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[학술저널]

만성질환 노인에서 임파워먼트 이론에 근거한 다학제적 자기관리 프로그램의 효과

  • 학술저널

만성질환 노인에서 임파워먼트 이론에 근거한 다학제적 자기관리 프로그램의 효과

Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness

박초롱(예일대학교) 송미순(서울대학교) 조비룡(서울대학교) 임재영(서울대학교) 송욱(서울대학교) 장희경(서울여자간호대학) 박연환(서울대학교)

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Purpose: The purpose of this study was to develop a multi-disciplinary self-management intervention based on empowerment theory and to evaluate the effectiveness of the intervention for older adults with chronic illness. Methods: A randomized controlled trial design was used with 43 Korean older adults with chronic illness (Experimental group=22, Control group=21). The intervention consisted of two phases: (1) 8-week multi-disciplinary, team guided, group-based health education, exercise session, and individual empowerment counseling, (2) 16-week self-help group activities including weekly exercise and group discussion to maintain acquired self-management skills and problem-solving skills. Baseline, 8-week, and 24-week assessments measured health empowerment, exercise self-efficacy, physical activity, and physical function. Results: Health empowerment, physical activity, and physical function in the experimental group increased significantly compared to the control group over time. Exercise self-efficacy significantly increased in experimental group over time but there was no significant difference between the two groups. Conclusion: The self-management program based on empowerment theory improved health empowerment, physical activity, and physical function in older adults. The study finding suggests that a health empowerment strategy may be an effective approach for older adults with multiple chronic illnesses in terms of achieving a sense of control over their chronic illness and actively engaging self-management.

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REFERENCES

참고문헌(29)

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    Anderson RM , 2003 , The diabetes empowerment scale-short form(DES-SF) , Diabetes Care 26 (5) : 1641 ~ 1642

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    Anderson RM , 2009 , Evaluating the efficacy of an empowerment-based self-management consultant intervention: Results of a two-year randomized controlled trial , Therapeutic Patient Education 1 (1) : 3 ~ 11

  • 5.

    Bandura A , 1977 , Self-efficacy : Toward a unifying theory of behavioral change , Psychological Review 84 (2) : 191 ~ 215

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