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도시와 농촌 노인의 골다공증 지식, 자기효능감과 예방적 건강증진행위 비교 연구
심미정,백지원,박연정,민가희,김윤아,유지영,윤수현,강지원,강슬기 이화여자대학교 간호과학대학 2015 이화간호학회지 Vol.- No.49
Purpose: The purpose of this study was to investigate the osteoporosis knowledge, self-efficacy, and preventive health promoting behaviors of the elderly who reside in urban and rural areas. Methods: Convenience sampling was used (urban elderly=127, rural elderly=112). The Osteoporosis Quiz, Osteoporosis Self-Efficacy scale, and Health Promotion Inventory for the Prevention of Osteoporosis were used to collect data. Data were analyzed using chi-square, t-tests, two-way ANOVAs, and multiple linear regression. Results: Elders residing in rural areas had significantly less knowledge of osteoporosis (t=-4.884, p<.001), self-efficacy (t=-6.153, p<.001), and preventive health-promoting behaviors (t=-5.710, p<.001). Multiple-regression analysis showed osteoporosis self-efficacy (p=.002) and chronic disease (p=.027) were significant predictors of preventive health-promoting behaviors for elders in urban areas. In rural areas, osteoporosis knowledge (p=.002), osteoporosis self-efficacy (p<.001), and regular medical examinations (p=.014) were significant predictors of preventive health-promoting behaviors. Conclusion: Promoting osteoporosis knowledge and self-efficacy may be significant in improving preventive health-promoting behaviors. Also, nursing interventions suitable for rural elders should be developed to increase their level of preventive health-promoting behaviors.