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The Effects of Education of Chronic Diseases Management for the Elderly Group in Parts of Seoul

서울지역 일부 노인집단에 대한 만성질환관리 교육의 효과

  • Received : 2010.07.12
  • Accepted : 2010.09.28
  • Published : 2010.09.30

Abstract

This study was conducted to evaluate the effects of health-behavioral change for the elderly group after community based education of chronic diseases management. We measured self recognition of health status, medication administration of hypertension and diabetes, regular check for blood pressure and blood sugar level, recognition of body indicators (weight, hight, blood pressure, blood sugar etc), knowledge level for chronic diseases management and smoking and alcohol habitation before and after education of chronic diseases management for participants. The subjects of this study consist of 432 people with community-dwelling Seoul citizen being active churches. Education programs designed essential parts of fundamental chronic diseases management, physical exercises for health promotion, diet and nutrition etc. All data collection completed for 5 months from Aug. 2008 to Dec. 2008 by trained surveyors via interview survey. The data obtained were analyzed using descriptive statistics, Wilcoxon Singed Rank test, McNemar test and Paired t-test. The results showed that self recognition of health status, knowledge level for chronic diseases management, recognition of body indicators were statistically significantly increased after the education of chronic diseases management. Also, blood pressure were statistically significantly decreased in elderly with hypertension and blood sugar were statistically significantly decreased in elderly of high-risk group. Based on these results, it was suggested that preventive education policy of chronic diseases management should be considered with priority coming true for successful aging society.

Keywords

References

  1. 국민건강보험공단. 2002-2007년도 노인성 질환자 진료 추이 분석. 보도자료 2008.
  2. 김남진. 예비노인 집단과 노인집단의 건강관심도 및 건강행위, 주관적인 건강상태와의 관련성 연구. 보건교육.건강증진학회지 2000 ; 17(2) : 99-110.
  3. 김윤미, 신은영, 이건세. 고혈압 노인에 대한 사례관리의 효과. 한국노년학 2006 ; 26(3) : 477-492.
  4. 박기수, 천병렬, 감신, 강윤식, 김건엽, 손재희, 이영숙. 장애인의 건강관심도, 건강실천행위 그리고 건강수준간의 구조 분석. 예방의학회지, 1999 ; 32(32) : 99276-288.
  5. 선우덕, 김찬우, 최정수, 최혜지, 연병길, 원장원 등. 노인장기요양보험제도 시범사업 평가 연구(2차). 보건복지부, 한국보건사회연구원. 2007:25-27.
  6. 보건복지가족부. 심.뇌혈관질환예방수칙 2008.
  7. 서울특별시. 2008 서울시 어르신과 함께하는 만성질환관리 2008.
  8. 윤진. 성인.노인 심리학. 서울 : 중앙적성출판사. 1998:294.
  9. 이진희, 김욱. 노인교육 참여가 노인의 심리적 안정에 미치는 영향. 한국노년학 2008 ; 28(4) : 887-905.
  10. 임기보, 이란, 고경남, 최은영, 김재훈, 정유석 등. 일차의료기관을 이용하는 당뇨병 환자들의 자기관리 실태. 가정의학회지 2007 ; 28 : 106-113.
  11. 임진영, 박종, 강명근, 류소연. 일부 지역사회 경로당 이용 노인의 삶의 질과 관련 요인. 예방의학회지. 2007 ; 40(5) : 337-344. https://doi.org/10.3961/jpmph.2007.40.5.337
  12. 전미영. 통합적 건강관리 프로그램이 노인의 건강증진에 미치는 효과. 한국노년학 2003 ; 23(3) : 1-13.
  13. 통계청. 장래인구추계 2006.
  14. 허재헌, 조영태. 서울시 노인의 사회경제적 수준별 활동제한 및 건강행태. 한국노년학 2008 ; 28(1) : 87-104.
  15. 허정무. 노인의 삶의 질 향상과 종교기관의 노인교육활동 참여. 한국노년학 2001 ; 21(2) : 37-52.
  16. Davis-Smith YM, Boltri JM et al. Implementing a diabetes prevention program in a rural African-American church. J Natl Med Assoc. 2007 ; 99(4) : 440-446.
  17. Granz K, Marger SM et al. Evaluation of a peer educator stroke education program for the elderly. Health Education Research 1986 ; 1(2) : 121-130. https://doi.org/10.1093/her/1.2.121
  18. HO EE Health-peers : A delivery model for health promotion among the elderly. Educational Gerintology 1987 ; 13(5) : 427-436. https://doi.org/10.1080/0360127870130506
  19. Nelson KM, Reiber G, Boyko EJ ; NHANES III. Diet and exercise among adults with type 2 diabetes : findings from the third national health and nutrition examination survey. Diabetes Care. 2002 ; 25 : 1772-1728. https://doi.org/10.2337/diacare.25.10.1772
  20. Nine SL, Lakies CL, Jarrett HK, Davis BA. Community-based chronic disease management program for African Americans. Outcomes Management. 2003 ; 7(3) : 106-112.
  21. Samuel-Hoge CD, Keyserling TC et al. A randmoized trial of a church-based diabetes self-management program for African Americans with type 2 diabetes. 2009 ; 35(3) : 439-454. https://doi.org/10.1177/0145721709333270

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