중년남성의 통증/불편과 주관적 건강상태의 관계에서 운동능력과 일상활동의 매개효과-국민건강영양조사를 이용

Mediating Effects of Exercise Capacity and Daily Activity on the Relationship between Pain/Discomfort and Self-Rated Health in Middle-Aged Men: Results from Korea National Health and Nutrition Examination Surveys

본 연구는 중년남성의 통증/불편과 주관적 건강상태 간의 관계에서 운동능력과 일상활동의 매개효과를 검증하기 위한 연구이다. 국민건강영양조사 제 6기(2013-2015) 원시 자료 중 2015년도 자료에서 만 40세～64세의 남성 대상자 중 만성 질환과 각종 암, 우울이 없는 1,399명의 자료를 이용하였다. SPSS 23.0 Win program과 AMOS 23.0 program으로 경로분석을 실시하여 요인들 간의 직․간접효과와 총효과의 유의성을 검증하기 위하여 부트스트래핑(bootstrapping)을 사용하였다. 본 연구 결과 통증/불편과 주관적 건강상태 간의 관계에서 운동능력과 일상활동은 간접적인 영향을 미쳐 부분매개 효과가 있었다. 그러나 연령, 교육수준, 직업유무, 월평균가구 총소득, 스트레스유무를 통제변수로 사용한 모델에서는 통증/불편과 주관적 건강상태 간의 관계에서 운동능력만이 부분매개효과가 있는 것으로 나타났다. 이러한 결과를 바탕으로 중년남성의 통증/불편이 운동능력 강화를 통하여 주관적 건강상태를 향상시키므로 운동능력 향상을 위한 간호중재 개발의 근거를 제시하였고 이러한 간호중재는 연령, 교육수준, 직업유무 차이를 고려하여 계획되고 제공되어야 한다.

The purpose of this study is to examine the mediating effects of exercise capacity and daily activity on the relationship between pain/discomfort and self-rated health in middle-aged men. 2015 data of 1,399 men of age 40 to 64 with no chronic diseases, cancers, and depression were used from the raw data of the 6th Korea National Health and Nutrition Examination Survey(KNHANES)(2013-2015). Path analysis was conducted by SPSS 23.0 Win program and AMOS 23.0 program. Bootstrapping was used to test the significance of direct and indirect effects and total effects between factors. The results were as follows. Exercise capacity and daily activity had indirect effects on the relationship between pain/discomfort and self-rated health, suggesting partial mediating effects. However, in the model which used age, education levels, jobs, monthly income, and stress as control variables, while daily activity had no significant effects on self-rated health, other paths had statistically significant effects. It suggested that only exercise capacity had the partial mediating effects on the relationship between pain/discomfort and self-rated health. Based on the findings, it was found that pain/discomfort improved self-rated health through enhanced exercise capacity in middle-aged men. Therefore, it suggested the basis of developing nursing intervention to improve exercise capacity. The nursing intervention should be planned and provided in consideration of differences in age, education levels, and jobs.