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Korean J Women Health Nurs > Volume 9(2); 2003 > Article
Korean Journal of Women Health Nursing 2003;9(2):152-160.
DOI: https://doi.org/10.4069/kjwhn.2003.9.2.152   
Effects of Health Management Program on Body composition, Self-efficacy and Health Promotion Behavior in Middle-Aged Women
Hyoung Sook Park, Mi Hae Sung, Yun Mi Lee
1Department of Nursing, Pusan National University, Korea.
2Department of Nursing, Inje University, Korea.
Abstract
The purpose of this study is to determine the effect of a health management program on body composition(body weight, body fat mass, body fat ratio, lean body mass, abdominal fat ratio), self-efficacy and health promotion behavior in middle-aged women. This 6-week long program containing exercise and health education was developed by researchers. The study design was one group pretest- posttest design. Data for the study was collected from August 1 to September 15, 2002. The participants consisted of 15 middle - aged women living in the community. The collected data was analyzed using Wilcoxon Matched - Signed - Ranks Test by SPSS/WIN program The results are as follows: 1. There was a significant difference in body composition at week 6 compared to week 1. The body weight, body fat mass and body fat ratio significantly decreased(Z= -2.533, p=. 011 ; Z= -2.023, p= .043; Z= -2.023, p= .043). But the lean body mass significantly increased(Z= -2.226, p= .026). 2.There was a significant improvement in self-efficacy at week 6 compared to week 1(Z= -3.434, p= .001). 3.There was a significant improvement in health promotion behavior at week 6 compared to week 1(Z = -3.305, p= .001). In conclusion, health management program promoting self - efficacy for middle-aged women was effective in improving health promotion behavior. Further study with a longer follow up period is necessary in order to test the long term effect of the program.
Key Words: Middle-Aged Women; Health management program; Body composition; Self-efficacy; Health promotion behavior


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