DOI QR코드

DOI QR Code

Effects of the Exercise Program Combined with Telephone Coaching on Postural Balance, Grip Strength and Depression of Elderly Living Alone in the Community

전화코칭을 병행한 운동 프로그램이 지역사회 거주 독거 노인의 균형능력, 악력 및 우울에 미치는 효과

  • 이서현 (을지대학교 간호대학(성남)) ;
  • 이수연 (을지대학교 간호대학(성남)) ;
  • 김윤아 (을지대학교 간호대학(성남)) ;
  • 조문경 (을지대학교 간호대학(성남)) ;
  • 김재은 (을지대학교 간호대학(성남)) ;
  • 김조현 (을지대학교 간호대학(성남)) ;
  • 봉민지 (을지대학교 간호대학(성남)) ;
  • 오수경 (을지대학교 간호대학(성남)) ;
  • 조수아 (을지대학교 간호대학(성남)) ;
  • 조영우 (을지대학교 간호대학(성남)) ;
  • 조윤진 (을지대학교 간호대학(성남)) ;
  • 이하영 (을지대학교 간호대학(성남)) ;
  • 이수연 (을지대학교 간호대학(성남)) ;
  • 한은경 (을지대학교 간호대학(성남))
  • Received : 2022.06.07
  • Accepted : 2022.06.29
  • Published : 2022.06.30

Abstract

This study is an experimental study on the single group pre-post test design for the effects of the exercise program combined with telephone coaching on postural balance, grip strength and depression of the elderly living alone. The subjects of this study were 20 elderly living alone who registered at a senior welfare center located in S City, Gyeonggi-do. A total of 12 session programs were applied from July 3 to October 14, 2021. Before and after the program, the participant's home was visited and 4 stage standing balance test(4 SBT), grip strength and depression were measured. The contents of the intervention consisted of elastic bands and grip balls, and weekly telephone coaching interventions were provided. In the result of this study, the exercise program combined with telephone coaching were statistically significant differences in 4 SBT(3stage)(t=-2.37, p=.029), 4 SBT(4stage)(t=-2.46, p=.024), right grip strength(t=-2.18. p=.042) and depression(t=2.82, p<.001). Therefore, it is expected that the exercise program combined with telephone coaching can be applied as a nursing intervention to improve postural balance, grip strength and reduce depression in the elderly living alone in the community.

본 연구는 전화코칭을 병행한 운동프로그램이 지역사회 거주 독거노인의 균형능력, 악력 및 우울에 미치는 효과를 조사하기 위한 단일집단 사전사후 원시실험연구이다. 연구대상자는 경기도 S시에 위치한 노인복지관에 등록된 독거노인 20명이 참여하였으며, 자료수집기간은 2021년 7월 03일부터 2021년 10월 14일까지 총 12회기 프로그램을 시행하였다. 프로그램 전후에 대상자 가정에 직접 방문하여 4단계 균형검사, 근력검사, 악력 및 우울을 측정하였다. 중재 프로그램은 탄력밴드와 악력볼을 이용하여 구성하였으며 매주 전화코칭 중재를 제공하였다. 연구결과, 전화코칭을 병행한 운동 프로그램은 대상자의 4단계 균형기능(3단계)(t=-2.37, p=.029), 4단계 균형기능(4단계)(t=-2.46, p=.024), 우측 악력(t=-2.18, p=.042), 우울(t=2.82, p<.001)에서 통계적으로 유의한 차이가 나타났다. 본 연구 결과를 바탕으로 전화코칭을 병행한 운동프로그램은 독거노인의 균형능력, 악력 향상 및 우울 감소를 위한 간호중재로 활용될 수 있을 것으로 기대된다.

Keywords

References

  1. Statistics Korea, Household projections for Korea: 2015~2045 [Internet]. 2017[cited 2017 May 13]. Available from: http://kostat.go.kr/portal/eng/pressReleases/8/2/index.board
  2. Statistics Korea. Statistics of the elderly [Internet], Open Information; 2021[cited 2021 Sep 29]. Available from: https://kostat.go.kr/portal/korea/
  3. Y. S. Kim, "The study of the impact of the family type on the health promoting behavior and physical and mental health of elderly people", Health and Social Welfare Review, Vol.34, No.3 pp. 400-429, (2014). https://doi.org/10.15709/hswr.2014.34.3.400
  4. L. Bailey, M. Ward, A. DiCosimo, S. Baunta, C. Cunningham, R, Romero-Ortuno, R, Briggs, "Physical and mental health of older people while cocooning during the COVID-19 pandemic", QJM: An International Journal of Medicine, Vol. 114, No.9 pp. 648-653, (2021). https://doi.org/10.1093/qjmed/hcab015
  5. A. S. Jang, E. J. Hwang, E. J, "The effects of comprehensive health care program for living alone older people on blood pressure, fasting glucose, body composition, depression at a senior welfare center", Journal of the Korea Academia-Industrial cooperation Society, Vol.18, No.11 pp. 526-535, (2017). https://doi.org/10.5762/KAIS.2017.18.11.526
  6. R. Armitage, L. B. Nellums, "COVID-19 and the consequences of isolating the elderly". The Lancet Public Health, Vol.5, No.5 pp. 256, (2020).
  7. M. J. Choi, K. Y. Sohng, "The effects of floor-seated exercise program on physical fitness, depression, and sleep in older adults: A cluster randomized controlled trial", International Journal of Gerontology, Vol.12, No.2 pp. 116-121, (2018). https://doi.org/10.1016/j.ijge.2017.06.003
  8. C. G. Kim, S. Park S, "Gender difference in risk factors for depression in community-dwelling elders", Journal of Korean Academy of Nursing, Vol.42, No.1 pp. 136-147, (2012). https://doi.org/10.4040/jkan.2012.42.1.136
  9. C. A. Pastorino, T, Dickey, "Health promotion for the elderly: Issues and program planning", Orthopaedic Nursing, Vol.9, No.6 pp. 36-42, (1990). https://doi.org/10.1097/00006416-199011000-00007
  10. Y. S. Kim, W. Y. Ha, "A study of the effect of participation in productive leisure activities on the suicide ideation and physical and mental health of elderly living alone", Health and Social Welfare Review. Vol.35, No.4 pp. 344-374, (2015). https://doi.org/10.15709/hswr.2015.35.4.344
  11. R. M. Petterson, J. C. Stegink, H. A. Hogan, M. D. Nassif, "Material properties of thera-band tubing", Physical Therapy, Vol.81, No.8 pp. 1437-1445, (2001). https://doi.org/10.1093/ptj/81.8.1437
  12. S. Y. Park, U. S. Seon, "Effects of 10-week elastic band exercise on blood pressure, blood lipid levels and daily fitness in elderly female hypertensive patients", Korean Association of School Physical Education, Vol.13, No.2 pp. 115-127, (2003).
  13. J. H. Lee, SH, Kim, " The effects of low intensity exercise program with telephone coaching on physical fitness and physiological index in the elderly women in home visiting health program", Journal of Korean Academy Society of Nursing education, Vol.22, No.3 pp. 345-354, (2016). https://doi.org/10.5977/jkasne.2016.22.3.345
  14. Y. S. Han, H. C. Choi, P. Y. Lee, "Development and effect of the customized health gymnastics program for the frail old", The Korean Journal of Physical Education, Vol.46, No.5 pp. 595-606, (2007).
  15. J. E. Rossiter-Fornoff, S. L. Wolf, L. I. Wolfson, "A cross-sectional validation study of the FICSIT common data base static balance measures", Journal of Gerontology A Biological Sciences and Medical Science, Vol.50, No.6 pp. 291-297, (1995). https://doi.org/10.1093/gerona/50A.6.M291.
  16. M. Csukal M, D. J. McCarty, "Simple method for measurement of lower extremity muscle strength", American of Journal Medicine, Vol.78, No.1 pp. 77-81, (1985).
  17. Y. H. Kim, H. J. Jang, "Effect of the anti-aging program for community-dwelling elders", Journal of Korean Gerontology Nursing, Vol.13, No.2 pp. 101-108, (2011).
  18. J. A. Yesavage, T. L. Brink, T. L. Rose, O. Lum, V. Huang, M. B. Adey, V. O. Leirer, "Development and validation of a geriatric depression screening scale: a preliminary report", Journal of Psychiatric Research, Vol.17, No.1 pp. 37-49, (1983). https://doi.org/10.1016/0022-3956(82)90033-4
  19. B. S. Kee, "A preliminary study for the standardization of geriatric depression scale short form-Korean version", Journal of the Korean Neuropsychiatric Association, Vol.35, No.2 pp. 298-307, (1996).
  20. A. Bandura, "The explanatory and predictive scope of self-effecacy theory", Journal of Socical and Clinical Psychology", Vol.4, No.3 pp. 359-373, (1986). https://doi.org/10.1521/jscp.1986.4.3.359
  21. M. E. Nelson, W. J. Rejeski, S. N. Blair, P. W. Duncan, J. O, Judge, A. C. King, C. Castaneda-Sceppa, "Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association", Circulation, Vol.116, No.9 pp. 1094-1105, (2007). https://doi.org/10.1161/CIRCULATIONAHA.107.185650
  22. M. R. N. Choi, S. M. Ha, D. Y. Kim, "Effects of elastic band exercise on body composition, blood lipids and AMPK in the elderly women", Journal of the Korean Applied Science and Technology, Vol.36, No.3 pp. 995-1007, (2019). https://doi.org/10.12925/JKOCS.2019.36.3.995
  23. G. R. Kim, M. S. Song, "Effects of a stim up mat walking exercise program on balance, gait function and joint motion range of the frail elderly", Journal of Korean Academy Community Health Nursing, Vol.30, No.1 pp. 47-56, (2019). https://doi.org/10.12799/jkachn.2019.30.1.47
  24. I. J. Kim, E. O. Lee, H. J, "Choi. Perceived barriers to exercise of adults: Difference by age, gender and residence", Korean Journal of Adult Nursing, Vol.15, No.2 pp. 193-204, (2003).
  25. Y.S Kim, G. C. Kim, J. W. Lee, C. T. Kim, M. J, Oh, Y, S, Kwak, "The effects of Qi-gong exercise and elastic band exercise on fitness, ADL and depression in elderly women", Journal of Korea Society for Wellness, Vol.8, No.4 pp. 293-302, (2013).
  26. S. Kim, W. Park. "The effect of the elderly exercise program using elastic-band on the depression and physical self-efficacy of the elderly", Journal of Korean Society of Integrative Medicine, Vol.7, No.4 pp. 53-59, (2019). https://doi.org/10.15268/KSIM.2019.7.4.053