만성질환 노인에서 임파워먼트 이론에 근거한 다학제적 자기관리 프로그램의 효과 (Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness)

서지정보

· 발행기관 : 한국간호과학회
· 수록지 정보 : Journal of Korean Academy of Nursing / 45권 / 2호 / 192 ~ 201페이지
· 저자명 : 박초롱, 송미순, 조비룡, 임재영, 송욱, 장희경, 박연환

초록

Purpose: The purpose of this study was to develop a multi-disciplinary self-management intervention based on empowerment theory andto evaluate the effectiveness of the intervention for older adults with chronic illness. Methods: A randomized controlled trial design wasused with 43 Korean older adults with chronic illness (Experimental group=22, Control group=21). The intervention consisted of twophases: (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 skillsand problem-solving skills. Baseline, 8-week, and 24-week assessments measured health empowerment, exercise self-efficacy, physicalactivity, and physical function. Results: Health empowerment, physical activity, and physical function in the experimental group increasedsignificantly compared to the control group over time. Exercise self-efficacy significantly increased in experimental group over time butthere was no significant difference between the two groups. Conclusion: The self-management program based on empowerment theoryimproved health empowerment, physical activity, and physical function in older adults. The study finding suggests that a health empowermentstrategy may be an effective approach for older adults with multiple chronic illnesses in terms of achieving a sense of control overtheir chronic illness and actively engaging self-management.

영어초록

Purpose: The purpose of this study was to develop a multi-disciplinary self-management intervention based on empowerment theory andto evaluate the effectiveness of the intervention for older adults with chronic illness. Methods: A randomized controlled trial design wasused with 43 Korean older adults with chronic illness (Experimental group=22, Control group=21). The intervention consisted of twophases: (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 skillsand problem-solving skills. Baseline, 8-week, and 24-week assessments measured health empowerment, exercise self-efficacy, physicalactivity, and physical function. Results: Health empowerment, physical activity, and physical function in the experimental group increasedsignificantly compared to the control group over time. Exercise self-efficacy significantly increased in experimental group over time butthere was no significant difference between the two groups. Conclusion: The self-management program based on empowerment theoryimproved health empowerment, physical activity, and physical function in older adults. The study finding suggests that a health empowermentstrategy may be an effective approach for older adults with multiple chronic illnesses in terms of achieving a sense of control overtheir chronic illness and actively engaging self-management.

참고자료

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