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The Converge Effects of the BeHaS Exercise Program on Health Status, Depression and Suicidal Ideation in Female Elderly Who Live Alone in Community

베하스 운동프로그램이 지역사회 여성노인의 신체건강, 우울, 자살생각에 미치는 융합적 효과

  • Kim, Hyunjoo (Department of Nursing, Korea National University of Transportation) ;
  • Kim, Sun Kyung (Department of Nursing, Mokpo National University) ;
  • Kim, Jong-Im (College of Nursing, Chungnam National University) ;
  • Kim, Sunae (Department of Nursing, Korea National University of Transportation) ;
  • Jun, Young Suk (Department of Hospital Administration, Woosong college) ;
  • Park, Keumok (College of Nursing, Chungnam National University)
  • Received : 2017.12.12
  • Accepted : 2018.03.20
  • Published : 2018.03.28

Abstract

This study was conducted to evaluate the converge effects of the Be Happy and Strong (BeHaS) exercise program on female elders living alone, using a nonequivalent control-group pretest-posttest design. The BeHaS exercise program was conducted twice each week for 4 weeks (total 8 sessions). The outcome measures included pain, shoulder flexibility, grip strength, depression, and suicidal ideation. Independent t-test, Chi-squre test, paired t-tests and ANCOVA were used for the statistical data analysis. A statistically significant improvement emerged in pain (t=4.044, p=.000) and right and left shoulder flexibility (t=2.192, p=.038 and t=2.568, p=.016) 4 weeks later. In a group comparison, a statistically significant difference arose in changed scores of suicidal ideation (F=7.32, p=.010) between groups. The BeHaS exercise program may effectively improve the physical and psychological health of female elders living alone.

본 논문은 베하스 운동프로그램의 지역사회 여성독거노인에 대한 융합적 효과를 알아보고자 시행된 비동등성 대조군 전후설계의 유사실험연구이다. 실험군 대조군 사전사후 연구이다. 베하스 운동프로그램은 주 2회 시행되어 4주간 총 8회 실시되었고 통증, 어깨유연성, 악력, 우울과 자살생각에 대한 측정이 이루어졌다. 수집된 자료는 Independent t-test, Chi-squre test, paired t-tests, 공분산분석 (ANCOVA)으로 분석되었다. 실험군의 4주의 실험 전후비교결과 통증(t = 4.044, p = .000)과 오른쪽 어깨 유연성(t =2.192, p=.038), 왼쪽어깨유연성(t=2.568, p=.016)의 통계적으로 유의한 향상이 확인되었다. 실험군과 대조군의 그룹간 비교에서는 자살생각의 변화양상에서 통계적으로 유의한 차이가 확인되었다(F=7.32, p =.010). 본 연구를 바탕으로 베하스 운동프로그램의 지역사회 여성 독거노인에서의 신체적 정신적 건강증진에 대한 긍정적인 효과를 확인하였다.

Keywords

References

  1. Statistics Korea. (2016). Statistics Korea 2015. http://kosis.kr.
  2. Korea Centers for Disease Control and Prevention. (2014). Fifth Korea National Health and Nutrition Examination Survey. Seoul: Korea Centers for Disease Control and Prevention.
  3. C. E. Coyle & D. Elizabeth. (2012). Social isolation, loneliness and health among older adults. Journal of Aging and Health, 24(8), 1346-1363. https://doi.org/10.1177/0898264312460275
  4. K. Ha et al. (2015). A multi-center study on the causes and precipitating factors of suicidal behavior in suicidal attempters. Seoul: Korean Association for Suicide Prevention.
  5. J. M. Bertolote & A. Fleischmann. (2015). A global perspective in the epidemiology of suicide. Suicidology, 7(2), 6-8.
  6. Y. Choi, M. Kim, A. R. Seo, H. O. Kim & K. S. Park. (2017). Effects of Depressive Symptom and Health Status on Several Factors that Affect Suicidal Ideation among the Elderly Living Alone in Rural Area: The Fully Mediating Effect of Depressive Symptom. Korean Journal of Health Promotion, 17(3), 193-198. https://doi.org/10.15384/kjhp.2017.17.3.193
  7. K. Kharicha, S. Iliffe, D. Harari, C. Swift, G. Gillmann, A. E & Stuck, A. E. (2007). Health risk appraisal in older people 1: are older people living alone an 'at-risk'group?. British Journal of General Practice, 57(537), 271-276.
  8. J. W. Lee. (2016). Converged Factors Influencing epression of Community Dwelling Elderly. Journal of The Korean Convergence Society, 7, 237-246.
  9. C. H. Chou, C. L. Hwang & Y. T. Wu. (2012). Effect of exercise on physical function, daily living activities, and quality of life in the frail older adults: a meta-analysis. Archives of Physical Medicine and Rehabilitation, 93(2), 237-244. https://doi.org/10.1016/j.apmr.2011.08.042
  10. P. W. Ku, K. R. Fox, L. J. Chen & P. Chou. (2012). Physical activity and depressive symptoms in older adults: 11-year follow-up. American Journal of Preventive Medicine, 42(4), 355-362. https://doi.org/10.1016/j.amepre.2011.11.010
  11. J. J. Huang, H. S. Lin, B. O. Lee & C. H. Chen. (2016). Perceived exercise barriers and their associations with regular exercise across three age groups of rural women in Taiwan. Journal of Women & Aging, 28(1), 68-79. https://doi.org/10.1080/08952841.2014.950902
  12. K. N. Shah, F. V. Lin, F. Yu & J. M. McMahon. (2017) Activity engagement and physical function in old age sample". Archives of Gerontology & Geriatrics, 69, 55-60. https://doi.org/10.1016/j.archger.2016.11.007
  13. J. I. Kim. (2006) BeHaS exercise program. Daejeon: Chungnam National University,.
  14. H. So, K. Ju, I. Park, R. Song, H. Kim & S. Ahn. (2013). Effects of tai chi exercise on muscle strength, balance, flexibility and bone mineral density of community dwelling elderly women, Korean Journal of Adult Nursing, 25(1), 105-112. https://doi.org/10.7475/kjan.2013.25.1.105
  15. Y. H. Choi & S. Y. Hong. (2015). Developing a Community Capacity Builded Exercise Maintenance Program for Frail Elderly Women. Korean Journal of Rehabilitation Nursing, 18(2), 153-164. https://doi.org/10.7587/kjrehn.2015.153
  16. J. Yu & J. Kim. (2015). Effects of a Physical Activity Program using Exergame with Elderly Women, Journal of Korean Academy of Nursing, 45(1), 84-96. https://doi.org/10.4040/jkan.2015.45.1.84
  17. L. Robert et al. (1960). Brief objective measures for the determination of mental status in the aged. American Journal of Psychiatric, 117(4), 326-328. https://doi.org/10.1176/ajp.117.4.326
  18. S. A. Kim. (2011). The effects of BeHaS exercise program on muscle strength and flexibility in institutionalized elders. Journal of Muscle and Joint Health. 18(1), 93-102. https://doi.org/10.5953/JMJH.2011.18.1.093
  19. E. H. Seo, S. I. Park & J. I. Kim. (2012). Effects of the BeHaS Exercise Program on Hand strength, Depression and Life Satisfaction in Institutionalized Elders with CVA. Journal of Korean Academy of Fundamention of Nursing, 19(4), 416-424.
  20. L. L. Harlow, M. D. Newcomb & P. M. Bentler. (1986). Depression, self-derogation, substance use, and suicide ideation: Lack of purpose in life as a mediational factor. Journal of Clinical Psychology, 42(1), 5-21. https://doi.org/10.1002/1097-4679(198601)42:1<5::AID-JCLP2270420102>3.0.CO;2-9
  21. H. S. Kim. (2002). A Study on Epistemology of Korean Elder's Suicidal Thought. Journal of Korean Gerontology Society, 22(1), 159-172.
  22. B. S. Kee & S. Y. Kim. (1996). A Preliminary study for the standardization of geriatric depression scale form-Korea version. Journal of Korean Neruropsychiatry Association, 35(2), 298-307.
  23. C. Bridle, K, Spanjers, S. Patel, N. M. Atherton & S. E. Lamb. (2012). Effect of exercise on depression severity in older people: systematic review and meta-analysis of randomized controlled trials. The British Journal of Psychiatry, 201(3), 180-185. https://doi.org/10.1192/bjp.bp.111.095174
  24. R. Stanton & P. Reaburn. (2014). Exercise and the treatment of depression: a review of the exercise program variables. Journal of Science and Medicine in Sports, 17(2), 177-182. https://doi.org/10.1016/j.jsams.2013.03.010
  25. Y. Okubo, S. Daniel & R. L. Stephen. (2016). Step training improves reaction time, gait and balance and reduces falls in older people: a systematic review and meta-analysis. British Journal of sports medicine, 51(7), 586-593. https://doi.org/10.1136/bjsports-2015-095452
  26. J. I. Kim & S. K. Kim. (2015). Effects of the BeHas Exercise Program on Self-Esteem, Balance, and Flexibility in Community-Dwelling Adults Experiencing Pain. Indian Journal of Science and Technology, 8(S7), 624-629. https://doi.org/10.17485/ijst/2015/v8iS7/70523
  27. Y. Kim, H. Kim & D. S. Kim. (2011). Association between daily environmental temperature and suicide mortality in Korea. Psychiatry Research, 186(2), 390-396. https://doi.org/10.1016/j.psychres.2010.08.006
  28. C. Juhl, R. Christensen, E. M. Roos, W. Zhang & H. Lund. (2014). Impact of Exercise Type and Dose on Pain and Disability in Knee Osteoarthritis: A Systematic Review and Meta-Regression Analysis of Randomized Controlled Trials. Arthritis & Rheumatology, 66(3), 622-636. https://doi.org/10.1002/art.38290
  29. M. M. Tse, S. K. Vong & S. K. Tang. (2013). Motivational interviewing and exercise programme for community-dwelling older persons with chronic pain: a randomized controlled study. Journal of Clinical Nursing, 22(13-14), 1843-1856. https://doi.org/10.1111/j.1365-2702.2012.04317.x
  30. A. Abdulla et al. (2013). Guidance on the management of pain in older people. Age and Ageing, 42(S1), i1-i57. https://doi.org/10.1093/ageing/afs200