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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of health promotion education experience on present health status of elderly

건강증진 보건교육 경험이 노인의 현재 건강상태에 미치는 영향

  • 이흥훈 (국립중앙의료원 공공보건의료지원센터) ;
  • 황은정 (세한대학교 간호학과)
  • Received : 2019.07.26
  • Accepted : 2019.11.01
  • Published : 2019.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study aims to identify the effects of experiencing health promotion education on the present health status of elderly people. The subjects of this study were a total 10,532 elderly people (aged 65 years or older), and who were selected from the data of the '2017 Community Health Survey'. The health promotion education experience consisted of handwashing education/campaign, a non-smoking campaign and non-smoking education. The chronic disease control education experience consisted of education on hypertension, diabetes mellitus and arthritis. Psychiatric counseling consisted of consultations on stress, depression and suicide. The present health status consisted of the patients' ability to exercise, their self-care ability, their activities of daily living, their pain/discomfort and their anxiety/depression. The data was analyzed utilizing the chi-square test, the Mann-Whitney test and multivariate logistic regression analysis. The general characteristics of the subjects were 4,075 males (38.69%) and 6,457 females (61.31%). The average age was 73.71(±6.18) years old. The significant factors influencing the elderly peoples' present health status were age (OR=0.909, 95% CI=0.886-0.933), handwashing education/campaign (OR=2.463, 95% CI=1.703-3.563), a stop smoking campaign (OR=1.624, 95% CI=1.146-2.301) and consultation for mental problems (OR=0.533, 95% CI=0.359-0.791). In conclusion, to modify the personal habits that the elderly have had for a long time and to show the effects of education, long-term continuous education that focuses on the characteristics of the people will be effective.

이 연구의 목적은 노인이 경험한 건강증진과 만성질환관리 보건교육, 정신문제 상담 경험이 현재 건강상태에 미치는 효과를 확인하는 것이다. 이 연구는 '2017년 지역사회 건강조사' 자료를 활용하여 65세 이상 노인 10,532명을 최종 대상자로 선정하였다. 건강증진 교육경험에는 손씻기 교육 및 홍보 경험, 금연 캠페인 경험, 금연교육 경험으로 구성되었다. 만성질환관리 교육 경험은 고혈압, 당뇨병, 또는 관절염 관리 보건교육 경험으로 구성되었다. 정신문제 상담 경험은 스트레스, 우울, 자살을 포함한 정신문제 관련 상담 경험으로 구성되었다. 현재 건강상태는 운동능력, 자기관리, 일상활동, 통증/불편, 불안/우울 정도로 구성되었다. 자료분석은 Chi-square test, Mann-Whitney test, 다변량 로지스틱 회귀분석을 활용하였다. 연구대상자의 일반적 특성은 남자가 4,075명(38.69%)이고, 여자가 6,457명(61.31%)이었으며, 평균연령은 73.71(±6.18)세이었다. 노인 대상자의 현재 건강상태에 영향을 미치는 유의한 요인으로는 연령(OR=0.909, 95% CI=0.886-0.933), 손씻기 교육 및 홍보 경험(OR=2.463, 95% CI=1.703-3.563), 금연캠페인 경험(OR=1.624, 95% CI=1.146-2.301), 정신문제 상담 경험(OR=0.533, 95% CI=0.359-0.791)으로 나타났다. 노인들이 오랫동안 유지해온 개인적 습성을 수정하여 교육의 효과를 보이기 위해서는 대상자의 특성을 고려한 장기간 꾸준한 교육이 효과적일 것이다.

Keywords

References

  1. National Statistical Office. Prospective Estimating Population and Household [Internet]. National Statistical Office, 2019 [cited 2019 July 19]. Available From: http://www.1661-2129.or.kr/index.html (accessed July. 19, 2019)
  2. Ministry of Health and Welfare, Korea Institute for Health and Social Affairs, 2017 National Survey Report on Older Persons, Ministry of Health and Welfare, Korea Institute for Health and Social Affairs, Korea, pp.1-881, 2017.
  3. National Health Insurance Corporation, Institute for Health and Welfare Policy, Effective Management of Elderly Medical Expenses for Aged Society, Korea, pp.1-237, 2017.
  4. Ministry of Health and Welfare. Pilot Project Guideline of Primary Health Chronic Disease Management [Internet]. Ministry of Health and Welfare, 2019 [cited 2019 July 24]. Available From: www.mohw.go.kr (accessed July. 24, 2019)
  5. G. T. Lim, "Factors affecting suicidal ideation by medical institutions users - focusing on elderly people with chronic disease", The Journal of the Korea Contents Association, Vol.19, No.6, pp.644-654, Jun. 2019. DOI: https://doi.org/10.5392/JKCA.2019.19.06.644
  6. G. Y. Ha, Effectiveness of Health Education for Elderly on Health Knowledge and Behavior, Master's thesis, Ewha Womans University, Seoul, Korea, pp.37-51, 2005.
  7. J. H. Oh, E. O. Park, "The impact of health literacy on self-care behaviors among hypertensive elderly", Korean Journal of Health Education and Promotion, Vol.34, No.1, pp.35-45, Mar. 2017. DOI: https://doi.org/10.14367/kjhep.2017.34.1.35
  8. J. P. Hong, The effect of mental health education program intervention on the psychological well-being of the elderly, PhD dissertation, The DaeguHaany University, Daegu, Korea, pp.41-48, 2019.
  9. K. W. Sung, H. S. Kang, J. R. Nam, M. K. Park, J. H. Park, "The effects of a health mentoring program in community-dwelling vulnerable elderly individuals with diabetes", Journal of Korean Academy of Nursing, Vol.48 No.2, pp.182-194, Mar. 2018. DOI: https://doi.org/10.4040/jkan.2018.48.2.182
  10. S. B. Lee, "Importance of 21C health education projects and role of community health center", Journal of Korean Society for Health Education and Promotion, Vol.20, No.2, pp.217-221, Jun. 2003.
  11. Y. J. Kim, "A pilot study for development of the serious game contents for education in the elderly diabetes", Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 7 pp. 184-192, Jul. 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.7.184
  12. Government of Canada (1974). A New Perspective on the Health of Canadians [Internet]. Minister of Supply and Services Canada, 1974 [cited 2019 July 25]. Available From: http://www.phac-aspc.gc.ca/ph-sp/pdf/perspect-eng.pdf (accessed Jul. 25, 2019)
  13. Ministry of Government Legislation. National Health Promotion Act [Internet]. Ministry of Government Legislation, 2019 [cited 2019 July 23]. Available From: http://www.law.go.kr (accessed July. 23, 2019).
  14. M. Wang, X. Luo, S. Xu, W. Liu, F. Z. Ding, et al., "Trends in smoking prevalence and implication for chronic diseases in China: serial national crosssectional surveys from 2003 to 2013", The Lancet. Respiratory medicine, Vol.7, No.1, pp.35-45, 2019. DOI : http://dx.doi.org/10.1016/S2213-2600(18)30432-6
  15. D. T. Levy, S. Cho, Y. Kim, S. Park, M. Suh, S. Kam, "Simsmoke model evaluation of the effect of tobacco control policies in Korea: the unknown success story", American journal of public health, Vol.100, No.7, pp.1267-1273, Jul. 2010. DOI: https://doi.org/10.2105/AJPH.2009.166900
  16. K. H. Jeong, Y. H. Oh, N. H. Hwang, M. H. Oh, S. H. Lee, et al., Development and application of a quality of life indicator system for older persons. Korea Institute for Health and Social Affairs, Korea, p.129-179, 2017.
  17. R. E. Robert, S. J. Shema, G. A. Kaplan, W. J. Strawbridge, "Sleep complaints and depression in an aging cohort: a prospective perspective", American Journal of Psychiatry, Vol.157, No.1, pp.81-88, Jan. 2000. DOI: https://doi.org/10.1176/ajp.157.1.81
  18. Y. M. Jung. "Health status and associated factors of depression according to depression in elderly women", Journal of the Korean Gerontological Society, Vol.27, No.1, pp.71-86, Feb. 2007.
  19. M. S. Song, N. Y. Yang, "Impact of knowledge, attitude, and internal health locus of control on performance of hand washing among elders". Journal of Korean Gernotological Nursing, Vol.17, No.3, pp.175-183, Dec. 2015. DOI: http://dx.doi.org/10.17079/jkgn.2015.17.3.175
  20. Korea Center for Disease Control and Prevention. A Study on the Development of Handwashing Promotion Strategy and Handwashing Survey for Preventing Infectious Disease, Korea Center for Disease Control and Prevention, Korea, pp.113-340, 2013.
  21. T. M. Song, J. Y. Lee, "A multilevel model analysis on the determinants of smoking cessation success rates", Korean Journal of Health Education and Promotion, Vol.30, No.1, pp.53-64, Mar. 2013. https://doi.org/10.14367/kjhep.2013.30.1.053
  22. S. M. Heidrich, "Health promotion in old age", Annual Review of Nursing Research, Vol.16, pp.173-195, 1998. https://doi.org/10.1891/0739-6686.16.1.173
  23. Korea Institute for Health and Social Affairs. Estimation of Disease and Disease Burden by Health Behavior, Dec. 2018, pp.1-55.
  24. A. S. Jang, E. J. Hwang. "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", Journal of the Korea Academia-Industrial Cooperation Society, Vol.18, No.11, pp.526-535, Nov. 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.11.526