Park Ye Ri Ja, Sohng Kyeong Yae
College of Nursing, The Catholic University of Korea, Seoul, Korea.
J Korean Acad Nurs. 2019 Oct;49(5):515-525. doi: 10.4040/jkan.2019.49.5.515.
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.
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.
Significant group differences were found in depression (U=48.50, <.001), cognitive functioning (U=2.50, <.001), left arm flexibility (U=251.50, =.023), right arm flexibility (U=225.00, =.007), static balance (U=237.00, =.012), and gait ability (U=190.50, =.004). However, there were no significant differences in bothgrip strength and muscle mass between the two groups.
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.
本研究旨在评估定制化健康促进项目（CHPP）对社区独居老年女性的抑郁、认知功能和身体健康的有效性。
采用前后测设计的随机对照研究，在一个城镇的14个区域将62名参与者分为干预组（7个群组，共32人）或对照组（7个群组，共30人）。最终样本包括30名完成了为期10周CHPP的干预组参与者和26名对照组参与者。干预组每周参加CHPP；他们接受了关于应对慢性病、改变生活方式、风险管理、相互提供情感支持以及坐在地板上锻炼的指导，并被鼓励每周在家中进行三次锻炼。
在抑郁（U = 48.50，<.001）、认知功能（U = 2.50，<.001）、左臂灵活性（U = 251.50，=.023）、右臂灵活性（U = 225.00，=.007）、静态平衡（U = 237.00，=.012）和步态能力（U = 190.50，=.004）方面发现了显著的组间差异。然而，两组之间的握力和肌肉质量均无显著差异。
研究结果表明，CHPP总体上有效地改善了独居老年女性的抑郁、认知功能和身体功能，因此可被视为针对社区独居老年女性的一个积极项目。
