Song Rhayun, June Kyung Ja, Kim Chun Gill, Jeon Mi Yang
Department of Nursing, Soonchunhyang University, ChonAn, South Korea.
Public Health Nurs. 2004 Jul-Aug;21(4):361-71. doi: 10.1111/j.0737-1209.2004.21410.x.
This study compared the changes in health behaviors, motivation, and functional status between motivation enhancement exercise-program participants and program dropouts over 6 months. A total of 73 older adults living in residential homes participated in the study. Face-to-face interviews were conducted at pretest and then at 10 weeks and 6 months in the program. The participants exercised using traditional Korean dance movements for 50 min, 4 times per week, for 6 months. The subjects were classified as participants or dropouts by using a cutoff attendance rate of 80%. Repeated ANOVA revealed the following results over 6 months: 1 The motivation to perform health behaviors, especially for perceived benefits, improved significantly for the participants than for the dropouts. 2 Significant differences in the performance of overall health behaviors and exercise-related behaviors were found between the participants and the dropouts. 3 The sickness impact profile (SIP) of the participants improved significantly, compared with the dropouts. Significant group differences were found for total SIP, physical dimensions, and enjoyment of recreation and pastimes. In conclusion, the study found that the 6-month motivation enhancement program was effective in motivating older adults to perform health behaviors and to improve their functional status.
本研究比较了动机增强锻炼计划参与者与退出者在6个月内健康行为、动机和功能状态的变化。共有73名居住在养老院的老年人参与了该研究。在预测试时以及在计划进行到10周和6个月时进行了面对面访谈。参与者采用传统韩国舞蹈动作进行锻炼，每周4次，每次50分钟，共持续6个月。通过使用80%的出勤率临界值将受试者分为参与者或退出者。重复方差分析显示了6个月内的以下结果：1. 与退出者相比，参与者进行健康行为的动机，尤其是对感知益处的动机，有显著改善。2. 在参与者和退出者之间，总体健康行为和与锻炼相关行为的表现存在显著差异。3. 与退出者相比，参与者的疾病影响概况（SIP）有显著改善。在SIP总分、身体维度以及娱乐和消遣的享受方面发现了显著的组间差异。总之，该研究发现为期6个月的动机增强计划在激励老年人进行健康行为和改善其功能状态方面是有效的。
