본 연구의 목적은 지역사회 취약계층 당뇨병노인을 위한 건강보존프로그램을 개발하고 프로그램을 적용하여 그 효과를 검증하는 것이다. 건강보존프로그램은 전문직 은퇴노인이 멘토로서 취약계층 당뇨병노인 멘티에게 건강보존을 위한 프로그램을 제공하는 것이다. 본 연구는 유사실험연구로서 비동등성 대조군 전후 설계이며 대상자는 실험군 25명, 대조군 22명이다. 본 프로그램은 전문직 은퇴노인을 대상으로 4주, 12회기 건강보존에 관한 멘토 교육 프로그램과 8주, 24회기의 취약계층 당뇨병노인을 위한 멘토링 프로그램을 포함한다. 혈액학적 변수와 신체적 변수는 혈액검사와 Inbody 230(Biospace)를 활용하여 측정하였고 정신사회적 변수는 설문지를 통하여 측정하였다. 자료수집기간은 2015년 12월부터 2016년 5월까지이며 자료분석은 SPSS 20.0.를 사용하여 독립 t-test로 하였다. 건강보존프로그램을 통해 실험군이 대조군보다 공복시 혈당(p<0.01), 총콜레스테롤(p<0.01), 중성지방(p=0.04), 수축기 혈압(p=0.03), 허리둘레(p<0.01)와 우울증상이 유의하게 감소되었고 사회적 지지는 유의하게 증가되었다. 본 연구의 결과는 건강보존프로그램이 취약계층 당뇨병노인의 사회적 지지를 효과적으로 증가시키며 공복시 혈당, 총콜레스테롤, 중성지방, 수축기 혈압, 허리둘레와 우울증상을 효과적으로 감소시키는 것을 알 수 있다. 그러므로 취약계층 당뇨병노인의 삶의 질 향상을 위해 건강보존프로그램을 활용할 것을 제언한다.
본 연구의 목적은 지역사회 취약계층 당뇨병노인을 위한 건강보존프로그램을 개발하고 프로그램을 적용하여 그 효과를 검증하는 것이다. 건강보존프로그램은 전문직 은퇴노인이 멘토로서 취약계층 당뇨병노인 멘티에게 건강보존을 위한 프로그램을 제공하는 것이다. 본 연구는 유사실험연구로서 비동등성 대조군 전후 설계이며 대상자는 실험군 25명, 대조군 22명이다. 본 프로그램은 전문직 은퇴노인을 대상으로 4주, 12회기 건강보존에 관한 멘토 교육 프로그램과 8주, 24회기의 취약계층 당뇨병노인을 위한 멘토링 프로그램을 포함한다. 혈액학적 변수와 신체적 변수는 혈액검사와 Inbody 230(Biospace)를 활용하여 측정하였고 정신사회적 변수는 설문지를 통하여 측정하였다. 자료수집기간은 2015년 12월부터 2016년 5월까지이며 자료분석은 SPSS 20.0.를 사용하여 독립 t-test로 하였다. 건강보존프로그램을 통해 실험군이 대조군보다 공복시 혈당(p<0.01), 총콜레스테롤(p<0.01), 중성지방(p=0.04), 수축기 혈압(p=0.03), 허리둘레(p<0.01)와 우울증상이 유의하게 감소되었고 사회적 지지는 유의하게 증가되었다. 본 연구의 결과는 건강보존프로그램이 취약계층 당뇨병노인의 사회적 지지를 효과적으로 증가시키며 공복시 혈당, 총콜레스테롤, 중성지방, 수축기 혈압, 허리둘레와 우울증상을 효과적으로 감소시키는 것을 알 수 있다. 그러므로 취약계층 당뇨병노인의 삶의 질 향상을 위해 건강보존프로그램을 활용할 것을 제언한다.
This study was conducted to develop and apply the health conversation program to determine its effectiveness. The study employed a pretest-posttest nonequivalent control group design. There were 25 subjects in one intervention group and 22 subjects in the control group. The program included a 4-week...
This study was conducted to develop and apply the health conversation program to determine its effectiveness. The study employed a pretest-posttest nonequivalent control group design. There were 25 subjects in one intervention group and 22 subjects in the control group. The program included a 4-week, 12-session education program in health conversation for professionally retired elderly mentors and an 8-week, 24-session program for vulnerable elderly diabetics provided by mentors who were older persons trained in diabetes management. Data were collected from December 2015 to May 2016 and subsequently analyzed by an independent t-test using SPSS 20.0. Biochemical variables and physical variables were assessed by blood test and Inbody 230 (Biospace). Psychosocial variables were assessed by questionnaires. The health conservation program led to significantly decreased FBS (p<0.01), TC (p<0.01), TG (p=0.04), SBP (p=0.03), waist (p<0.01) and symptoms of depression (p=0.01), and significantly increased social support (p=0.02). These results indicated that the health conservation program is effective at increasing social support and decreasing FBS, TC, TG, SBP, waist, and symptoms of depression in community-dwelling vulnerable diabetic elderly; accordingly, health conservation programs should be applied to improve quality of life of vulnerable diabetic elderly.
This study was conducted to develop and apply the health conversation program to determine its effectiveness. The study employed a pretest-posttest nonequivalent control group design. There were 25 subjects in one intervention group and 22 subjects in the control group. The program included a 4-week, 12-session education program in health conversation for professionally retired elderly mentors and an 8-week, 24-session program for vulnerable elderly diabetics provided by mentors who were older persons trained in diabetes management. Data were collected from December 2015 to May 2016 and subsequently analyzed by an independent t-test using SPSS 20.0. Biochemical variables and physical variables were assessed by blood test and Inbody 230 (Biospace). Psychosocial variables were assessed by questionnaires. The health conservation program led to significantly decreased FBS (p<0.01), TC (p<0.01), TG (p=0.04), SBP (p=0.03), waist (p<0.01) and symptoms of depression (p=0.01), and significantly increased social support (p=0.02). These results indicated that the health conservation program is effective at increasing social support and decreasing FBS, TC, TG, SBP, waist, and symptoms of depression in community-dwelling vulnerable diabetic elderly; accordingly, health conservation programs should be applied to improve quality of life of vulnerable diabetic elderly.
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문제 정의
Until now, most of the diabetes care intervention programs have been conducted by experts who are researchers[14]. However, the purpose of this research is to examine the effect of the health conservation program provided by professionally retired elderly with the opportunity to use their accumulated experience and professional skills for social benefit.
The purpose of this research was to examine the effects of the health conservation program in community-dwelling vulnerable diabetic elderly. Significant differences in biochemical variables, physical variables and psycho social variables were hypothesized between the experimental and control groups.
가설 설정
Significant differences in biochemical variables, physical variables and psycho social variables were hypothesized between the experimental and control groups. We hypothesized that, in the experimental group with the health conservation program, biochemical variables(FBS, TC, TG), physical variables(SBP, DBP, waist, BMI, total weight without fat, muscle mass, body fat) and psycho social variables(depressive symptom, social support) would show greater improvement than the control group over time.
제안 방법
The general characteristics of the subjects were analyzed by actual numbers and percentages. Biochemical indicators, physical indicators, depressive symptoms, and social support scores were analyzed by mean and standard deviation.
The current study was a quasi-experimental design, using a pretest/posttest nonequivalent control group, to examine the effects of the Health Conservation program on community-dwelling vulnerable diabetic elderly.
The health mentoring program of this research was designed to utilize the health care of elderly diabetics in the vulnerable class and the community connection of the elderly who were professionally retired. Therefore, this program was developed and applied to solve the health problems of vulnerable elderly diabetics.
The limitations of this study were that health education program and exercise program were applied together, so it did not directly explain the causal relationship between what factors of the program had an impact on the outcome variables.
The mentoring program was conducted with mentor’s lectures, group discussions, mentor’s demonstrations and mentee’s practice.
The Mentor applicants were the elderly who were professionally retired, and they volunteered through the announcement about recruitment at the S Community Health Center in D city. The program was conducted 3 times a week for 4 weeks, totaling to 12 session, and ti was held on every Tuesday, Thursday and Friday from 10:00 to 10:50 in the program room on the second floor of the annex of the S Community Health Center.
The program was conducted 3 times a week for 8 weeks, totaling to 24 sessions, and it was held on every Tuesday, Thursday and Friday from 10:00 to 10:50 in children’s library on the first basement level of the B Community Welfare Center.
The subject’s blood test was performed after fasting more than 12 hours after the previous dinner, and was measured with a drop of blood (32μL) using a Cholesterol Meter(Accutrend Plus) in the capillary blood vessel of the finger.
This research attempted to develop the Health Conservation program for vulnerable elderly diabetics, and to test the program's effectiveness on biochemical variables, physical variables and psychosocial variables.
대상 데이터
Among the mentor applicants, seven people with highest mentor competency test scores were selected. The Mentor applicants were the elderly who were professionally retired, and they volunteered through the announcement about recruitment at the S Community Health Center in D city.
A minimum of 27 people was required for each group, and the experimental group and the control group were selected as 30 people for each group in consideration of 10% dropout rate. In addition, data were collected from 25 people of the final experimental group and 22 people of the final control group.
The subjects of this research were vulnerable elderly diabetics of 65 years old or older in D city who understood the purpose of the research and agreed with written consent to participate.
Table 1 shows the homogeneity test of general characteristics; community-dwelling vulnerable diabetic elderly participanted in this study. There were 25 participants in the experimental group and 22 participants in the control group. The mean age of community-dwelling vulnerable diabetic elderly was 75.
데이터처리
Hypothesis testing was performed using Independent t-testing.
이론/모형
Chi-square test and Fisher’s exact test were used to test for homogeneity between the two groups.
Depressive Symptoms was developed by Kee[17] in Geriatric Depress Scale Short Korea Version (GDSSF-K). GDSSF-K consisted of a 15-item dichotomous scale (1=Yes, 0=No) with a total score ranging from 0 to 15.
The reason why it took from 12 seconds to 3 minutes was as follows: 12 seconds on fasting blood sugar(FBS), 3 minutes on total cholesterol(TC), and 3 minutes on triglyceride. The instrument recognized the condition of the test paper, and measured it by the code test paper method.
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