Earticle

이 연구는 건강운동관리사가 제공하는 운동처방과 운동교육을 받은 고혈압·당뇨 환자들의 운동교육 효과를 평 가하여, 운동처방의 필요성 및 교육효과를 제공하는데 목적을 두고 있다. 연구는 J도 J시에 거주하는 만성질환자를 대상 으로 하였다. 연구대상자 선정은 J도 J시에 거주하면서 근린운동시설을 이용하는 고혈압 또는 당뇨병 질환자들 중 무작 위로 추출하여 참여의사가 있는 대상자 15명을 심층면접조사 대상으로 선정하였다. 개방형 설문지는 선행연구결과와 질적연구전문가, 건강운동관리사, 체육학박사가 협의하여 작성하였다. 연구자 3인의 회의결과 최종 도출된 반 구조화 된 개방형 질문은 운동교육의 문제점, 운동교육의 효과, 운동교육에 대한 요구 등의 3개영역의 질문으로 구성되었다. 건 강운동관리사에 의한 운동처방과 운동교육 효과에서 운동교육의 의미는 그동안 질환자들이 본인의 질병과 관련되어 넘 쳐나는 정보의 홍수 속에서 운동을 실천할 동기를 찾지 못하고 있었으나, 운동교육의 효과로 이론과 실습이 병행된 맨투 맨 식 개인 맞춤식 교육을 통해 실천 가능한 운동교육정보를 제공 받았고, 실제로 질환 개선의 효과를 경험하였다. 또한 건강운동관리사가 자신의 생활습관 개선을 위해 상담해주는 것에 대한 효과를 인식하고 건강운동관리사에게 교육받은 내용을 주변인과 적극 공유하는 모습을 보였다.

The purpose of this study was to assess the effectiveness of exercise service Program and Exercise Prescription of the Exercise Prescriber. 15 subjects who completed an exercise program were selected to determine the effects of exercise training. They participated in the in-depth interview using a semi-structured questionnaire for data collection. Data were analyzed by the inductive category analysis method. Firstly, the subjects showed a lack of motivation to perform the exercise, and chronic disease management was failed due to the overwhelming or wrong exercise-related information. Secondly, the analysis of experience of exercise service and effectiveness showed the determining factors as follows; i) providing concrete and feasible information for implementing exercise, ii) Personalized counselingstyle education theory and practice of parallel, iii) the improvement of chronic disease through conducting exercise service, iv) opportunity to communicate the exercise service program with others, v) Improved lifestyle through exercise, and vi) trusting the exercise service program due to the recommendation by exercise prescriber. Lastly, the subjects pointed out the lack of public facilities and equipment to conduct exercise service program. The one to one service which combines concrete information about exercise service program and exercise Prescription was effective for the chronic disease management. It made the patients share the exercise service content with others. Also, they showed high trust of the multi-dimensional management system which was provided by exercise specialist.

PURPOSE: To evaluate the usability of a kiosk-based healthcare service that provides a fitness evaluation and customized exercise program for elderly or chronic musculoskeletal system patients. METHODS: To evaluate the usability of the customized exercise service program, healthy adults (n=20) from Welfare B, located in Gwangju, were selected and studied. Subjective safety, operability, and satisfaction of individual users were obtained as data by distributing questionnaires to subjects who experienced this program and having them fill out the questionnaire. For descriptive statistics related to the survey, frequency analysis was used to determine the frequency and ratio of the variable values of the measurement items. RESULTS: As a result of the usability evaluation, the average score was 4.166, and the average score of each item was 4.025 for safety, 4.272 for operability, and 4.143 for satisfaction. Most users obtained high satisfaction and positive impressions. CONCLUSION: The HARUFIT service, a user-customized exercise program used in this study, can be developed into a device that can improve self-management ability and increase understanding of health care by providing customized exercise based on the results of physical fitness evaluation. It is possible to diversify health management methods and maximize the effect of exercise by making exercise a habit of chronic musculoskeletal disease patients or the elderly using these smart devices.

이 연구는 장애아동 재활서비스 지원사업 운동재활영역의 프로그램 운영 경험에 대한 제공인력의 진술을 통해 운동재활영역의 인식 및 개선방향 등을 알아보기 위한 연구이다. 이러한 연구 목적에 따라 장애아동 재활서비스 지원사업 운동재활영역의 서비스를 제공하고 있는 제공인력 20명을 대상으로 개별 심층면담을 실시하였으며, 지속적 비교분석법을 통해 면담자료를 질적 분석한 결과 3개의 대주제와 7개의 하위주제를 도출하였다. 첫째, 운동재활영역의 정체성에 대해 다양한 관점에서 인식하고 있었으며, 둘째, 운동재활영역 제공인력으로서 역량을 높이기 위해 노력하고 있음을 알 수 있었다. 셋째, 실질적 적용을 위한 프로그램 교재와 매뉴얼 및 정책적 개선과 지원이 필요함을 알 수 있었다. 논의에서는 본 연구의 결과를 바탕으로 운동재활영역의 정체성 확립과 운동재활영역 제공인력의 역량강화 그리고 운동재활영역 프로그램 개발 및 제도적 개선과 지원방안을 고찰하였고, 장애아동 재활서비스 지원사업 운동재활영역이 정립될 수 있는 개선방향 등을 제시하였다.

This study aimed to identify the current status and suggest directions of exercise rehabilitation area based on statements of service providers who had experiences of operation in the exercise rehabilitation programs as part of a rehabilitation service for children with disabilities. For the purpose, this study intensively interviewed each of 20 exercise rehabilitation service providers for the project. As a result of analysing the results of the survey qualitatively through a continuing comparison analysis, this study obtained three themes and seven sub-themes as follows: First, the subjects were aware of the identity of exercise rehabilitation in diverse perspectives. Second, the subjects were making efforts to enhance their capability in exercise rehabilitation service. Third, for practical application of the program, improvement of textbooks and manuals should be politically supported. Based on the results, this study identified the identity of the exercise rehabilitation and suggested supports for enhanement of capability of rehabilitation service providers and development of better rehabilitation program and strategies for rehabilitation service for children with disabilities.