The Effect of a Health Maintenance Program on Physical Function and Mental Health of the Elderly in Nursing Homes

건강유지 프로그램이 시설노인의 신체 건강과 정신 건강에 미치는 효과

  • Sung, Ki-Wol (Department of Nursing, College of Medicine, Catholic University of Daegu)
  • 성기월 (대구가톨릭대학교 간호학과)
  • Published : 2007.06.30

Abstract

Purpose: The purpose of this study was to determine the effects of a Health Maintenance Program on physical functions and mental health of the elderly in nursing homes. Method: Sixty elderly(over 65 years old) in a randomized control study participated in a 16-week group-based intervention including functional exercises and health education. The participants were divided into 3 groups(Health Maintenance Program Group, Supportive Music Exercise Group, and Control Group) of 20 elderly each. Data was collected from Dec. 1st, 2005 to Mar, 30th, 2006. Physical function of lower body strength was assessed using a 30-second chair test, flexibility was assessed using a sit-and-reach test, and static balance was assessed by the ability to balance on one leg with open and closed eyes. Depression was assessed using the Korean Form of the Geriatric Depression Scale and self esteem was assessed using Rosenberg's Self Esteem Questionnaire. Data was analyzed by Chi-square test, One-way ANOVA, and Repeated measure two factor analysis. Results: A Health Maintenance Program significantly increased muscle strength, flexibility and static balance, but depression and self-esteem scores were not significantly changed. Conclusion: Findings demonstrated that a Health Maintenance Program was more effective on physical function than mental health of the elderly in nursing homes.

Keywords

References

  1. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall
  2. Brad, H., Chris, A. E., & Mark, S. (2003). On a happier note: Validation of musical exercise for older persons in long-term care setting. Int J Nurs Stud, 40(4), 347-357 https://doi.org/10.1016/S0020-7489(02)00093-7
  3. Cohen, J. (1988). Statistical power analysis for behavioral sciences. New York: Academic press
  4. Glanz, K., Lewis, F. M., & Rimer, B. K. (1997). Health behavior and health education, theory, research, and practice. San Francisco, Calif.: Wiley
  5. Gu, M. O., Kang, Y. S., Kim, E. S., Ahn, H. L,. Oh, H. S., & Eun, Y. (2002). The evaluation of a health promotion program for the community resident older adults. J Korean Acad Nurs, 32(3), 384-394 https://doi.org/10.4040/jkan.2002.32.3.384
  6. Hagen, B., Armstrong-Esther, C., & Sandilands, M. (2003). On a happier note: Validation of musical exercise for older persons in long-term care settings. Int J Nurs Stud, 40(4), 347-357 https://doi.org/10.1016/S0020-7489(02)00093-7
  7. Im Y. M. (2002). Effects of movement/exercise on physical and emotional functioning in elders with cognitive impairments. J Korean Gerontol Soc, 21(3), 197-211
  8. Jeon, M. Y., & Choe, M. A. (1996). Effect of Korean traditional dance movement on psychophysiological variables in Korean elderly women. J Korean Acad Nurs, 26(4), 833-852
  9. Jeon, M. Y., Choe, M. A., & Chae, Y. R. (2000). Effect of Korean traditional dance movement training on balance, gait and leg s in home bound elderly women. J Korean Acad Nurs, 30(3), 647-658 https://doi.org/10.4040/jkan.2000.30.3.647
  10. Jung, Y. J., Min, S., & Kim, K. S. (2004). The effect of rhythmic exercise program on serum lipid, superoxide dismutase, catalase activity in the elderly women. J Korean Physical Educ Assoc Girls Women, 18(3), 1-20
  11. Kee, B. S., & Lee, C. W. (1995). A preliminary study for the standardization of geriatric depression scale short form-korea version. J Korean Neuropsychiatr Assoc, 34(6), 1875-1884
  12. Kim, C. G, June, K. J., & Song, R. Y. (2003). Effects of a health-promotion program on cardiovascular risk factors, health behaviors, and life satisfaction in institutionalized elderly women. Int J Nurs Stud, 40(4), 375-381 https://doi.org/10.1016/S0020-7489(02)00102-5
  13. Kim, E. W., Lee, I. J., & Jeu, A. R. (2003). Effect of the elderly educational program on instrumental activities of daily living, efforts for healthy aging in the elderly. J Welfare for the Aged, 20, 49-67
  14. Kim, S. H. (2003). The development of gymmnastic program for elderly in aging society. J Sport Leisure Stud, 20, 687-694
  15. Kim, S. W., & Bae, Y. J. (2002). Effect of aerobic exercise with strength training on physical fitness and sex hormones elderly people. Korean J Physical Educ, 41(1), 477-491
  16. Kim, Y. S., Jeong, I. S., & Jung, H. M. (2004). The effect of a stretching exercise program in elderly women. J Korean Acad Nurs, 34(1), 123-131 https://doi.org/10.4040/jkan.2004.34.1.123
  17. Kim. M. J. (2004). The study of alternative medicine education program for elderly people. J Korean Beauty Soc, 10(1), 40-46
  18. Lee, G. H. (2002). Issues and prospects of care work for the elderly in korea. J Korean Soc Welfare for the Aged, 25, 7-29
  19. Lee, S. H., & An, E. N. (2003). The effect of long-term aerobic exercise on cardiorespiratory function and serum lipids in the elderly men. Korea Sport Res, 14(5), 1899-1904
  20. Lee, S. J. (2000). An application effect of rhythmic movement program for the health promotion in the elderly. J Korean Acad Nurs, 30(3), 776-790 https://doi.org/10.4040/jkan.2000.30.3.776
  21. McDougall, G. J. (1995). Meta memory and depression in cognitively impaired elders. Nurs Res, 44(5), 306-311
  22. MOHW (2006). Ministry of Health & Welfare
  23. Oak, J. S., & Park, W. Y. (2004). Effects of resistance training on fitness and equilibrium sensory function in old adults. Exerc Sci, 13(1), 101-112
  24. Park, I. R. (2004). Effect of 12 weeks aerobic exercise on health-related physical fitness and bone density in elderly. J Sport Leisure Stud, 22, 6459-469
  25. Park, J. M., & Han, S. H. (2003). The effect of exercise program on health and depression in the elderly. J Korean Acad Nurs, 33(2), 220-227 https://doi.org/10.4040/jkan.2003.33.2.220
  26. Park, O. J., & So, H. S. (2004). Model development of an health promotion center: The effect of a social support program at a community health center. J Korean Acad Nurs, 34(5), 781-790 https://doi.org/10.4040/jkan.2004.34.5.781
  27. Resnick, B. (2000). Functional performance and exercise of older adults in long-term care setting. J Gerontol Nurs, 26(3), 7-16
  28. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press
  29. Ruuskanen, J. M., & Parkatti, T. (1994). Physical activity and related factors among nursing home residents. J Am Geriatr Soc, 42(9), 987-991 https://doi.org/10.1111/j.1532-5415.1994.tb06593.x
  30. Schnelle, J. F., MacRae, P. G., Giacobassi, K., MacRae, H. S., Simmons, S. F., & Ouslander, J. G. (1996). Exercise with physically restrained nursing home residents ; maximizing benefits of restraint reduction. J Am Geriat Soc, 44(5), 507-512 https://doi.org/10.1111/j.1532-5415.1996.tb01434.x
  31. Seo, N. S. (2003). The effects of stage based exercise program on the physical and psychological variables in stroke survivors. J Korean Acad Nurs, 33(7), 954-964
  32. Sung, K. W. (2005). Scale development on health conservation of the institutionalized elderly. J Korean Acad Nurs, 35(1), 113-124
  33. Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M. B., & Leirer, V. O. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res, 17, 37-49 https://doi.org/10.1016/0022-3956(82)90033-4