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본 연구는 당뇨병을 위하여 효능기대증진에 초점을 맞춘 운동프로그램을 개발하고 그 효과를 실험군 15명, 대조군 15명을 대상으로 실험 전, 실험 직후, 그리고 실험 후 10주를 비교 검증하여 프로그램의 효과와 지속성을 알아보는 사전사후 유사대조군 실험설계이다. 첫째, 효능기대증진에 초점을 맞춘 운동프로그램의 자기효능이 실험군의 결과에 의하면 실험 전, 실험 직후, 그리고 실험 후 10주를 시기에 따라 비교 하였을 때 실험 전 52.40점, 실험 직후 61.40점, 실험 후 10주 71.27점으로 자기효능감이 유의하게 높아졌다(F=40.86, p=.000). 둘째, 시기에 따른 실험군의 자가간호의 비교에 있어서도 실험 전, 실험 직후, 실험 후 10주를 비교 하였을 때 실험 전 40.40점, 실험 직후 46.67점, 실험 후 10주 51.73점으로 자가간호 점수가 유의하게 높아졌다(F=44.66, p=.000). 셋째, 시기에 따른 실험군의 당조절 비교에 있어서 평균 당화혈색소 농도는 실험 전, 실험 직후, 실험 후 10주를 비교 하였을 때 실험 전 7.93%, 실험 직후 7.73%, 실험 후 10주 6.80% 으로 유의하게 감소한 것으로 나타나 긍정적인 변화를 보였다(F=2.95 p=.010). 이상의 결과를 볼 때 에 있어서 효능기대증진을 적용한 프로그램이 당뇨병관리가 실험직후와 실험 10주후까지 자기효능과 자가간호가 유의하게 높아진 것으로 나타났다. 그러므로 앞으로 당뇨프로그램에 있어서 자기효능기대증진을 적용한 교육의 개발이 필요하며, 이를 적용한 효과적인 추후관리 및 재교육에 대한 평가 및 관리가 요구된다.


The purpose of this study was to examine the effects of a 6 week self-care expectation education program promoting self-efficacy for elderly people with diabetes. This study wes to compare self-efficacy, self-care Behavior and HbA1c of diabetes patients before education or exercise (1 week) immediately after (6 weeks) and at present (10 weeks). The subjects were 30 diabetic (experimental group's : 15 patients, control group's : 15 patients). Control group's performance was exercise therapy. Exercise therapy applied in an efficacy expectation promoting program Protocol was followed. In order to obtain the desired results, we measured self-efficacy, Self-care Behavior and HbA1c Change before education and exercise(1week) immediately after(6 weeks) and at present(10 weeks). Paired sample t-tests were performed to analyze differences between pre-and post-tests. The major findings of this study were that (1) Experimental group's were a significant difference in total self-efficacy according to time (before education and exercise, immediately after and at present) relationship change was improved(F=40.86, p=.000). (2) Experimental group's were a significant difference in total self-efficacy according to time (before education and exercise, immediately after and at present) relationship change was improved (F=44.66, p=.000). (3) Experimental group's were a significant difference in HbA1c according to time (immediately after program and at present) relationship change was improved(F=2.95, p=.010). The results indicate that the effects of exercise therapy applied in an efficacy expectation promoting program enable Diabetes patient to improve self-efficacy, Self-care Behavior and HbA1c. Thus this program can be recommended as an effective care intervention for chronically ill patients including diabetic patients.