Model Development of an Elderly Health Promotion Center: The Effect of a Social Support Program at a Community Health Center

노인 건강증진센터 모형개발을 위한 연구: 일 지역보건소에 적용한 사회적지지 프로그램의 효과

  • 박오장 (전남대학교 의과대학 간호학과, 전남대학교 간호학 연구소) ;
  • 소향숙 (전남대학교 의과대학 간호학과, 전남대학교 간호학 연구소)
  • Published : 2004.08.01

Abstract

Purpose: The purpose of this study was to develop a model of an elderly health promotion center after witnessing the effect of a social support program on dependent variables in older adults at a local community health center. Method: The subjects were 60 female adults over 65 years dwelling in a rural area, and they were divided into experimental and control groups each with 30 people. A social support program was implemented 6 hours a day, 3 times a week, for 4 months in the experimental group. Included was health assessment, health education, counseling, consultation, exercise, physical & occupational therapy, primary care, recreation, lunch & transfer service. Data was collected from May 1stto September 14th, 2002 by questionnaires, and analyzed by $x^2$-test, t-test, Pearson's correlation coefficient and stepwise multiple regression using SAS. Result: The social support program in the elderly was very effective on all dependent variables of physical health (t=4.68, p=.001), health knowledge (t=3.60, p=.001), life satisfaction (t=8.65, p=.001), and health promoting behaviors (t=5.23, p=.001). Conclusion: The Social Support Program at a Community Health Center was effective on health promoting behaviors in the elderly.

Keywords

References

  1. Caplan, G. (1974). Support system and community mental health, New York: Behavioral Publications
  2. Caplan, G., & Killilea, M. (1976). Support systems and mutual help, New York: Grun & Stratton, 41
  3. Choi, Y. H., & Chung, S. E. (1991). A Study on the Development of Physical Health Assessment Tool and Health Status of Korean Elderly. J Korean Acad Adult Nurs, 3, 70-98
  4. Choi, E. Y., Kim, J. Y., & Kim, H. S. (2003). The Correlational Study on Health-promoting Behavior, Life Satisfaction and Family Support of Elderly People. J Korea Geront. Nurs, 5(1), 7-16
  5. Eng. C. (1996). The On Lok/PACE Model of Geriatric Managed Care: An Interdisciplinary Approach to Care of Frail Elderly. Current Concepts in Geriatric Managed Care, 2(9), September, 4-24
  6. Evans, L. K., Yurkow, J., & Siegler, E .L. (1995). The CARE Program: A Nurse Managed Collaborative Outpatient Program to Improve Function of Frail Older People. Strumpf, N.(Eds), Principles and Practices for the Gerontological Nurse Practitioner: Nursing 644, vol.2, Philadelphia : University of Pennsylvania, Fall 1996
  7. Gochman, D. S. (1988). Health behavior : emerging research perspectives. New York : Plenum Press
  8. Han, S .H., & Park, J. M. (2002). The Development of Integrative Exercise Program for the Elderly. J Korean Acad Adult Nurs, 14(3), 418-427
  9. House, J. S.(1981). Work stress and social support, Massachusetts: Addison-Wesley Publishing company, 27-89
  10. Hong, M. S., Park, O. J., & Jang, K. S. (2000). How Long the Effect of Social Support would be Continued for the Patient with Hypertension? II. J Korea Acad Adult Nurs, 12(4), 533-545
  11. Jung, Y. M., & Kim, J. H. (2002). An Effect of Health Promotion Program on Health Behavior, Perceived Health Status and Life Satisfaction in the Elderly. J Korea Acad Adult Nurs, 14(3), 327-336
  12. Kim, H. J., Kim, J. H., & Park, Y. H. (2000). Factors Influencing Health Promoting Behaviors of the Elderly. J Korean Acad adult Nurs, 12(4), 573-583
  13. Kim, J. S. (1999). Middle and long term development planning of elderly health and welfare for the 21st century of the very old society. The ministry of health and welfare
  14. Kim, K. A. (1998). A study on correlation betweeen health status and life satisfaction in the elderly. MSN Paper of Busan National University
  15. Lee, H .R. (2001). A New Occupation Model of Health Promotion Center using Chinese Medicine. The Korean Nurs, 210(3. 4), 51-66
  16. Lee, S. J. (2000). An Application Effect of Rhythmic Movement Program for the Health Promotion Program in the Elderly. J Korea Acad Nurs, 30(3), 776-790
  17. Park, E. S., Kim, S. J., Kim, S .I., Chun, Y. J., Lee, P. S., Kim, H. J., & Han, K. S. (1998). A Study of Factors Influencing Health Promoting Behavior and Quality of Life in the Elderly. J Korea Acad Nurs, 28(3), 638-649
  18. Park, O. J., Hong, M.. S., Jang, K. S., & Kim, J. Y. (1998). The Effect of Social Support on Compliance with Sick Role Behavior in Hypertensive Clients and Duration of the Effect for up to 6 Months I. J Korea Acad Nurs, 28(1), 159-170
  19. Park, O. J. (1997). Effect of Social Support on Compliance with Sick Role Behaviors in Hypertensive Clients. J Korea Acad Adult Nurs 9(2), 175-188
  20. Park, O. J., Hong, M. S., So, H. S., & Jang, K. S. (1988). The Effect of Patient Teaching on Compliance with Sick Role Behavior of Diabetic Patients. J Korea Acad Nurs, 18(3), 281-288
  21. Park, O. J. (1985). The effect of social support on compliance with sick role behaviors in diabetic patients. Doctoral Dissertation of Yonsei University in Korea
  22. Pender, N. J. (1996). Health promotion in nursing practice (3rd ed.). Connecticut: Appleton & Lange
  23. Satnsky, M. A. (1996). Advanced practice nursing in a managed practice environment. Hickey, J. V., Ouimette, R., & Venegoni, S. L.(Eds), Advanced practice nursing, Philadelphia: Lippincott
  24. Seo, I. S. (2000). A Study on Health knowledge Level and Health-Promoting Behavior of the Elderly. J Korea Geront Nurs, 20(2), 1-28
  25. Shin, J. S. (1986). The effects of the range of motion exersice on self care activities and depression. Doctoral Dissertation of Yonsei University in Korea
  26. Song, M. S., Kim, E. S., Park, O. J., Seo, S. L., Shin, J. S., & Chung, S. E. (1999). Gerontological nursing for the family nurse, Seoul: Hyunmoon com
  27. Statistical Office (2001). The future estimated population, The Ministry of Health & Welfare
  28. Strumpf, N. (1996). Principles and Practices for the Gerontological Nurse Practitioner. Nursing 644, vol.1, Philadelphia : University of Pennsylvania, Fall
  29. Sung, K. W. (2003). Influencing Variables on Life Satisfaction of Korean Elders in Institutions. J Korea Acad Nurs, 33(8), 1093-1100
  30. Sung, M. H., & Lim, Y. M. (2003). The Study on Health Promoting Lifestyle of the Elderly Women. J Korean Acad Nurs, 33(6), 762-771
  31. Yun, K. S. (2000). The effect of social support on compliance with sick-role behavior in patients with myocardial infarction. MSN Paper of Chonnam National University in Korea