(A) study on health promoting lifestyle and its related factors of missionary

역학및건강증진학과/석사[한글] 본 연구는 해외거주선교사의 건강증진 생활양식 실천정도와 관련 요인을 구명하고, 건강증진을 위한 생활양식의 실천을 중재하며, 향후 선교사를 위한 건강증진프로그램의 기획에 활용하기 위함이다. 연구대상은 일 선교단체 소속의 선교사이며, e-mail을 통해 320명으로부터 수집한 설문지를 분석하였다. 분석방법은 SAS Window 프로그램을 사용하여 기술통계량과 t-test, 분산분석(ANOVA), 상관관계분석(Pearson''s Correlation Coefficient), 다중회귀분석(Multiple Regression)을 하였으며, 연구의 주요 결과는 다음과 같다. 1. 대상자의 일반적 특성에 따른 건강증진 생활양식 실천정도는 평균 2.93점(최고 4점)이며, 연령이 높을수록, 미혼보다는 기혼의 경우, 소득수준이 높을수록, 평균수면시간이 길수록, 정확한 출퇴근 근무형태가 통계적으로 유의하게 높았다. 건강증진 생활양식의 11개 하부 영역 중에서 실천정도가 높은 것은 위생적 생활, 조화로운 관계, 자아실현 순이었으며, 낮은 것은 전문적인 건강관리, 운동 및 활동, 자아조절 순이었다. 2. 인지-지각요인은 지각된 유익성이 3.53점(최고 4점), 지각된 장애성이 1.72점(최고 4점), 자기 효능감이 3.89점(최고 5점), 사회적 지지 2.96점(최고 4점), 지각된 건강상태는 2.88점(최고 4점)이었다. 3. 건강증진 생활양식 실천정도와 지각된 유익성, 장애성, 자기 효능감, 사회적 지지, 지각된 건강상태, 연령, 평균수면시간, 거주기간과의 상관관계는 통계적으로 유의하며, 특별히 건강증진 생활양식 실천정도와 사회적 지지는 통계적으로 가장 높은 유의한 양의 상관관계(r=0.5632, p<.0001)가 있었다. 4. 건강증진 생활양식 실천정도와 관계있는 요인으로는 사회적 지지, 지각된 유익성, 지각된 건강상태, 자기 효능감, 연령과 평균수면시간이며, 이 요인들이 증가 할수록 건강증진 생활양식 실천정도도 증가하는 양의 관계가 있다. 또한 24시간 상근 및 기타의 근무형태가 정확한 출퇴근 근무에 비해, 또 비만(BMI 25이상)의 경우가 표준체중에 비해 건강증진 생활양식 실천정도가 감소하는 음의 관계에 있으며, 가장 관계있는 요인은 사회적 지지(R²=.3221, p<.0001)이며, 모든 변수들의 설명력은 49.73%이다. 따라서 선교사의 건강증진 생활양식 실천정도를 높이기 위해서는 현지선교사와 긴밀한 네트웍을 형성하여 정기적이고, 지속적인 연락과 격려로 고립감이 없도록 하며, 현지에서는 소그룹을 형성하여 상호 협력 및 교통을 통한 관계성을 향상하여, 자존감을 높이도록 한다. 또한 긍정적인 건강증진 생활양식에 대한 정기적인 정보 제공 및 교육을 실시하며, 특별히 스트레스 대처나 자아조절, 운동, 안전관리 등의 프로그램을 실시하여 실생활에서의 실천을 유도한다. 전문기관과 전담상담자를 통한 선교사종합관리시스템(Total member care system)을 구축하여, 선교사의 선발부터 은퇴까지 선교사의 건강관리 및 복지 혜택을 제공&#61598;관리하며, 정확한 출퇴근 근무로 근무형태를 개선하도록 권장하며, 규칙적인 생활을 실천하도록 한다. [영문]The purpose of this study were to investigate the health promoting lifestyle of overseas missionaries and to help them develop and practice such a lifestyle and also to use it in the health promoting program for missionaries. Missionaries from one mission organization have been targeted for this study. After getting 320 questionnaires answered via e-mail, we have calculated and have come up with a statistical data using the SAS Window program as well as the t-test, ANOVA, Pearson''s Correlation Coefficient and Multiple Regression. The result is as follows: First, according to the targeted person''s general distinctive qualities, the rate for practicing the health promoting lifestyle was 2.93 on average. Statistically, the older people, those who were married, and had high incomes, as well as the people with the average of longer sleeping hours in general showed to have a constant numeric data of working hours with accurate time from the start to the end of each day''s work. Out of the eleven ways of health promoting lifestyle, sanitary life, harmonious relationship and self-achievement were the three that were best practiced in health promoting lifestyle. The least practiced ones were professional health maintenance, exercise and activity and self-control. Second, measured datas as follows : the perceived benefits:3.53, perceived barriers:1.72, perceived self-efficacy:3.89, social support:2.96, perceived health status:2.88. Third, statistically, the amount of the health promoting lifestyle being practiced, the perceived benefits, barriers, self-efficacy, social supports, perceived health status, age, average sleeping time, residing period and human relationships are meaningfully related. The amount of the health promoting lifestyle being practiced and social support are highly related in meaningful ways.(r=0.5632, p<.0001) Fourth, social support, perceived benefits and health status, self-efficacy, age and average sleeping time are related to health promoting lifestyle. As these factors increase or improve, one''s health promoting lifestyle also gets better. Also, health promoting lifestyle worsen in one''s life when one works 24 hours a day each day compared to another working for a set amount of time. The same thing happens when one is over weighed (over BMI 25) compared to another with a standard weight. The most related factor to this is social support(R²=.3221, p<.0001) and the combination of that variable explained 49.73% of the health promoting lifestyle. Therefore, in order to improve the health promoting lifestyle of missionaries, it is important to form a tight network with the missionaries. They should make sure to create no isolation through continuous and regular contact and encouragement. On their mission fields, they should form a small group through which they can help each other and build relationships through fellowship which can improve their self-respect. They should start an education that will provide a regular and continuous information on health promoting lifestyle. It is important to prompt people to practice the health promoting lifestyle by making programs on stress relieving, self-control, exercising and safety management. They should establish a total member care system with the help of professional organizations and counselors and provide a health welfare benefits to the missionaries from the time of their recruitment to retirement. They should also try to improve the working time by setting up an exact time for starting and finishing their work each day. It is important to let them live an orderly life.ope