Browse > Article
http://dx.doi.org/10.5932/JKPHN.2010.24.2.237

Effects of an Empowering Program on Health Quality of Life, Decision Making Self-efficacy, Self-care Competency, and Reasonable Medical Care Utilization among Low Income Women Households  

Ahn, Yang-Heui (Department of Nursing, Wonju College of Medicine, Yonsei University, Nursing Center for Women's Health)
Kim, Ki-Kyong (Department of Nursing, Wonju College of Medicine, Yonsei University, Nursing Center for Women's Health)
Kim, Gi-Yon (Department of Nursing, Wonju College of Medicine, Yonsei University, Nursing Center for Women's Health)
Song, Hee-Young (Department of Nursing, Wonju College of Medicine, Yonsei University, Nursing Center for Women's Health)
Publication Information
Journal of Korean Public Health Nursing / v.24, no.2, 2010 , pp. 237-248 More about this Journal
Abstract
Purpose: The study assessed the effects of a 12-session empowering program to promote health quality of life, decision making self-efficacy, self-care competency, and reasonable medical care utilization among low income women households in one rural area. Methods: A quasi-experimental, one-group pre-posttest design was employed. A total of 28 women enrolled as medicaid recipients in the Public Health Center of W city agreed to participate. The empowering program consisted of 12 sessions addressing health education for self-care of disease, medication management, and counseling for psycho-social support. The intervention was delivered by five nurses and one social worker. Women completed a structured questionnaire measuring the study variables with demographic characteristic before and after the intervention. Data were analyzed by PAWS Statistics 17 utilizing descriptive statistics and paired t-test. Results: After the intervention, significant increases were evident in participant health quality of life (t=-5.83, p<.001), decision making self-efficacy (t=-4.86, p<.001), self-care competency (t=-8.16, p<.001), and reasonable medical care utilization (t=-3.97, p<.001). Conclusion: The 12-session empowering program on health quality of life as well as self-care competency was effective when delivered to low income women households. Further studies with larger numbers of participants and a control group are necessary to validate the results.
Keywords
Empowerment; Poverty; Woman; Self-efficacy; Self-care;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 An, J. (2003). Daily life and needs of the poor elderly women: Focused on Sangdong area in Mokpo city. J Res Gerontol, 12, 85-110.
2 Lee, M. K. (2002). Self-reliance & empowerment practice. Seoul: Publishing House of Sharing.
3 Zack, M. M., Moriarty, D. G., Stroup, D. F., Ford, E. S., & Mokdad, A. H. (2004). Worsening trends in adult health-related quality of life and self-rated health in the United States, 1993-2001. Public Health Reports, 119, 493-505.   DOI   ScienceOn
4 Lee, S. W., Kim, J. H., Lee, B. S., Lee, E. H., & Jung, M. S. (2009). Understanding the Nursing Theory. Seoul: Sumonsa.
5 Robins, S. P., Chattejee, P., & Canda, E. R. (1998). Contemporary human behavior theory: A critical perspective for social work. Needham Height, MA: Allyn & Bacon.
6 Seok, J. E. (2004). Women and poverty in Korea: The feminization of poverty? J Soc Welf, 56(2), 167-194.
7 Song, D. Y. (2006). Psycho-social support program for single mothers with dependent children and alternative empowerment approach. J Fam Welf, 11(1), 131-154.
8 Sung, J. H., & Song, D. Y. (2006). A study of the economic and emotional conditions of the working poor women. J Soc Welf Policy, 25, 81-106.
9 Lee, I. S., & Kim, S. W. (2004). The factor influencing behavior of health care of medicaid recipients. Yonsei Social Welfare Review, 11, 66-99.
10 Park, S. Y. (2007). An exploratory study on the client's empowerment at the initial stage of case management services for women in low income family. J Soc Sci, 26(1), 173-192.
11 Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol, 51, 390-395.   DOI   ScienceOn
12 Kwon, J. H., & Soe, I. H. (2008). A study on program design development for single mother in Korea: An exploratory study for establishing design validity. Korean J Fam Soc Work, 24(12), 121-160.
13 Resnik, D. B. (2008). Randomized controlled trials in environmental health research: Ethical issues. J Environ Health, 70(6), 28-30.
14 Lee, I. S., Kim, D. K., & Lee, H. N. (2007). The relation between the use of independent living service and community participation and employment and mediation effect of empowerment. J Vocat Rehabil, 17(1), 5-24.
15 Kim, J. G. (2008). Factors affecting the choice of medical care use by the poor. J Soc Welf stud, 37, 5-33.
16 Korean Ministry of Government Legislation (2010). Law for national basic livelihood security. Retrieved July 14, 2010. From the http://www.law.go.kr.
17 Kwon, I. S., Choi, S. Y., Kang, Y. S., & Yang, Y. O. (2008). A study on the relationship between breastfeeding empowerment and self-confidence in the maternal role of breastfeeding mothers. Korean J Women Health Nurs, 14(1), 20-27.   과학기술학회마을
18 Bandura, A. (1989). Human agency in social cognitive theory. Am Psychol, 44(9), 1175-1184.   DOI   ScienceOn
19 Lee, I. S. (2004). Characteristics of needs for visiting services among vulnerable population. J Korean Acad Nurs, 34(6), 1025-1034.   DOI
20 Ahn, Y. H., Kim, E. S., Chang, S. J., Ham, O. K., Kim, S. H., & Kim, S. O., et al. (2010). Psychometric evaluation of case management need assessment instrument for medical aid beneficiaries. Ministry of Health and Welfare.Korea Human Resource Development Institute for Health and Welfare.Medical Aid Program Center.Yonsei University.
21 Byen, S. H. (2006). An analysis of the reality of mentoring of teenagers on probation and ways to revitalize the mentoring. Unpublished mater's thesis, Keimyung University, Daegu.
22 Choi, S. O., Lee, J. J., Kim, S. N., & Shin, K. I. (2000). The effect of the group counseling program of unemployed matriarch on improving the meaning in life. J Couns Psychother, 12(2), 127-146.
23 Kang, N. S., Shin, E. J., & Sung, J. H. (2001). Proceeding of the seminar for poverty-free society. Korean Women's Association United.
24 Kim, E. S., Lee, J. R., Yoo, W. S., Lee, Y. P., Lim, S. J., & Cho, J. H., et al.(2009). Case management for utilizing reasonable medical service of long-term hospitalized patients among medical aid beneficiaries. Seoul: Center for Medicaid in Korea.
25 Kim, J. G. (2007). Study on determinants of medical care utilization behavior of the poor. J Soc Welf Stud, 34, 29-53.
26 Kim, E. S., Nam, J. J., Kim, M. Y., Ko, I. S., Lee, D. M., & Kim, K. S., et al. (2007). Long-tern medical service use status of medical aid beneficiaries and it's improvements. Seoul: Yonsei University College of Nursing, Institute of Nursing Policy.
27 Kim, G. Y. (2001). Development of a self-care program for chronic heart failure patients using a decision tree. Unpublished doctoral dissertation, Yonsei University, Seoul.
28 Kim, H. M. (2005). The effect of the solutionfocused group counseling program on the self-esteem and depression of low-income women. J Korean Acad Psychiatr Ment Health Nurs, 14(1), 5-12.
29 Ahn, Y. H. (2007). Community capacity building and community health nursing. J Korean Acad Pub Health Nurs, 21(1), 102-109.   과학기술학회마을