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KMID : 0388320220290010084
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Journal of Korean Academy of Fundamental Nursing
2022 Volume.29 No. 1 p.84 ~ p.93
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A Prediction Model for Health Promoting Behavior in Obese Middle-Aged Women
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Bae No-Hyun
Kim Ok-Soo
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Abstract
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Purpose: This study was conducted to identify influencing factors in a health promotion model that explains andpredicts health promoting behavior in obese middle-aged women.
Methods: Based on Pender’s health promotionmodel, a hypothetical model was constructed with nine factors (emotional eating, obesity stress, perceived benefitsof action, perceived barriers to action, perceived self-efficacy, activity-related affect, social support, commitmentto a plan of action, and health promoting behavior). The participants were 215 obese middle-aged women whovisited one of three health check-up centers in Seoul, Incheon, or Gyeonggi Province to receive health check-upsthrough the National Health Insurance Corporation. Data were collected using a structured questionnaire.
Results:In the final research model, the factors that had a direct impact on health promoting behavior of obese middle-agedwomen were obesity stress (β=-.17, p=.001), perceived self-efficacy (β=.34, p<.001), activity-related affect (β=.22,p<.001), commitment to a plan of action (β=.34, p<.001). The explanatory power was 51.3%.
Conclusion: Thisstudy found that a higher level of engagement in health promoting behavior was associated with lower obesity stress,higher perceived self-efficacy, better activity-related affect, and a higher commitment to a plan of action. Theseresults may be used as a basis for the development of a nursing intervention program to improve health promotingbehavior in obese middle-aged women.
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KEYWORD
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Health promotion, Obesity, Psychological stress, Self-efficacy
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