Park Chorong, Song Misoon, Cho Belong, Lim Jaeyoung, Song Wook, Chang Heekyung, Park Yeon-Hwan
Yale School of Nursing, New Haven, U.S.A.
College of Nursing; The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
J Korean Acad Nurs. 2015 Apr;45(2):192-201. doi: 10.4040/jkan.2015.45.2.192.
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.
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.
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.
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.
本研究旨在基于赋权理论开发一种多学科自我管理干预措施，并评估该干预措施对患有慢性疾病的老年人的有效性。
采用随机对照试验设计，纳入43名患有慢性疾病的韩国老年人（实验组=22名，对照组=21名）。干预包括两个阶段：（1）为期8周的多学科、团队指导、基于小组的健康教育、锻炼课程和个人赋权咨询；（2）为期16周的自助小组活动，包括每周的锻炼和小组讨论，以维持所获得的自我管理技能和解决问题的技能。在基线、第8周和第24周进行评估，测量健康赋权、锻炼自我效能、身体活动和身体功能。
随着时间的推移，与对照组相比，实验组的健康赋权、身体活动和身体功能显著增加。实验组的锻炼自我效能随着时间的推移显著增加，但两组之间没有显著差异。
基于赋权理论的自我管理计划改善了老年人的健康赋权、身体活动和身体功能。研究结果表明，健康赋权策略可能是患有多种慢性疾病的老年人在实现对其慢性疾病的控制感和积极参与自我管理方面的一种有效方法。
