베트남 결혼이주 중년여성의 웹 콘텐츠 기반 상호작용 골건강 증진 교육프로그램 개발 및 효과 = Development and Effects of an Interactive Web-Based Bone Health Promotion Education Program for Middle-Aged Vietnamese Marriage Migrant Women

다국어 초록 (Multilingual Abstract)

Development and Effects of an Interactive Web-Based Bone Health Promotion Education Program for Middle-Aged Vietnamese Marriage Migrant Women Hyeon Na Advisor : Prof. So-Hyun Moon Department of Nursing, Graduate School of Chosun University Purpose: This study aimed to develop an interactive web-based bone health promotion education program for middle-aged Vietnamese marriage migrant women residing in South Korea and to evaluate its effects on osteoporosis-related knowledge, self-efficacy, preventive behaviors, and clinical biochemical indicators of bone health. Methods: A quasi-experimental, nonequivalent control group pretest-posttest design was used. Participants were 37 middle-aged Vietnamese marriage migrant women （experimental group, n=17; control group, n=20）. Data were collected from December 2025 to January 2026. The experimental group participated in an 8-week web content-based bone health promotion education program incorporating interaction, including bilingual （Korean and Vietnamese） YouTube educational videos, YouTube comments, KakaoTalk group chats, OX quizzes, dietary self-monitoring, photo sharing, and individualized feedback, whereas the control group received a bone health information leaflet. Osteoporosis-related knowledge, self-efficacy, and preventive behaviors were assessed using structured questionnaires, and serum calcium, alkaline phosphatase, and 25-hydroxyvitamin D were measured before and after the intervention. Data were analyzed using descriptive statistics, the χ² test, Fisher's exact test, the -vii-ii independent t-test, and repeated measures ANOVA. Results: TThe experimental group showed significantly greater improvements in osteoporosis self-efficacy and preventive behaviors than the control group. Osteoporosis-related knowledge improved over time in both groups, but no significant group-by-time interaction was observed. No significant group-by-time interaction effects were found for serum calcium, alkaline phosphatase, or 25-hydroxyvitamin D. Conclusion: The interactive web-based bone health promotion education program significantly improved osteoporosis self-efficacy and preventive behaviors in middle-aged Vietnamese marriage migrant women. These findings suggest that the program can be used as an effective nursing intervention to promote bone health among marriage migrant women. Future studies should employ randomized controlled trials with larger and more geographically diverse samples, longer follow-up periods, and objective bone health measures, such as bone mineral density, to verify the long-term effects of this program. Keywords: Osteoporosis, Health Promotion, Self Efficacy, Health Behavior

목차 (Table of Contents)

• Ⅰ. 서론 1
• A. 연구의 필요성 1
• B. 연구의 목적 5
• C. 연구 가설 5
• D. 용어의 정의 6
• Ⅱ. 문헌고찰 9
• A. 결혼이주여성의 현황 9
• B. 베트남 결혼이주 중년여성 건강문제와 골다공증 11
• C. 골다공증 중재 프로그램 15
• D. 웹 콘텐츠 기반 상호작용 건강 교육프로그램 19
• E. PRECEDE-PROCEED 모형 22
• Ⅲ. 이론의 개념적 틀 24
• Ⅳ. 연구방법 28
• A. 연구 설계 28
• B. 연구 대상 29
• C. 연구 도구 32
• D. 골건강 증진 교육프로그램 개발 34
• E. 연구 진행 절차 49
• F. 자료 분석 방법 55
• G. 윤리적 고려 56
• Ⅴ. 연구 결과 57
• A. 연구대상자의 일반적 특성에 대한 사전 동질성 검정 57
• B. 결과 변수의 대한 사전 동질성 검정 59
• C. 골건강 증진 교육프로그램의 효과 검증 60
• D. 포커스 그룹 인터뷰 내용 분석 65
• Ⅵ. 논의 67
• A. 골건강 증진 교육프로그램 효과 67
• B. 골건강 증진 교육프로그램의 구성 및 운영 75
• Ⅶ. 연구의 의의 79
• Ⅷ. 결론 및 제언 81
• 참고문헌 84
• 부록 104