포괄적 중재 프로그램이 취약계층 허약노인의 기능 상태와 골밀도에 미치는 효과 = The Effect of a Comprehensive Intervention Program on the Functional Status and Bone Density of the Socially-Vulnerable and Frail Elderly

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study is to provide a disease management, nutrition education, and group exercise program for three months to the moderately frail elderly whose physical functions have deteriorated, and to investigate its effects in order to develop an intervention program. Methods: As a quasi-experiment, this study was conducted based on non-equivalence studies designed as a similar experiment. The milk intake group and calcium intake group participated in the disease education, individual nutrition education, and group exercise program for three months, and the control group was visited once in the three months by a nurse who provided disease education, nutrition education, and oral instruction of exercise, and asked them to exercise on their own every day. For the data analysis, x2-test, ANOVA and Scheffé test were used. Results: After three months of intervention, there was a significant difference in the frailty level (p=.029) and bone density (p=.001) between the groups. Conclusion: The comprehensive intervention program had an effect on the bone density and the frailty level of the socially-vulnerable and moderately frail elderly, suggesting that the program can be used as a nursing intervention to prevent functional deterioration and damage of the moderately frail elderly.

참고문헌 (Reference)

1 권상민, "허약노인을 위한 건강증진 프로그램이 허약노인의 건강증진행위와 건강상태에 미치는 효과" 성인간호학회 25 (25): 194-206, 2013

2 이해영, "한국형 DASH 식이 교육과 칼슘/비타민 D 보충 영양중재 프로그램이 노인여성의 영양소 섭취량 및 식품 섭취 빈도, 골표지자, 골밀도에 미치는 효과" 성인간호학회 27 (27): 94-105, 2015

3 이인숙, "지역사회 거주 노인의 허약선별도구 타당도 평가" 한국지역사회간호학회 22 (22): 302-314, 2011

4 이인숙, "전 · 후기 허약 고위험 노인을 대상으로 한 지역사회 중심의 다요인적 허약 예방 프로그램의 효과 평가" 한국지역사회간호학회 23 (23): 201-211, 2012

5 김희선, "우유를 통한 칼슘의 공급이 일부 아산시 노인 여성의 골밀도에 미치는 영향" 대한영양사협회 11 (11): 242-250, 2005

6 유재순, "농촌 지역의 재가 취약계층 허약노인을 위한 낙상예방 프로그램의 효과" 한국간호과학회 43 (43): 613-625, 2013

7 권명순, "낙상예방 프로그램이 재가노인의 체력과 심리기능에 미치는 효과" 한국간호과학회 41 (41): 165-174, 2011

8 문정화, "낙상 유경험자 노인여성의 12주 운동프로그램 수행이 근육적성 및 유연성, 평형성에 미치는 효과" 한국운동생리학회 13 (13): 77-86, 2004

9 Shin HA, "The correlation between dietary intakes of calcium and vitamin D and osteoporosis, hypertension and diabetes mellitus" 27 (27): 17-23, 2009

10 Jung KH, "Senior survey" 2014

11 Jung KH, "Senior survey" Ministry of Health and Welfare 2011

12 Yang DW., "Production and computerization of dementia screening tool for Korean" Ministry of Health and Welfare 2002

13 Korean Statistical Information Service, "Part attempt to estimate future population 2013-2040"

14 Shin YH, "Nursing intervention for frail elderly" 10 (10): 25-30, 2006

15 Yirmiya R, "Major depression is a risk factor for low bone mineral density: A meta-analysis" 66 (66): 423-432, 2009

16 Arnold B Mitnitski, "Frailty, fitness and late-life mortality in relation to chronological and biological age" Springer Nature 2 (2): 1-8, 2002

17 Michel JP, "Frailty, exercise and nutrition" 31 (31): 375-387, 2015

18 M D Cusimano, "Effectiveness of multifaceted fall-prevention programs for the elderly in residential care" BMJ 14 (14): 113-122, 2008

19 Cranney A, "Effectiveness and safety of vitamin D in relation to bone health" 158 : 1-235, 2007

20 Rennie MJ, "Control of the size of the human muscle mass" 66 : 799-828, 2004

21 Min YK, "Clinician’s guide to prevention and treatment of osteoporosis" 15 (15): 99-108, 2008

22 De Boer IH, "Calcium plus vitamin D supplementation and the risk of incident diabetes in the women’s health initiative" 31 (31): 701-707, 2008

23 Boonen S, "Calcium and vitamin D in the prevention and treatment of osteoporosis a clinical update" 259 (259): 539-552, 2006

24 Hitz MF, "Bone mineral density and bone markers in patients with a recent low-energy fracture : Effect of 1y of treatment with calcium and vitaminD" 86 (86): 251-259, 2007

25 World Health Organization, "Assessment of fracture risk and its application to screening for postmenopausal osteoporosis" World Health Organization 1994

26 Kim SM, "A study of self exercise program for the health of aged" 24 (24): 31-45, 2006

27 Gill TM, "A rehabilitation program for the prevention of functional decline : Effect on higher-level physical function" 85 (85): 1043-1049, 2004

28 Kee BS, "A preliminary study for the standardization of geriatric depression scale short-form-Korea version" 35 (35): 298-307, 1996

29 Park MH, "2008 survey for the elderly-national living profiles and welfare service needs of older persons in Korea’s survey" Ministry of Health, Welfare, and Family Affairs and Keimyung University 2009