Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
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Effects of an Empowering Program on Health Quality of Life, Decision Making Self-efficacy, Self-care Competency, and Reasonable Medical Care Utilization among Low Income Women Households

일 지역 저소득층 여성가구주를 위한 임파워링 프로그램이 건강 삶의 질, 의사결정 자기효능, 자가관리 능력 및 합리적 의료이용에 미치는 효과

  • Ahn, Yang-Heui (Department of Nursing, Wonju College of Medicine, Yonsei University, Nursing Center for Women's Health) ;
  • Kim, Ki-Kyong (Department of Nursing, Wonju College of Medicine, Yonsei University, Nursing Center for Women's Health) ;
  • Kim, Gi-Yon (Department of Nursing, Wonju College of Medicine, Yonsei University, Nursing Center for Women's Health) ;
  • Song, Hee-Young (Department of Nursing, Wonju College of Medicine, Yonsei University, Nursing Center for Women's Health)
  • 안양희 (연세대학교 원주의과대학 간호학과, 여성건강간호센터) ;
  • 김기경 (연세대학교 원주의과대학 간호학과, 여성건강간호센터) ;
  • 김기연 (연세대학교 원주의과대학 간호학과, 여성건강간호센터) ;
  • 송희영 (연세대학교 원주의과대학 간호학과, 여성건강간호센터)
  • Received : 2010.05.04
  • Accepted : 2010.08.06
  • Published : 2010.09.30
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Abstract

Purpose: The study assessed the effects of a 12-session empowering program to promote health quality of life, decision making self-efficacy, self-care competency, and reasonable medical care utilization among low income women households in one rural area. Methods: A quasi-experimental, one-group pre-posttest design was employed. A total of 28 women enrolled as medicaid recipients in the Public Health Center of W city agreed to participate. The empowering program consisted of 12 sessions addressing health education for self-care of disease, medication management, and counseling for psycho-social support. The intervention was delivered by five nurses and one social worker. Women completed a structured questionnaire measuring the study variables with demographic characteristic before and after the intervention. Data were analyzed by PAWS Statistics 17 utilizing descriptive statistics and paired t-test. Results: After the intervention, significant increases were evident in participant health quality of life (t=-5.83, p<.001), decision making self-efficacy (t=-4.86, p<.001), self-care competency (t=-8.16, p<.001), and reasonable medical care utilization (t=-3.97, p<.001). Conclusion: The 12-session empowering program on health quality of life as well as self-care competency was effective when delivered to low income women households. Further studies with larger numbers of participants and a control group are necessary to validate the results.

Keywords

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