의학회
- 최창진, "가정의학 학생실습 실태 조사", 가정의학회지, 25(12), pp.895~900 (2004), 대한가정의학회
- Family medicine department in Seoul national university hospital, "Family medicine" (2005), Korea Medical Book Publisher Co
- Park SM, "A preliminary investigation of early smoking initiation and nicotine dependence in Korean adults", Drug Alcohol Depend, 74, pp.197~203 (2004)
- Kjeldstadli K, "Life satisfaction and resilience in medical school: a sixyear longitudinal, nationwide and comparative study", BMC Med Educ, 6, pp.48~ (2006)
- 서홍관, "우리나라 의사 흡연율 및 흡연 행태", 가정의학회지, 28(8), pp.599~603 (2007), 대한가정의학회
- Fiore MC, "Methods used to quit smoking in the United States. Do cessation programs help?", JAMA, 263, pp.2760~2765 (1990)
- 이언숙, "금연시도자 중 금연 성공과 관련된 요인들", 가정의학회지, 28(1), pp.39~44 (2007), 대한가정의학회
- Lee HJ, "The association of smoking with stress of male medical student in Dae-Gu", J Korean Acad Fam Med, 19, pp.SR~SR86 (1998)
- Kang JH, "Assessment and management of obesity in primary care", J Korean Acad Fam Med, 18, pp.882~897 (1997)
- Hambly K, "Stress management in primary care" (1997), Butterworth-Heinemann
- Frank E, "A description and qualitative assessment of a 4-year intervention to improve patient counseling by improving medical student health", MedGenMed, 7, pp.4~ (2005)
- Frank E, "quantitative assessment of a 4-year intervention that improved patient counseling through improving medical student health", MedGenMed, 9, pp.58~ (2007)
- Lee BK, "Compliance with lifestyle modification in patient with hypertension", J Korean Acad Fam Med, 20, pp.1709~1720 (1999)