한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제17권8호
  • /
  • Pages.485-491
  • /
  • 2016
  • /
  • 1975-4701(pISSN)
  • /
  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
DOI QR코드

DOI QR Code

재가노인을 위한 신체활동증진 프로그램의 개발 및 효과

Development and evaluation of physical activity promotion program in the resident elderly

  • 권상민 (영남이공대학교 간호대학) ;
  • 권말숙 (경운대학교 간호대학)
  • 투고 : 2016.07.14
  • 심사 : 2016.08.11
  • 발행 : 2016.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 신체활동증진을 위한 방문운동을 통해 재가 허약노인의 신체적 기능(악력, 정적균형), 심리적 기능(우울, 주관적 건강상태)에 미치는 영향을 확인하기 위해 시도된 비동등대조군 전후설계연구이다. 대상자는 D광역시에 거주하는 허약노인으로 방문요양서비스를 받는 자로 실험군 25명, 대조군 24명이다. 실험군은 A어르신 마을의 방문요양서비스를 받은 재가노인으로 2016년 3월 28일부터 2016년 5월 14일까지 8주간 총 16회의 방문운동을 실시하였다. 대조군은 중성적 처치로 2회 걸쳐 건강교육 자료를 나누어주었다. 수집된 자료는 SPSS/WIN 21.0 Program을 이용하여 분석하였다. 신체활동증진 프로그램을 적용한 결과 실험군은 대조군에 비해 오른쪽 악력, 왼쪽 악력, 정적균형이 통계적으로 유의하게 증가하였다. 우울은 프로그램 적용 후 유의하게 감소하였으나 주관적 건강상태는 유의한 차이가 없었다. 결론적으로 신체활동 증진을 위한 방문운동은 재가허약노인들의 신체적 기능향상과 심리적 건강상태를 긍정적으로 변화시키는데 효과적임을 확인할 수 있었다. 본 연구결과를 토대로 방문운동의 기간과 강도를 연장하여 그 효과의 지속성을 검정할 수 있는 반복연구와 시설이나 장소를 달리한 비교연구를 제안한다.

The purpose of this study was to identify the effects of a visiting exercise program for physical activity promotion on physical (grip strength, static balance) and psychological (depression, perceived health status) function of frail elderly patients receiving home visiting service care. Subjects included a total of 49 patients; 24 in the control group and 25 in the experimental group. The visiting exercise program was carried out 16 times for 8 weeks. The collected data were analyzed by ${\chi}^2-test$ and t-test using SPSS/WIN 21.0 program. There was a significant improvement in the left grip strength (t=2.19, p<.000), right grip strength (t=5.07, p=.032), static balance (t=3.98, p=.050), and depression (t=-8.83, p=.009) in the experimental group compared with the control group. The visiting exercise program for physical activity promotion was effective on physical and psychological functions for frail elderly patients receiving home visiting service care. Further research is needed in a longitudinal study incorporating various centers to examine the maintenance of such effects.

키워드

참고문헌

  1. Statistics Korea. 2015 life tables for Korea[Internet]. Seoul: Statistics Korea; 2015 [cited 2015 November 27]. Available from: http://kostat.go.kr/office/giro/rogi_nw/2/1/index.-board?bmode=read&aSeq=350034.
  2. J. W. Park, B. D. Hwang, The effects of Physical Activity Characteristics on Mental Health of the Aged with Chronic Disease, Korean Public Health Research, 41(1), 25-38, 2015.
  3. American College of Sport Medicine. ACSM's guidelines for exercise testing and prescription(7th ed), Philadelphia: Lippincott Williams & Wilkins Inc, 2006.
  4. K. I. Kwak, C. H. Baek, S. Y. Ryu, Relationship Between the Physical Activity Level and Health Care Utilization in Korean Elderly, Journal of the Korean Academia-Industrial cooperation Society, 16(1), 617-626, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.1.617
  5. Y. H. Lee, M. K. Choi, Fear of Falling, Depression, Physical Fitness and Physical Activity among Community Dwelling Elders, Korean J Adult Nurs, 23(4), 351-362, 2011.
  6. Y. J. Kim, J. Y. Ha, The effects of Visiting Exercise Program and Telecoaching for Physical Activity Promotion on Physical Fitness and Quality of Life in the Frail Elderly, Korean J Adult Nurs, 23(2), 198-207, 2011.
  7. Ministry of Health & Welfare. Health Promotion Master Plan 2010, Annually Report; 2006.
  8. Pharmacological Treatment of Mental Disorders in Primary Health Care. Geneva: World Health Organization; 2009.
  9. J. M. Schilke, Slowing the aging process with physical activity, Journal of Gerontological Nursing, 17(6), 4-8, 1991.
  10. S. K. Park, Y. F. Kwon, E. H. Kim, The effects of combined exercise on self-reliance fitness, insulin resistance and blood pressure in frail elderly women, The Korean Journal of Physical Education, 45(5), 369-380, 2006.
  11. T. S. Han, H. C. Choi, P. Y. Lee, Development and effect of the customized health gymnastics program for the frail old, The Korean Journal of Physical Education, 46(5), 595-606, 2007.
  12. J. S. Yang, B. G. Hwang, D. G. Ko, The effects of exercise program with added weight on human function, active fitness and quality of life in the frail elderly, Exercise Science, 19(1), 81-90, 2010.
  13. S. M. Kwon, J. S. Park, The effects of health promotion program for frail elderly residents on health promoting behavior and health status, Korean J of Adult Nurs, 25(2), 194-206, 2013. DOI: http://dx.doi.org/10.7475/kjan.2013.25.2.194
  14. W. D. Sun, S. H. Lee, J. S. Park, S. S. Bae, Y. H. Cho, C. B. Kim, K. W. Koh, Y. A. Kim, Analysis of the effects of muscle strength exercise on physical function and quality of life in frail elderly, Korean Journal of Health Education and Promotion, 25(1), 39-53, 2008.
  15. Korea Institute of Health and Social Affairs, The operating guild of health promotion for frail elderly in HUB Public Health Center, 2008.
  16. M. J. Cho, J. N. Bae, G. H. Seo, B. J. Hahm, J. K. Kim, D. W. Lee, M. H. Kang, Validation of geriatric depression scale, korean version(GDS) in the assessment of DSM-III-R major depression, Journal of Korean Neuropsychiatry Association, 38, 48-63, 1999.
  17. M. P. Lawston, M. Moss, M. Fulcomer, M. H. Kleban, A research and service oriented multilevel assessment instrument, Journal of Gerontology, 37(1), 91-99, 1982. https://doi.org/10.1093/geronj/37.1.91
  18. J. S. Park, Y. J. Oh, The effect of a health promotion program in rural elderly on health promotion lifestyle and health status, Journal of Korean Academy of Nursing, 35(5), 943-954, 2005. https://doi.org/10.4040/jkan.2005.35.5.943
  19. S. M. Kwon, Effects of Low-density Exercise in the Frail Elderly, The Journal of Digital Policy & Management, 11(11), 643-650, 2013.
  20. Y. I. Park, K. Y. Lee, T. I. Kim, M. H. Jeon, D. O. Kim, J. H. Kim, The effects of exercise in the frail elderly, J Korean Acad Community Health Nurs, 23(1), 91-101, 2012. https://doi.org/10.12799/jkachn.2012.23.1.91
  21. J. S. Shin, Y. K. Kim, M. A. Kang, H. N, Yeo, Effects of Fall Prevention Program on Muscle Strength, Postural Balance, and Fear of Falling in Elderly, Journal of Korean Clinical Nursing Research, 22(1), 10-19, 2016. https://doi.org/10.22650/JKCNR.2016.22.1.10
  22. S. G. Lee, S. K. Park, The effects of a video strength exercise on grip strength, balance, TUG in the frail elderly woman, Journal of the Korean Society of Physical Medicine, 8(1), 91-98, 2013. https://doi.org/10.13066/kspm.2013.8.1.091