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    건강신념모델 기반 지역사회 거주 노인의 치매예방행위 관련요인 : 횡단적 조사연구 = Factors Related to the Dementia Prevention Behavior among Community-dwelling Older Adults based on the Health Belief Model: A Cross-sectional Descriptive Study

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    https://www.riss.kr/link?id=A109220189

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Purpose: This study aimed to identify the relationships between perceived benefits, perceived barriers, self-efficacy, and dementia prevention behavior among community-dwelling older adults. Methods: This study employed a cross-sectional, correlational design using a structured questionnaire. This study participants were 218 older adults aged at least 65 years who visited a senior citizen center and lived in S City C Province. The survey was conducted in August 2022. Perceived benefits, perceived barriers, and self-efficacy were measured using a tool developed by Song & Park (2018). Dementia prevention behavior was measured using a tool developed by Lim, Kim, and Kim (2018). Results: The scores for perceived benefits, perceived barriers, and self-efficacy were 5.52±0.69, 3.04±0.85, and 4.98±0.97 points, respectively (possible range: 1-7). The score for dementia prevention behavior was 3.91±0.51 (possible range: 1-5). Dementia health behavior was significantly correlated with perceived benefits (r=.32, p<.001), perceived barriers (r=-.40, p<.001), and self-efficacy (r=.64, p<.001). Self-efficacy (β=0.43, p<.001), perceived barriers (β=-0.23, p<.001), and experience of using a dementia center (β=0.20, p<.001) explained 48.6% of the variance in dementia prevention behavior (F=19.63, p<.001). Conclusion: Prior to developing a nursing intervention program to improve dementia health behavior in community-dwelling older adults, it is necessary to clarify perceived barriers and consider self-efficacy.
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    Purpose: This study aimed to identify the relationships between perceived benefits, perceived barriers, self-efficacy, and dementia prevention behavior among community-dwelling older adults. Methods: This study employed a cross-sectional, correlationa...

    Purpose: This study aimed to identify the relationships between perceived benefits, perceived barriers, self-efficacy, and dementia prevention behavior among community-dwelling older adults. Methods: This study employed a cross-sectional, correlational design using a structured questionnaire. This study participants were 218 older adults aged at least 65 years who visited a senior citizen center and lived in S City C Province. The survey was conducted in August 2022. Perceived benefits, perceived barriers, and self-efficacy were measured using a tool developed by Song & Park (2018). Dementia prevention behavior was measured using a tool developed by Lim, Kim, and Kim (2018). Results: The scores for perceived benefits, perceived barriers, and self-efficacy were 5.52±0.69, 3.04±0.85, and 4.98±0.97 points, respectively (possible range: 1-7). The score for dementia prevention behavior was 3.91±0.51 (possible range: 1-5). Dementia health behavior was significantly correlated with perceived benefits (r=.32, p<.001), perceived barriers (r=-.40, p<.001), and self-efficacy (r=.64, p<.001). Self-efficacy (β=0.43, p<.001), perceived barriers (β=-0.23, p<.001), and experience of using a dementia center (β=0.20, p<.001) explained 48.6% of the variance in dementia prevention behavior (F=19.63, p<.001). Conclusion: Prior to developing a nursing intervention program to improve dementia health behavior in community-dwelling older adults, it is necessary to clarify perceived barriers and consider self-efficacy.

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    참고문헌 (Reference)

    1 Kim YO, "Theoretical analysis of health belief model and evaluation of usefulness on nursing discipline" 13 : 427-437, 1994

    2 Sulat JS, "The validity of health belief model variables in predicting behavioral change : a scoping review" 118 (118): 499-512, 2018

    3 한지나, "The relationship between dementia education and preventive behaviors : The mediation of fear and knowledge of dementia" 40 (40): 55-65, 2023

    4 Ministry of Culture, Sports and Tourism, "The national responsibility system for dementia in Korea" Ministry of Culture, Sports and Tourism

    5 Park JS, "The effect of dementia literacy, internal health locus of control and fear of dementia on dementia preventive behaviors among middle-aged with chronic diseases" Ewha Womans University 2019

    6 이경임 ; 은영, "The Relationship between health belief and exercise compliance among elderly adults at senior centers" 26 (26): 79-88, 2015

    7 권상민 ; 권려원 ; 이혜란, "The Influence of depression and perceived health status on health promotion behavior of community dwelling frail elderly" 21 (21): 742-751, 2020

    8 Lee JH, "Study of the factors affecting behaviors for the promotion of dementia prevention : verifying the mediating effect of an attitude toward dementia" 20 (20): 89-117, 2016

    9 Kikuchi H, "Social participation among older adults not engaged in full or part time work is associated with more physical activity and less sedentary time" 17 (17): 1921-1927, 2017

    10 Bandura A, "Self-efficacy : toward a unifying theory of behavioral change" 84 (84): 191-215, 1977

    1 Kim YO, "Theoretical analysis of health belief model and evaluation of usefulness on nursing discipline" 13 : 427-437, 1994

    2 Sulat JS, "The validity of health belief model variables in predicting behavioral change : a scoping review" 118 (118): 499-512, 2018

    3 한지나, "The relationship between dementia education and preventive behaviors : The mediation of fear and knowledge of dementia" 40 (40): 55-65, 2023

    4 Ministry of Culture, Sports and Tourism, "The national responsibility system for dementia in Korea" Ministry of Culture, Sports and Tourism

    5 Park JS, "The effect of dementia literacy, internal health locus of control and fear of dementia on dementia preventive behaviors among middle-aged with chronic diseases" Ewha Womans University 2019

    6 이경임 ; 은영, "The Relationship between health belief and exercise compliance among elderly adults at senior centers" 26 (26): 79-88, 2015

    7 권상민 ; 권려원 ; 이혜란, "The Influence of depression and perceived health status on health promotion behavior of community dwelling frail elderly" 21 (21): 742-751, 2020

    8 Lee JH, "Study of the factors affecting behaviors for the promotion of dementia prevention : verifying the mediating effect of an attitude toward dementia" 20 (20): 89-117, 2016

    9 Kikuchi H, "Social participation among older adults not engaged in full or part time work is associated with more physical activity and less sedentary time" 17 (17): 1921-1927, 2017

    10 Bandura A, "Self-efficacy : toward a unifying theory of behavioral change" 84 (84): 191-215, 1977

    11 World Health Organization, "Risk reduction of cognitive decline and dementia: WHO guidelines" World Health Organization

    12 Aprilia N, "Path analysis on the effectiveness of chronic disease prevention program using health belief model" 4 (4): 85-97, 2019

    13 송라윤 ; 박문경, "Motivation factors for stages of behavioral change among individuals with metabolic syndrome" 30 (30): 60-69, 2018

    14 National Institute of Dementia, "Korean dementia observatory 2019" National Institute of Dementia

    15 Rosenstock IM, "Historical origins of the health belief model" 2 (2): 328-335, 1974

    16 이창관, "Factors influencing self-rated health of the elderly in the community : data from the 2020 National older Koreans data" (19) : 227-246, 2022

    17 최원희 ; 서영미 ; 김보람, "Factors influencing dementia preventive behavior intention in the elderly people" 25 (25): 138-146, 2019

    18 임경춘 ; 김명숙 ; 고하나, "Factors influencing dementia prevention behaviors in older Koreans enrolled in senior welfare centers" 27 (27): 39-48, 2021

    19 유리 ; 김광숙, "Factors affecting the performance of the dementia screening test using the health belief model" 31 (31): 464-477, 2017

    20 장성옥 ; 이영휘 ; 공은숙 ; 김춘길 ; 김희경 ; 조명옥 ; 채경숙, "Factors affecting the participation of the dementia screening in community-dwelling elderly" 32 (32): 134-144, 2020

    21 Jung SH, "Factors affecting dementia prevention behavior in the elderly at high risk of dementia-based in health belief model" Gyenogsang National University 2022

    22 한은경 ; 서유진, "Factors Affecting preventive bhavior of dementia of the elderly living alone in the community" 39 (39): 377-385, 2022

    23 Wolters FJ, "Epidemiology of dementia : The burden on society, the challenges for research" 1750 : 3-14, 2018

    24 박민경 ; 박지수 ; 문선혜 ; 김희정, "Environmental factors related to non-compliant health behaviors in urban-dwelling elderly" 23 (23): 361-372, 2021

    25 백광, "Effects of the health beliefs of the elderly on sleep disorders and exercise continuity" 30 (30): 39-51, 2021

    26 최혜진 ; 김희영, "Effects of depression, sleep and self-esteem on dementia preventive behavior in rural elderly people" 21 (21): 970-980, 2021

    27 Ahn SH, "Effects of a health-belief-model-based osteoporosis-and fall-prevention program on women at early old age" 59 : 151430-, 2021

    28 Lim KC, "Development and testing of dementia prevention behaviors scale for seniors living at home" 2018

    29 Akyol MA, "Determining middle-aged and older adults'health beliefs to change lifestyle and health behavior for dementia risk reduction" 35 : 1-7, 2020

    30 Ministry of Health and Welfare, "Dementia guide book" National Institute of Dementia

    31 Wahl D, "Aging, lifestyle and dementia" 130 : 104481-, 2019

    32 신종섭 ; 김지연, "A study on the application of the sustainable dementia prevention movement program : Seoul metropolitan government-centered" 29 (29): 261-274, 2021

    33 김희진, "A Review of the clinical characteristics and diagnosis process for dementia in super-aging society" 11 (11): 55-63, 2019

    34 권혜진 ; dagvadorj amarjargal ; 김학선, "A Comparative analysis of domestic and international research trends in the health belief model theory using big data-Focusing on the period of COVID-19 occurrence-" 38 (38): 89-104, 2022

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