Effects of Logotherapy with Exercise on Meaning of Life, Ego Integrity and IADL in the Elderly

운동을 병행한 의미요법이 노인의 생의 의미, 자아통합감 및 일상활동 수행에 미치는 효과

  • Lee Chun-Hee (Department of Nursing, Andong Science College)
  • Published : 2006.08.01

Abstract

Purpose: The purpose of this study was to examine the effects of 'Logotherapy with Exercise' on the meaning of life, ego integrity and IADL's in the Elderly. Method: This quasi-experimental study was designed for a nonequivalent control group repeated measurement study. This study was done from Oct. 13, 2004 to Dec. 18. 2004. The subjects were between the ages of 65 to 75, who were literate in Korean and able to communicate and participate in physical exercise without any discomfort. The experimental group was 25 subjects and the control group was 26. The 5-week 'Logotherapy with Exercise' program was given to the experimental group. Data was analyzed by X$^2$, t-test, ANCOVA, ANOVA, and post-hoc comparison by Bonferroni correction with the SPSS/WIN 12.0. Results: The experimental group had a greater difference in meaning of life, ego integrity and IADL's than the control group. The experimental group had differences in changes in meaning of life, ego integrity and IADL's during time period. Conclusion: 'Logotherapy with Exercise' can be recommended as an effective nursing intervention for the elderly.

Keywords

References

  1. Bae, Y. S. (1993). A study social support and ego integrity in the elderly. J Korean Acad Adult Nurs, 5(1), 18-32
  2. Burbank, P. M. (1988). Meaning in life among older persons. Unpublished doctoral dissertation, Boston University, Boston, MA
  3. Byeon, Y. S., & Lee, J. I. (2002). A study of the relationship between facility satisfaction, depression and ADL in the elderly people residing in the nursing homes. J Korean Acad Fund Nurs, 9(1), 45-551
  4. Chang, S. O., & Burbank, P. M. (2000). Meaning in life among the elderly, J Korean Acad Nurs, 30(2), 259-271 https://doi.org/10.4040/jkan.2000.30.2.259
  5. Chang, S.O., Kong, E. S., Kim, K. B., Kim, N. C., Kim, J. H., Kim, C. G., Kim, H. K., Song, M. S., Ahn, S. Y., Lee, K. J., Lee, Y. W., Chon, S. J., Cho, M. O., & Choi, K. S. (2004). The concept analysis of ego-integrity in the elderly. J Korean Acad Nurs, 34(7), 1172-1183
  6. Choi, S. O., Kim, S. N., Shin, K. I., Lee, J. J., & Jung, Y. J. (2002). Development of elderly meaning in life (EMIL) scale. J Korean Acad Nurs, 33(3), 414-424
  7. Chung, Y. (1994). Effects of reminiscence therapy on death anxiety, ego integrity and life satisfaction in the elderly. J Catholic Medical College, 47(2), 1009-1025
  8. Cook, E. A. (1991). The effects of reminiscence on psychological measures of ego integrity in elderly nursing home residents. Arch Psychial. Nurs, 5(5), 292-298 https://doi.org/10.1016/0883-9417(91)90027-3
  9. Frankl, V. E. (1963). Man' search for meaning-an introduction to logotherapy. New York : Ashington Square Press
  10. Jung, Y. J. (2002). A comparative study on the meaning in life of the hospitalized elderly and the non-hospitalized elderly. Unpublished master's thesis, Catholic University of Pusan, Busan
  11. Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., & Jaffee, M. W. (1963). Studies of illness in the aged: the index of ADL : a standardized measure of biological and psychological function. JAMA, 185, 914 https://doi.org/10.1001/jama.1963.03060120024016
  12. Kim, C. K. (J995). Effect of exercise program on physical fitness, self-efficacy, instrumental activities of daily living and quality of life among the institutionalized elderly. Unpublished doctoral dissertation, Catholic University of Korea, Seoul
  13. Kim, H. J. (1994). Effect of muscle strength training program on strength, muscle endurance, instrumental activities of daily living and quality of life in the institutionalized elderly. Doctoral dissertation, Seoul National University, Seoul
  14. Kim, H. J., & Hong, Y. S. (1995). An effect of muscle strength training program on muscle strength, muscle endurance, instrumental activities of daily living and quality of life in the institutionalized elderly. J Korean Comm Nurs, 6(1), 55-73
  15. Kim, J. S. (1988). A study of social activities and ego integrity of the aged. Unpublished doctoral dissertation, Ewha Womans University, Seoul
  16. Korea national statistical office (2004). Data of STATKOREA
  17. Lawton, M. P., & Brody, E. M. (1969). Assessment of older people, self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 179-186 https://doi.org/10.1093/geront/9.3_Part_1.179
  18. Lee, C. H., Jung, M. S., & Lee, S. H. (2005). A study on meaning in life, ego integrity and IADL of elderly in home. J Kyungpook Nursing Science, 9(1), 13-22
  19. Lee, E. O., Lim, N. Y., & Park, H. A. (1998). Nursing medical research and statistical analysis. Seoul : Soomoonsa
  20. Lee, H. D. (1995). Practice of group counseling. Seoul : Chung Ang Aptitudes Publication
  21. Lee, S. J. (2000). An application effect of rhythmic movement program for the health promotion in the elderly. Unpublished doctoral dissertation, Kyung Hee University, Seoul
  22. Levy, W. C. (1998). Effect of exercise training on heart rate variability at rest in health young and older men, Am J Card, 82(10), 1236-1241 https://doi.org/10.1016/S0002-9149(98)00611-0
  23. Pollock, M. J., & Wilmore, J. H. (1990). Exercise in health and disease - Evaluation and prescription for prevention and rehabilitation (2nd ed.). Philadelphia : W. B. Saunders CO
  24. Seo, S. Y. (2002). Effects of rhythmic movement program on depression and instrumental activities of daily living in elderly women who live alone. Unpublished doctoral dissertation, Kyungpook National University, Daegu
  25. Sphephard, R. H. (1983). Physical activity and healthy mind. Can Med Asso, 128, 525-526
  26. Stevenson, J. S., & Topp, R. (1990). Effects of mode rate and low intensity long-term exercise by older adults. Res Nurs Health, 13, 210-218
  27. Suh, B. D. (1996). The effects of group movement training on psychophysiological variables and instrumental activities of daily living in the institutional elderly. Unpublished doctoral dissertation, Kyungpook National University, Daegu
  28. Taft, L. B., & Nehrke, M. F. (1990). Reminiscence, life review, and ego integrity in nursing home residents. Int J Aging & Human Development 30(3),189-196 https://doi.org/10.2190/X9D5-5MT3-1326-75FL
  29. Yoon, S. Y. (1996). Case study on perception and education of exercise in elderly. J Korean Public Health Nurs, 10(2), 119-134
  30. Yoon, J. (1999). Adult, elderly psychology, Seoul : Chung Ang Aptitudes Publication