동사섭 훈련 적용 자기관리프로그램이 고혈압 노인의 자기효능감, 자아존중감, 자기관리행위 및 혈압에 미치는 효과 (Effects of Self-management Program applying Dongsasub Training on Self-efficacy, Self-esteem, Self-management Behavior and Blood Pressure in Older Adults with Hypertension)

서지정보

· 발행기관 : 한국간호과학회
· 수록지 정보 : Journal of Korean Academy of Nursing / 45권 / 4호 / 576 ~ 586페이지
· 저자명 : 김명숙, 송미순

초록

Purpose: The purpose of this study was to develop a self-management program applying Dongsasub training based on self-efficacytheory, and to verify the program effectiveness on self-esteem as well as self-efficacy, self-management behaviors, and blood pressure.
Methods: The study design was a non-equivalent, pre-post controlled quasi-experiment study. Thirty-eight patients aged 65and older from a senior welfare center in Seoul participated in this study (20 patients in the experimental group and 18 patients inthe control group). The self-management program applying Dongsasub training consisted of eight sessions. After development wascomplete the program was used with the experimental group. Outcome variables included self-efficacy, self-esteem, self-managementbehaviors measured by questionnaires, and blood pressure measured by electronic manometer. Results: Self-efficacy (t=2.42,p =.021), self-esteem (t=2.57, p =.014) and self-management behaviors (t=2.21, p =.034) were significantly higher and systolic bloodpressure (t=-2.14, p =.040) was significantly lower in the experimental group compared to the control group. However, diastolicblood pressure (t=-.85, p =.400) was not significantly different between the two groups. Conclusion: The results indicate that theself-management program applying Dongsasub training can be used as a nursing intervention in community settings for improvingself-management behaviors for older adults with hypertension.

영어초록

Purpose: The purpose of this study was to develop a self-management program applying Dongsasub training based on self-efficacytheory, and to verify the program effectiveness on self-esteem as well as self-efficacy, self-management behaviors, and blood pressure.
Methods: The study design was a non-equivalent, pre-post controlled quasi-experiment study. Thirty-eight patients aged 65and older from a senior welfare center in Seoul participated in this study (20 patients in the experimental group and 18 patients inthe control group). The self-management program applying Dongsasub training consisted of eight sessions. After development wascomplete the program was used with the experimental group. Outcome variables included self-efficacy, self-esteem, self-managementbehaviors measured by questionnaires, and blood pressure measured by electronic manometer. Results: Self-efficacy (t=2.42,p =.021), self-esteem (t=2.57, p =.014) and self-management behaviors (t=2.21, p =.034) were significantly higher and systolic bloodpressure (t=-2.14, p =.040) was significantly lower in the experimental group compared to the control group. However, diastolicblood pressure (t=-.85, p =.400) was not significantly different between the two groups. Conclusion: The results indicate that theself-management program applying Dongsasub training can be used as a nursing intervention in community settings for improvingself-management behaviors for older adults with hypertension.

참고자료

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