지역사회간호학회지 (Research in Community and Public Health Nursing)

  • 제23권4호
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  • Pages.376-385
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  • 2012
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  • 1225-9594(pISSN)
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  • 2288-4203(eISSN)
한국지역사회간호학회 (Korean Academy of Community Health Nursing)
권호 표지

게이트키퍼 (Gatekeeper)를 활용한 우울군 독거노인에 대한 맞춤형 사례관리 효과 -정신건강 사례관리를 중심으로-

Effects of Tailored Case Management using a Gatekeeper for the Depressed Single-household Elderly Population -Focusing on the Mental Health Case Management-

  • 최윤정 (중앙대학교 적십자 간호대학) ;
  • 원미라 (대원대학교 간호과)
  • Choi, Yun-Jung (Red Cross College of Nursing, Chung-Ang University) ;
  • Won, Mi-Ra (Department of Nursing, Daewon University)
  • 투고 : 2012.03.26
  • 심사 : 2012.12.19
  • 발행 : 2012.12.31
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초록

Purpose: The aim of this study was to evaluate the effects of tailored case management using a gatekeeper on depression and life satisfaction in the single-household elderly population. Methods: The design of Quasi experiment was applied to compare the variables before and after the management. Ninety-seven people who had depression categorized by the Korean Geriatric Depression Scale. Results: Depression (t=11.22, p<.001) and life satisfaction (t=-5.36, p<.001) were improved after management in comparison to the results of pre-tests, and the differences were statistically significant. The difference in the pre-test and post-test scores of the support system ($x^2$=13.89, p<.001) were significant, while the differences in the perception of depression ($x^2$=.02, p=.891) and coping methods ($x^2$=.34, p=.558) were not statistically significant. Conclusion: Tailored case management using a gatekeeper is effective to reduce the degree of depression and improve life satisfaction in the single-household elderly population having depression. This study offers a model of individualized as well as systemic mental health care for the community of single-house hold elderly people as an effective means for prevention of and early intervention in depression.

키워드

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