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발반사마사지가 시설노인의 수면, 우울 및 생리적 지수에 미치는 영향
송예헌(Song, Rye-Hun),김도환(Kim, Do-Hwan) 한국노년학회 2006 한국노년학 Vol.26 No.1
The purpose of this study was to examine the effect of foot reflexion massage on the sleep, depression and physiological index of elderly in nursing home. The participants in this study were 38 elderly people who resided in two institutions which are similar to condition in the same region. An experimental group and a control group were organized with 19 participants respectively, and foot reflexion massage was provided 12 sessions, one session was provided for 30 minutes. The selected dependent variables were quality of sleep, depression, physiological indices(blood plasma serotonin, serum cortisol, blood pressure, pulse), which were all measured before and after foot reflexion massage was offered. The foot reflexion massage showed a strong effect on sleep and depression. Therefore, it's required to give foot reflexion massage as a successful nursing intervention to elderly people who undergo a change in sleep and suffer from depression due to deteriorated sleeping. 본 연구는 요양원에 거주하는 노인을 대상으로 발반사마사지가 노인의 수면, 우울 및 생리적 지수에 미치는 효과를 규명하고자 시도하였다. 본 연구에서는 비 동등성 대조군 전후 유사실험설계를 적용하였다. 대상자는 대전광역시 소재의 D노인요양원과 S노인요양원에 입소한 노인들로서 실험군과 대조군이 각각 19명씩 총 38명이다. 발반사마사지는 30분/회, 총 12회 실시하였다. 종속변수로 수면양상, 수면의 질, 우울, 혈장 세로토닌, 혈청코티졸, 수축기혈압, 이완기혈압, 맥박을 실험중재 전과 12회 실시 후, 2회 측정하였다. 연구결과 발반사마사지중재로 수면의 질이 향상되고 우울이 감소되어, 발반사마사지의 이완효과가 나타났음이 입증되었다. 따라서 본 연구결과를 통해 수면양상의 변화와 수면의 질 저하 및 우울을 보이는 대상자에게 수면을 증진시키고 우울을 감소시키기 위한 적극적인 간호중재로 발반사마사지를 활용하는 것이 필요하다.
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노인이 인지하는 가족지지와 정신건강 및 삶의 만족도와의 관계 연구 : D시 노인종합복지관 이용노인을 대상으로
송예헌 대한간호학회정신간호학회 2001 정신간호학회지 Vol.10 No.4
This study aims at providing basic data for a strategy of supporting intervention by analytically studying the elderly's satisfaction with their mental health condition and understanding of the relationship between associated variables, so that the elderly can enjoy the rest of their life span. To approach such a study, a total of 96 elderly people were intentionally selected, as a limited population of subjects, using a standard subject-selection. They were selected from DaejonCity 2-Gu Senior's Welfare Center for the elderly, form homes for elderly and from a grout of elderly residing at their own residences in two administrative districts in Daejon from October 16 to October 26, 2000. Data were collected through interviewing the elderly using a questionnaire. The research instruments used for this studying were, a 5-Point Likert scale questionnaire of ten questions developed by Gang, Hyen Sook to measure social support from the family and a 3-point Likert scale questionnaire of 17 questions developed by Choi, Young Hee to measure mental health and life satisfaction was the life satisfaction index-z a three Likert scale, compassed of 13 questions developed by Choi, Hae Kyung to measure life satisfaction. For the subjects' general characteristics, actual numbers and percentages were calculated, for the degree of family members' support to the elderly and the mental health condition (state) of the elderly, maximum values, minimum values, averages, and standard deviations were calculated, to test the differences between the degree of family members' support to the elderly and the mental health condition of the elderly according to the general characteristics, an analytical study was implemented using t-test, and ANOVA, and lastly, to identify correlations between the degree of support from family members and the mental condition of the elderly. Pearson's Correlation Coefficient were used. The results from the study were as follows: 1. For the degree of support from family members, the minimum value was 3.37, the maximum value 4.47, the average 41.64, and the standard deviation 7.30. The degree of support from family members was in the mid point range of support. For the degree of the subjects' mental health condition, the minimum value 2.21, the maximum value was 2.95, average 43.27, and the standard deviation 5.60. The mental health condition of the subjects was in the mid point range for mental health condition. 2. The general characteristics that showed a significant difference in the satisfaction with the degree of support received from family members were the age (F=2.785, p<.05) or whether they had a spouse (F=5.904, p<.01) or not. The general characteristics that showed a significant difference in the elderly's mental health condition were the amount of monthly pocket money the elderly received from their child or children(F=2.637, p<.05), whether of economy condition (F=6.646, p<.01). 3. The family members' support to the elderly and the elderly's mental health condition showed statistically significant correlation(r=.546, p<.01), and the family members' support to the elderly and the elderly's life satisfaction showed statistically significant correlation(r=.471, p<.01). The study results indicate that approaches to expanding family support for the elderly as a social support intervention should be developed in order to better the mental health condition and life satisfaction of the elderly.
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