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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effects of Comprehensive Health Care Program for Living Alone Older People on Blood Pressure, Fasting Glucose, Body Composition, Depression at a Senior Welfare Center

일개 노인복지관 통합건강케어프로그램이 독거노인의 혈압, 혈당, 체중, 체성분, 우울감에 미치는 영향

  • 장애순 (목포이랜드노인복지관 건강관리실) ;
  • 황은정 (세한대학교 간호학과)
  • Received : 2017.08.17
  • Accepted : 2017.11.03
  • Published : 2017.11.30
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Abstract

This study was conducted to identify the effects of a comprehensive health care program for elderly living alone on blood pressure, fasting glucose, body composition, and depression at a senior welfare center in M city. The study employed a one-group, pre-posttest design. The comprehensive health care program lasted for three months, from March to June in 2015, and consisted of open health education, exercise class, health consulting and personal education, nutritional consultation, and a self-support group. The sample elements of this study were individuals over 65-years-old with hypertension or diabetes mellitus, living near a welfare center in M city. A total of 34 participants were initially selected, but five subjects who were attended less than five times were excluded; therefore, a total of 29 individuals were included. The t-test and Pearson's correlation were used to analyze the data. The characteristics of subjects were 19 male(65.52%) and 10 female(34.48%). The most common age was 70 (16 subjects;55.17%). Additionally, 14 subjects were suffering from hypertension and diabetes mellitus (48.27%), which were occupied in the largest number in this study. The average attendance number of health programs was 10.28 times(${\pm}4.17$). In this study of subjects were significantly lower systolic blood pressure(t=3.275, p=0.004), body weight(t=3.878, p=0.001), depression(t=3.308, p=0.004) compared to pre-test. As the elderly population has increased, the number of individuals living alone has also increased. Accordingly, then need for physical and psycho-social health programs targeting the elderly is greater.

이 연구는 M시에 소재한 일개 노인복지관에서 인근 거주 독거노인들을 대상으로 한 통합건강케어프로그램이 프로그램 참여 전과 참여 후 대상자의 혈압, 혈당, 체중, 체성분, 우울감에 미치는 효과를 확인하는 것을 목적으로 한 단일집단 사전 사후 설계연구이다. 통합건강케어 프로그램은 2015년 3월부터 6월까지 총 3개월동안 운영되었으며, 열린 강좌, 운동교실, 건강상담 및 관리, 영양상담, 자조모임 지원으로 구성되었다. 이 연구의 표본 요소는 M시에 거주하는 고혈압 또는 당뇨병을 앓고 있으며 거동이 가능하며 인근에 거주하여 걸어서 복지관에 올 수 있는 65세 이상 혼자 사는 노인 34명을 1차 대상자로 선정하여 이들 중 복지관에 5회 미만 출석한 5명의 대상자를 제외하고 29명을 최종 대상자로 하였다. 본 연구의 분석방법은 t-test와 Pearson correlation을 적용하였다. 대상자의 일반적 특성은 남자는 19명(65.52%), 여자는 10명(34.48%)이었다. 연령은 70대가 16명(55.17%)로 가장 많았으며, 현재 고혈압과 당뇨병을 모두 앓고 있다고 답한 대상자는 14명(48.27%)으로 가장 많았다. 프로그램 출석횟수는 평균 10.28회(${\pm}4.17$)였다. 이 연구대상자들은 통합케어프로그램 참여 전에 비해 참여 후 수축기혈압(t=3.275, p=0.004), 체중(t=3.878, p=0.001), 우울감(t=3.308, p=0.004)에서 유의한 감소를 보였다. 급증하는 노인 인구와 함께 독거노인 비율도 지속적으로 증가하고 있다. 독거노인들은 신체적 건강 뿐 아니라 심리적 건강 요구도 지속적으로 증가하고 있다. 따라서 지역사회는 지속적으로 독거노인들을 위한 신체적 심리적 건강관리를 위해 노력해야 할 것이다.

Keywords

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