재가노인을 위한 자가관리증진 프로그램의 효과 = Effects of the Self-care Promotion Program for the Elderly in Home Health Nursing

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to investigate the effects of a program for increasing self-care with activities of daily living among the elderly living at home. Methods: The study adopted a non-equivalent control group pretest-posttest design. The number of participants were 30 in the experimental group and 30 in the control group. Participants were persons aged 65 years and above in Busan. The experimental group was provided with for 16 different types of self-care behaviors by family nurses who made weekly home visits to these participants. Each visit lasted for more than 30 minutes, and the visits were conducted for 12 weeks. The research instrument used in this study was a scale developed by Shimanouchi et al. (2003) which assessed self-care behavior, activities of daily living, and depression. Results: The experimental group showed an increase in self-care behavior compared to the control group. Time and group variables were also found to have an interaction effect on the daily living activity level. The experimental group showed an increase in the activities of daily living compared to the control group. Depression scores dropped from 9.4 to 5.8 in the experimental group and from 8.6 to 7.0 in the control group. Conclusion: We found that the self-care behavior program improved the levels of independence and activities of daily living among the elderly living at home.

참고문헌 (Reference)

1 유호신, "전국 의료기관 가정간호이용 및 가정간호비용" 한국간호과학회 36 (36): 1193-1203, 2006

2 정순둘, "저소득 노인의 사회적 지원망 특성 : 연결고리의 분석을 통한 탐색적 연구" 한국노인복지학회 24 (24): 7-29, 2004

3 Moon, M. J., "재가노인의 일상생활기능과 삶의 질에 관한 연구" 한국재활간호학회 4 (4): 46-57, 2001

4 송미숙, "재가노인을 위한 지역사회 중심의 집중건강관리프로그램의 개발과 적용" 한국노년학회 29 (29): 37-50, 2009

5 전경자, "재가노인 기능상태 평가도구를 이용한 재가노인 사례관리 프로그램의 효과 평가" 한국간호과학회 39 (39): 366-375, 2009

6 이명숙, "재가 독거노인에 대한 건강다이어리 프로그램의 효과" 한국간호과학회 37 (37): 966-975, 2007

7 한영란, "재가 노인을 위한 집단인지기능향상프로그램이 인지기능, 우울 및 삶의 질에 미치는 효과" 한국간호과학회 40 (40): 724-735, 2010

8 송민선, "우울 노인의 일상생활활동과 우울 영향 요인" 노인간호학회 10 (10): 20-26, 2008

9 홍지연, "요양병원 노인 환자의 우울과 일상생활 수행능력에 관한 연구" 성인간호학회 22 (22): 457-465, 2010

10 송미령, "시설노인의 건강증진행위 이행 정도와 예측요인" 한국간호교육학회 13 (13): 301-309, 2007

11 김귀분, "노인이 지각한 가족지지, 사기 및 삶의 질과의 관계연구" 성인간호학회 19 (19): 517-526, 2007

12 황라일, "노인의 인지 기능 수준에 따른 삶의 만족도 영향 요인 비교" 한국간호과학회 39 (39): 622-631, 2009

13 윤희상, "건강증진프로그램 이용과 관련된 요인 -서울시 보건소를 중심으로-" 한국보건사회연구원 28 (28): 157-184, 2008

14 이기령, "가정간호서비스가 만성질환 재가노인의 신체건강, 인지기능 및 우울에 미치는 효과" 정신간호학회 18 (18): 251-258, 2009

15 Kim, B. I, "The relations between self-esteem, self-care and life satisfaction in the home-dwelling elderly" 16 (16): 415-423, 2005

16 Chun, S. J., "The factors associated with health status of the aged in the family in Seoul using the korean health status measure" The Catholic University of Korea 2005

17 Park. S. Y., "Study on the effects of the life satisfaction and independent living of the elderly life" Ewha Women University 2004

18 Lee, H. Y., "Physical functioning, emotional state and life satisfaction in community dwelling elders" Yonsei University 2007

19 Oh, Y. H., "Networking healthcare and social services for those outside the long-term care insurance(2009-34-3)" Korea Institute for Health and Social Affairs 2009

20 Kim, K. T., "Life satisfaction and social support network of the elderly living alone" 20 (20): 153-168, 2000

21 National Health Insurance System, "Key statistics in the first half of 2010 Health insurance"

22 Kim, Y. S., "Home health care general studies" Koonja Publishing Company 2008

23 Sheikh, JI., "Geriatric depression scale:recent evidence and development of a shorter version" 5 : 165-173, 1986

24 Nakatani H., "Factors in care management affecting client outcomes" 6 : 239-246, 2004

25 Yim, E. S., "Effect of physical ability, depression and social support on quality of life in low income elders living at home" Yonsei University 2002

26 Shimanouchi S., "Comparison of outcome improvement of the elderly with mild care assistance in home care among three countries" 2003

27 Statistics Korea, "Briefing materials on the factor analysis and implications of social change over the next 10 years"

28 Ki, B. S., "A Preliminary study for the standardization of geriatric depression scale short form-korea version" 35 : 298-307, 1996

29 Ahn, Y. H., "A Community-based integrated preventive program of depression and it's effectiveness in caring for vulnerable elderly" 14 (14): 287-298, 2003

30 Statistics Korea, "2010 Elderly Statistics"

31 Statistics Korea, "2009 Elderly Statistics"