Journal of Korean Academy of Nursing

Original Articles

Effects of a Customized Health Promotion Program on Depression, Cognitive Functioning, and Physical Health of Elderly Women Living Alone in Community: A Cluster Randomized Controlled Trial: Ye Ri Ja Park, Kyeong-Yae Sohng; J Korean Acad Nurs 2019;49(5):515-525. Published online January 15, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.5.515

Abstract Purpose

This study aimed to evaluate the effectiveness of a customized health promotion program (CHPP) on depression, cognitive functioning, and physical health of elderly women living alone in the community.

Methods

A randomized comparison of pre-and post-test design was used with 62 participants assigned to either an intervention (n=32 in seven clusters) or a control group (n=30 in seven clusters) in 14 areas of a town. The final sample included 30 intervention participants who completed the CHPP for 10 weeks, and 26 control participants. The intervention group participated in the CHPP weekly; they were provided with instructions about coping with their chronic illnesses, lifestyle modification, risk management, providing emotional support to each other, and floor-seated exercise, which they were encouraged to do three times a week in their homes.

Results

Significant group differences were found in depression (U=48.50, p<.001), cognitive functioning (U=2.50, p<.001), left arm flexibility (U=251.50, p=.023), right arm flexibility (U=225.00, p=.007), static balance (U=237.00, p=.012), and gait ability (U=190.50, p=.004). However, there were no significant differences in bothgrip strength and muscle mass between the two groups.

Conclusion

The findings indicate that CHPP was overall effective at improving depression, cognitive functioning, and physical functioning of elderly women living alone, and could therefore be considered a positive program for community-dwelling elderly women living alone.

Citations

Citations to this article as recorded by

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Hye Seung Choi, Younghye Park, Hae-Ra Han, Jong-Eun Lee
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International Journal of Environmental Research and Public Health.2021; 18(16): 8487. CrossRef
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International Journal of Environmental Research and Public Health.2021; 18(15): 8198. CrossRef

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Affecting Factors of Homebound Bedridden Elderly's Depression: In Ja Kim, Keum Soon Kim, Moon Ja Suh, Nam Ok Cho; Journal of Korean Academy of Nursing 2002;32(5):665-672. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.5.665

Abstract PDF: PURPOSE: It was identified that how many homebound bedridden elderlies and their primary caregivers were depressed, and which factors affected the bedridden elderly's depression. METHOD: The subjects were 191 homebound bedridden elderlies and their primary caregivers. The affecting factors were classified into two categories: bedridden elderly and their primary caregiver related factors. Then bedridden elderly's factors were classified demographic and disease-related factors again. The stepwise regression was used to identify significant factors. RESULT: The prevalence of bedridden elderly's and caregiver's depression was 77.8% and 67.0%, respectively. And the model explained 33.3% of variance of bedridden elderly's depression. Cognitively-impaired female elderlies who had depressed caregivers were found to be more depressed. And caregivers who perceived burden were identified to be more depressed. CONCLUSION: It is recommended that the health professionals need to identify bedridden elderlies and caregivers at risk of depression. Especially elderlies who is in poor cognition, those who are female, and those whose caregivers were depressed might be considered carefully in all counseling or follow-up. Also the primary caregivers must be helped to access already available formal and informal support.

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The Effects of a Cognitive Behavior Program on Cognition, Depression, and Activities of Daily Living in Elderly with Cognitive Impairment: Su Kyong Chu, Jang Hak Yoo, Chung Yul Lee; Journal of Korean Academy of Nursing 2007;37(7):1049-1060. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.7.1049

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