Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of an Exercise Program using a Resident Volunteer as a Lay Health Leader for Elders' Physical Fitness, Cognitive Function, Depression, and Quality of Life

지역 주민 건강리더를 활용한 자조운동 프로그램이 노인의 체력, 인지기능, 우울 및 삶의 질에 미치는 효과

  • 최연희 (경북대학교 간호대학) ;
  • 김나영 (대구과학대학교 간호학과)
  • Received : 2013.06.09
  • Accepted : 2013.09.23
  • Published : 2013.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was conducted to examine an exercise program using a lay health leader for elderly participants. The test covered physical fitness (grip strength, static balance and complex movement abilities), depression, cognitive function and quality of life. Methods: A quasi- experimental study using a non-equivalent control group pre-post design was employed. The participants were 62 elders from an institution for the aged, of whom 30 were included in the experimental group and 32 in the control group. The exercise program using a resident volunteer as a lay health leader was run three times a week for 12 weeks. The collected data were analyzed by $x^2$ test, t-test, paired t-test, and ANCOVA with SPSS/WIN 19.0. Results: After the program, left grip strength (F=1.77, p<.001), right grip strength (F=9.97, p<.001), static balance (F=2.79, p<.001), ability to move complex (F=1.76, p<.001), depression (F=7.66, p<.001), the cognitive function (F=8.39, p<.001) and quality of life (F= 1.08, p<.001) in the experimental group were significantly better than those in the control group. Conclusion: Study findings indicated that using a resident volunteer as a lay health leader was effective. It can be recommended as a public health resource and for consistent and comfortable education for the elderly in communities.

Keywords

References

  1. Cho, S. J. (2011). Female volunteer work and its economic values. Quarterly Journal of Labor Policy, 11 (3), 81-107.
  2. Choo, J. A. (2012, December). Lay health leaders are part of solution. Paper presented at the meeting of the Korean Academy of Community Health Nursing, Seoul.
  3. Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). Hillsdale, New Jersey, NJ: Lawrence Erlbaum Association Pub.
  4. Gu, M. O., Eun, Y., Kim, E. S., Ahn, H. R., Kwon, I. S., Oh, H. S., et al. (2012). Effects of an elder health promotion program using the strategy of elder health leader training in senior citizen halls. Journal of Korean Academy of Nursing, 42 (1), 125-135. http://dx.doi.org/10.4040/jkan.2012.42.1.125
  5. Han, Y. R., Song, M. S., & Lim, J. Y. (2010). The effects of a cognitive enhancement group training program for communitydwelling elders. Journal of Korean Academy of Nursing, 40 (5), 724-735. http://dx.doi.org/10.4040/jkan.2010.40.5.724
  6. Jeon, D. S. (2006). A study on the promotion of volunteer services for community welfare. Unpublished doctoral dissertation, Dankook University, Seoul.
  7. Kee, B. S. (1996). A preliminary study for the standardization of geriatric depression scale short form Korea version. Journal of the Korean Neuropsychiatric Association, 35 (2), 298-307.
  8. Kim, D. H. (2008). The meta-analysis on exercise program effect. Unpublished doctoral dissertation, Chung-Ang University, Seoul.
  9. Kim, M. S., Lee, C. S., & Kim, H. C. (2007). The effects of hospice volunteer education program on perceptions about hospice and the meaning of life. Journal of Korean Oncology Nursing, 7 (2), 131-139.
  10. Kim, N. S., Bae, Y. S., & Um, K. M. (2009). Effect of proprioceptive exercise on walking velocity, activities of daily living and depression in elderly woman. The Journal of the Korea Contents Association, 9 (2), 233-241.
  11. Kim, N. S. (2010). Effect of recreational exercise on cognition, depression, dynamic balance and leg strength in elderly woman. The Journal of the Korea Contents Association, 10 (3), 373-380.
  12. Kim, S. H. (2012). Effects of a volunteer-run peer support program on health and satisfaction with social support of older adults living alone. Journal of Korean Academy of Nursing, 42 (4), 525-536. http://dx.doi.org/10.4040/jkan.2012.42.4.525
  13. Kim, Y. J., & Ha, J. Y. (2011). The effects of visiting exercise program and telecoaching for physical activity promotion on physical fitness and quality of life in the frail elderly. Korean Journal of Adult Nursing, 23 (2), 198-207.
  14. Kim, Y. J., & Lee, J. H. (2009). The effects of a physical activity promotion programs with telecoaching negotiation on physical fitness and quality of life in the frail elderly. Journal of Korean Academy of Community Health Nursing, 20 (4), 391-402.
  15. Kramer, A. F., Erickson, K. I., & Colcombe, S. J. (2006). Exercise, cognition, and the aging brain. Journal of Applied Physiology, 101 (4), 1237-1242. https://doi.org/10.1152/japplphysiol.00500.2006
  16. Lee, J. H., Lee, D. Y., Kim, K. W., Jhoo, J. H., Lee, K. U., Kim, J. H., et al. (2002). Development of the Korean version of the consortium to establish a registry for alzheimer's disease assessment packet (CERAD-K): Clinical and neuropsychological assessment batteries. Journal of Gerontology Series B: Psychological Sciences and Social Sciences, 57 (1), 47-53. https://doi.org/10.1093/geronb/57.1.P47
  17. Lee, S. W. (2008). The activation plans for medical service of public health centers. Unpublished master's thesis, Konkuk University, Seoul.
  18. Ministry of Health and Welfare & Korea Institute for Health and Social Affairs, Management Center for Health Promotion. (2007). Healthy exercise manual. Retrieved March 13, 2011, from http://www.hp.go.kr/board.dia?method=detailViewDL&page/age100.pdf
  19. Ministry of Health and Welfare. (2008). 2008 Customized visiting health service guidebook, 117-118. Retrieved July 12, 2011, from http://www.mw.go.kr/front/mw_sch/index.jsp
  20. Ministry of Public Administration and Security. (2011, October). 2010 Operation situation of volunteer center. Retrieved May 16, 2012, from http://www.mospa.go.kr/gpms/ns/mogaha/user/userlayout/bulletin/userBtView.action?userBtBean.bbsSeq=1021843&userBtBean.ctxCd=1057&userBtBean.ctxType=21010002&userBtBean.categoryCd=
  21. Park, J. E., Kim, C. N., & Kwon, Y. H. (2010). Elders health status, quality of life, and satisfaction with customized home visiting health service depending on connection to volunteerism. Journal of Korean Academy of Community Health Nursing, 21 (4), 448-457.
  22. Park, W. Y., Kim, K. H., Song, S. H., & Ko, S. S. (2011). The effects of 12week exercise leading on basal fitness and quality of life development in agriculture old adult. Journal of Korean Society for the Study of Physical Education, 15 (4), 215-226.
  23. Sheikh, J. I., & Yesavage, J. A. (1986). Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. In T. L. Brink (Ed.), Clinical gerontology: A guide to assessment and intervention (pp. 165-173). New York: The Harwoth Press.
  24. Shin, J. H., Park, J. S., Jin, Y. S., & Kim, Y. K. (2002). The effect of Sun-Mu program on physical fitness and ADL in physically frail elderly woman. The Korean Journal of Sports Medicine, 20 (1), 51-56.
  25. Shin, M. K. (2009). Effect of an exercise program on frontal lobe cognitive function in elders. Journal of Korean Academy of Nursing, 39 (1), 107-115. http://dx.doi.org/10.4040/jkan.2008.39.1.107
  26. Shon, J. H., & Yoo, H. S. (2010). Effects of chronic combined exercise on cognitive function and depression in elderly women. Korean Journal of Sport Psychology, 21 (4), 183-195.
  27. Statistics Korea. (2011). 2011 Elderly statistics. Retrieved June 9, 2012, from http://kostat.go.kr/
  28. Stolee, P., Zaza, C., & Schuehlein, S. (2012). Evaluation of a volunteer-led in-home exercise program for home-bound older adults. Work: A Journal of Prevention, Assessment and Rehabilitation, 41 (3), 339-354.
  29. Sunwoo, D., Lee, S. Y., Park, J. S., Bae, S. S., Jo, Y. H., Kim, C. B., et al. (2008). Analysis of the effects of muscle strength exercise on physical function and quality of Life in the frail elderly. Journal of Korean Society for Health Education and Promotion, 25 (1), 39-53.
  30. Yang, J. S., Hwang, B. G., & Ko, D. G. (2010) The effects of exercise program with added weight on human function, active fitness and quality of life in the frail elderly. Exercise Science, 19 (1), 81-90.

Cited by

  1. 일 지역에서의 EQ-5D를 이용한 고혈압·당뇨병 교육프로그램 이수자의 삶의 질 평가 vol.39, pp.1, 2013, https://doi.org/10.5393/jamch.2014.39.1.037
  2. 노인의 악력과 인지기능의 관계 - 규칙적 운동의 조절효과를 중심으로 - vol.25, pp.1, 2013, https://doi.org/10.7856/kjcls.2014.25.1.29
  3. 고학력 노인의 당뇨병건강리더 태도에 영향을 미치는 요인 vol.25, pp.2, 2013, https://doi.org/10.12799/jkachn.2014.25.2.119
  4. 복합 프로그램을 적용한 방문건강관리가 재가허약노인의 체력, 허약, 및 우울 개선에 미치는 영향 vol.26, pp.4, 2013, https://doi.org/10.12799/jkachn.2015.26.4.405
  5. 노인복지관 여가 프로그램 참여노인의 경험에 대한 질적내용분석 vol.22, pp.2, 2013, https://doi.org/10.14370/jewnr.2016.22.2.138
  6. Net-Step Exercise가 노인의 보행기능, 우울, 인지기능 및 일상생활 수행능력에 미치는 영향 vol.19, pp.2, 2016, https://doi.org/10.7587/kjrehn.2016.108
  7. 요양시설노인의 치매예방 프로그램 참여 경험 vol.19, pp.2, 2016, https://doi.org/10.7587/kjrehn.2016.128
  8. 노인의 우울, 생의 의미가 건강 증진 행위에 미치는 영향-지역사회 건강 프로그램 참여한 노인을 대상으로 vol.15, pp.5, 2013, https://doi.org/10.14400/jdc.2017.15.5.411
  9. 노인의 우울, 생의 의미가 건강 증진 행위에 미치는 영향-지역사회 건강 프로그램 참여한 노인을 대상으로 vol.15, pp.5, 2013, https://doi.org/10.14400/jdc.2017.15.5.411
  10. 노인 허약 예방프로그램이 경로당 이용 노인의 주관적 건강상태, 우울, 체력 및 삶의 질에 미치는 효과 vol.18, pp.5, 2013, https://doi.org/10.5762/kais.2017.18.5.47
  11. 강북구 148 마을 건강주민운동사업의 성과와 한계 vol.42, pp.3, 2013, https://doi.org/10.5393/jamch.2017.42.3.155
  12. 노인 암 환자의 신체활동 부족 영향 요인: 2014 노인실태조사 자료 활용 vol.17, pp.12, 2013, https://doi.org/10.5392/jkca.2017.17.12.558
  13. 치매예방프로그램에 대한 체계적 문헌고찰 (국내문헌을 중심으로) vol.18, pp.4, 2018, https://doi.org/10.5392/jkca.2018.18.04.089
  14. The Effects of Floor-seated Exercise Program on Physical Fitness, Depression, and Sleep in Older Adults: A Cluster Randomized Controlled Trial vol.12, pp.2, 2018, https://doi.org/10.1016/j.ijge.2017.06.003
  15. 건강지도자 활용 건강증진 역량강화 프로그램이 허약노인의 건강과 역량강화에 미치는 효과 vol.29, pp.3, 2013, https://doi.org/10.12799/jkachn.2018.29.3.335
  16. The Effects of Participation in Korean Life-dance on Cognitive Function and Physical Fitness in Aged Women Suspected to Have Dementia vol.36, pp.4, 2013, https://doi.org/10.15726/jkd.2018.36.4.008
  17. 노인 건강증진프로그램이 경로당 이용 노인의 신체적, 생리적 및 심리적 지수에 미치는 영향 vol.21, pp.2, 2013, https://doi.org/10.5762/kais.2020.21.2.133
  18. 지역사회 노인의 건강한 라이프스타일을 위한 건강증진프로그램 중재효과에 대한 체계적 고찰 vol.18, pp.4, 2013, https://doi.org/10.14400/jdc.2020.18.4.371
  19. Effects of Cognicise-Neurofeedback on Health Locus of Control, Depression, and Quantitative Electroencephalography Alpha Asymmetry in Elderly Women vol.11, pp.7, 2013, https://doi.org/10.3390/brainsci11070899