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A study on the level of ADL in Community Dwelling Elderly Registered in a Public Health Center
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Keum Ja Kim, Jin Yoon, Hyo Soon Jang, Sun Hwa Ko, Oon Hee Yee
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J Korean Acad Community Health Nurs. 2002;13(2):332-342. Published online June 30, 2002
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 Abstract
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- PURPOSE
The purpose of this study was to assess the level of activities of daily living (ADL) in a group of community dwelling elderly.
METHODS
The subjects were 100 low-income elderly registered in a public health center. the data were analyzed using the SPSS/PC Program.
RESULTS
The results were as follows: 1. The basic ADLs of the subject were scored at 7 levels, and the mean score was 6.24 out of 7 points, The subjects did not necessarily require help from others, but might have needed more times or instrumental assists to perform ADLs. the lowest ADL score was reported on walking up to the stairs (5.05), for which the subjects did not need physical assistance, but needed a certain degree of supervision. the highest score was reported on self eating (6.74), followed by bowel management (6.60) 2. The mean IADL, score of the subjects was 1.77 out of 4 points, indicating that the subjects were very independent in performing IADLs, without help from others.
3. In relation to general characteristics, the level of ADLs of the subjects was significantly different by age (F=6.65, P=000), main activities (F=6.36, P=.001), perceived health status (P=4.66, P=.012), educational background (F=4.64, P=.03), marital status (F=4.62, P=005), and major household income (F=4.15, P=.002).
4. The subjects' level of IADLs in relation to their general characteristics was significantly different by perceived health status (F=3.53, P=.018), religion (F=3.10, P=.019), marital status (F=2.62, P=.055), and major household income(F=2.31, P=.049)
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The Development of Health Promotion Programs for Middle Aged Women
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Young Nam Cha, Keum Ja Kim, Hye Kyung Lim, Hyo Soon Jang, Hae Sil Han
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J Korean Acad Community Health Nurs. 1998;9(1):5-20. Published online June 30, 1998
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Abstract
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- The purpose of this study was to develop health promotion programs for middle aged women and to identify the adaptability and the effectiveness of the program in order to provide a model for health promotion programs as a basis for nursing intervention. The research design was a quasi-experimental, nonequivalent control-group pretest-posttest design.
The data were collected from October 30 to December 11, 1996. The study subjects were middle aged women residing in Chonju city, with ages from 40 to 59. The experimental group consisted of 42 subjects who were recruited through announcements of the local newspaper. The control group consisted of 49 subjects who were mothers of nursing college students.
The health promotion program for middle aged women was based on the Bandura's self efficacy theory and Pender's heath promotion behavior theory consisting of exercise and heath diaries as performance accomplishments as well as education and group sessions as verbal persuasion and vicarious experiences. The study program was provided for 6 weeks, 3 hours a day per week.
There was a pretest before the program and a posttest after the 6 week program.
The instruments used for the study were a Self Efficacy Scale and a Health Promotion Behavior Scale developed by Park(1995). The data analysis was done by the use of a SPSS/PC.
The study results were as follows: 1. In the analysis of the homogeneity between the experimental and control groups, there were significant differences in the socio-demographic characteristics, self efficacy and health promotion behavior. There were significant differences between the experimental and control groups in occupation, the number of children, and the status of involvement in social activities.
2. The first hypothesis, "The level of self efficacy of the experimental group will be higher than that of the control group." was supported(F=10.154, p=.002). The second hypothesis, "The degree of health promotive behaviors in the experimental group will be higher than that of the control group." was supported(F=17.349, p=.000).
3. There was a significant positive correlation between the self efficacy and the health promotion behaviors in pretest and posttests (pretest: r=.732, p=.000 ; posttest : r=.754, p=.000).
4. The significant variables for health promotion behaviors were religion(t=-1.97, p=.05), family income(F=4.85, p=.00), education level (F=6.38, p=.00) and involvement in social activities(t=-3.06, p=.00) in socio-demographic characteristics.
In summary, a heath promotion program based on self efficacy theory has made an improvement on health promotion behaviors. Also, the results show that the higher the level of self efficacy, the better the health promotion is in middle aged women.
The study has proved that nurses can provide nursing intervention for the improvement of health promotion in middle aged women through the adaptation of a program increasing the subject's self efficacy level.
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KACHN
