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박초롱 ( Park Cho-Rong ) - 예일대학교 간호대학
송미순 ( Song Mi-Soon ) - 서울대학교 간호대학
조비룡 ( Cho Be-long ) - 서울대학교 의과대학 가정의학과
임재영 ( Lim Jae-Young ) - 서울대학교 의과대학 재활의학과
송욱 ( Song Wook ) - 서울대학교 사범대학 체육교육과
장희경 ( Chang Hee-Kyung ) - 서울여자간호대학교
박연환 ( Park Yeon-Hwan ) - 서울대학교 간호대학
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Abstract
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Purpose: The purpose of this study was to develop a multi-disciplinary self-management intervention based on empowerment theory and to evaluate the effectiveness of the intervention for older adults with chronic illness.
Methods: A randomized controlled trial design was used with 43 Korean older adults with chronic illness (Experimental group=22, Control group=21). The intervention consisted of two phases: (1) 8-week multi-disciplinary, team guided, group-based health education, exercise session, and individual empowerment counseling, (2) 16-week self-help group activities including weekly exercise and group discussion to maintain acquired self-management skills and problem-solving skills. Baseline, 8-week, and 24-week assessments measured health empowerment, exercise self-efficacy, physical activity, and physical function.
Results: Health empowerment, physical activity, and physical function in the experimental group increased significantly compared to the control group over time. Exercise self-efficacy significantly increased in experimental group over time but there was no significant difference between the two groups.
Conclusion: The self-management program based on empowerment theory improved health empowerment, physical activity, and physical function in older adults. The study finding suggests that a health empowerment strategy may be an effective approach for older adults with multiple chronic illnesses in terms of achieving a sense of control over their chronic illness and actively engaging self-management.
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KeyWords
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임파워먼트, 자기관리, 노인, 만성질환, 신체활동
Empowerment, Self-management, Aged, Chronic illness, Exercise
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원문 및 링크아웃 정보
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등재저널 정보
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