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A Chronic Disease Self-management Program for the Elderly in Korea

Other Title
지푸라기 자가관리 프로그램의 적용 효과: 노인의 건강증진을 중심으로
Authors
박, 지원; 유, 혜라
Citation
Chiyŏk Sahoe Kanho Hakhoe chi, 16(4):404-414, 2005
Journal Title
Chiyŏk Sahoe Kanho Hakhoe chi; Journal of Korean community nursing; Journal of Korean Academy of Community Health Nursing; 지역사회간호학회지
ISSN
1225-95942288-4203
Abstract
Objectives: The present study proposed to evaluate 1st-month and 3rd-month health status, depression, self-efficacy and medical expenses of a community-based health promotive self-management program for old Koreans.



Method: Participants in the CDSMP were selected from elders in a community health center through convenient sampling. The program included a 3-hour session per week for 14 weeks. Outcomes of evaluation in the 1st month and the 3rd month included modified Self-rated Health Status Scale, Center for Epidemiologic Studies Short Depression Scale, Self-Efficacy for Managing Chronic Disease 6-item Scale, and 1-item Medical Expenses Scale.



Results: Self-rate health scores increased significantly just after the intervention (16.22), in the 1st month (17.57) and in the 3rd month (19.04) (x2=32.06. p=.000); Depression scores (reversed) also increased significantly just after the intervention (6.04), in the 1st month (7.75) and in the 3rd month (8.39) ( $x^2=29.92$. p=.000); Self-efficacy score increased significantly just after intervention (12.87) but it decreased in the 1st month (12.73) and in the 3rd month (12.04). But all of the three scores were still higher than those before the intervention (8.65) ($x^2=32.42$. p=.000): Medical expense score decreased at the end of the intervention (1.57) but the cost score increased in the 1st month (2.48) and in the 3rd month (2.39) ($x^2$=7.81. p=.050).



Conclusion: CDSMP is effective in increasing self-rate health and self-efficacy and in decreasing depression in the Korean elderly. However, no significant effect of the program was observed in decreasing the medical cost of the Korean elderly.
Keywords
자기관리노인건강증진Chronic disease self management programElderlyHealth Status DepressionSelf-efficacyMedical expenses
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Journal Papers > College of Nursing Science > Nursing Science
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