Korean Public Health Research (대한보건연구)

The Korean Public Health Association (대한보건협회)
권호 표지

The Effects of Shinbaram Health Exercise on Health Status and Daily Living Performance Ability of the Elderly

신바람 건강체조가 노인의 건강상태 및 일상생활수행능력에 미치는 영향

  • Lee, Ka Yeong (Graduated School, College of Nursing, Chonbuk National University) ;
  • Yoo, Kwang Soo (College of Nursing Chonbuk National University, Jeonju Workers Health Center) ;
  • Kim, Hyeon Ok (College of Nursing, Research Institute of Nursing Science, Chonbuk National University) ;
  • Yang, Youngran (College of Nursing, Research Institute of Nursing Science, Chonbuk National University)
  • 이가영 (전북대학교 간호대학원) ;
  • 유광수 (전북대학교 간호대학.전주근로자건강센터) ;
  • 김현옥 (전북대학교 간호대학.간호과학연구소) ;
  • 양영란 (전북대학교 간호대학.간호과학연구소)
  • Received : 2018.05.11
  • Accepted : 2018.08.27
  • Published : 2018.08.31

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Abstract

Title: The Effects of Shinbaram Health exercise on Health Status and Daily Living Performance Ability of the Elderly Objective: The purpose of this study was to evaluate the effect on health status and daily living performance of the elderly who were participated Shinbaram health exercise for 12 weeks in a rural community. Methods: There were two groups, the experimental group(n=60) and control group(n=60), recurited from 8 villages in 2 districts. Frequency, percentage, chi-test, independent t-test, ANCOVA and Mann-Whitney U test were performed for analysis using SPSS/WIN 18.0 statistical program. Results: The exercise group showed significant improvements in perceived health(U=909.26, p<.001), systolic blood pressure(U=870.50, p<.001), diastolic blood pressure(U=1,088.00, p<.001), blood sugar(U=878.50, p<.001), total cholesterol(U=688.50, p<.001), and triglyceride(U=198.00, p<.001). The measurements of the muscle strength of exercise group also were increased; the left upper limb muscle strength(F=250.874, p<.001), the right upper limb muscle strength(F=95.130, p<.001) and lower limb muscle strength(U=301.50, p<.001). The exercise group had better balance (U=60.00, p<.001) and activity of daily life(ADL)((U=204.00, p<.001) and instrumental activity of everyday life (IADL)(U=76.50, p<.001) Conclusion: Shinbaram Health Exercise is effective to improve the health status and daily living performance of the elderly in the rural community.

연구목적: 본 연구는 농촌 지역의 보건소에서 노인에게 적용한 신바람 건강체조가 노인의 건강상태 및 일상생활수행능력 향상에 효과가 있는지 파악하기 위해 시행되었다. 연구방법: 연구표본은 J리와 S리에 위치한 총 4개 마을 60명의 노인을 실험군으로 선정하였고, 실험군과 근접한 위치에 있지 않는 동일리 4개의 마을 60명의 주민을 대조군으로 선정하여 총 120명이었다. 각 마을 경로당에서 12주간 주 2회, 회당 60분씩 신바람 건강체조를 시행하였다. 수집된 자료는 SPSS 18.0 프로그램을 이용하여 대상자의 일반적 특성 동질성 검정은 빈도, 백분율, ${\chi}^2$ test를 이용하였고 임상적 특성 동질성 검증은 평균, 표준편차, t-test를 이용하였다. 가설검정은 independent t-test, Mann-Whitney U test와 동질성 검사에서 유의하게 나온 변수는 사전 점수를 통제한 ANCOVA를 이용하여 분석하였다. 연구결과: 중재 후 실험군의 주관적 건강상태 (U=909.26, p<.001), 수축기 혈압(U=870.50, p<.001), 이완기 혈압(U=1088.00, p<.001)이 통계적으로 유의하게 증가하였다. 왼쪽 상지근력(F=250.874, p<.001), 오른쪽 상지근력(F=95.130, Ρ<.001), 하지근력(U=301.50, p<.001), 평형성(U=60.00, p<.001)도 실험군에서 통계적으로 유의하게 증가하였다. 또한, 실험군에서 혈당(U=878.50, p<.001), 총콜레스테롤(U= 688.50, p<.001), 중성지방(U=198.00, p<.001)이 통계적으로 모두 유의하게 개선되었다. 일상생활수행능력(activity of daily life(ADL) (U=204.00, p<.001)과 일상생활의 도구적 활동(instrumental activity of everyday life (IADL).(U=76.50, p<.001)도 통계적으로 유의하게 증가하였다. 결론: 본 연구결과 신바람 건강체조 프로그램은 대상자의 수축기혈압, 이완기혈압, 상지근력, 하지근력, 평형성, 혈당 총콜레스테롤, 중성지방, 일상생활수행능력 향상에 효과가 있게 나타나 노인의 건강상태 및 일상생활수행능력을 증진시키는 적절한 운동프로그램으로 사료된다.

Keywords

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