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HOME > J Korean Acad Community Health Nurs > Volume 23(4); 2012 > Article
Original Article
Effects of Tailored Case Management using a Gatekeeper for the Depressed Single-household Elderly Population: Focusing on the Mental Health Case Management
Yun-Jung Choi, Mi-Ra Won
Journal of Korean Academy of Community Health Nursing 2012;23(4):376-385.
DOI: https://doi.org/10.12799/jkachn.2012.23.4.376
Published online: December 31, 2012

1Red Cross College of Nursing, Chung-Ang University, Seoul, Korea.

2Department of Nursing, Daewon University, Jecheon, Korea.

• Received: March 26, 2012   • Accepted: December 19, 2012

Copyright © 2012 Korean Academy of Community Health Nursing

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  • Purpose
    The aim of this study was to evaluate the effects of tailored case management using a gatekeeper on depression and life satisfaction in the single-household elderly population.
  • Methods
    The design of Quasi experiment was applied to compare the variables before and after the management. Ninety-seven people who had depression categorized by the Korean Geriatric Depression Scale.
  • Results
    Depression (t=11.22, p<.001) and life satisfaction (t=-5.36, p<.001) were improved after management in comparison to the results of pre-tests, and the differences were statistically significant. The difference in the pre-test and post-test scores of the support system (χ2=13.89, p<.001) were significant, while the differences in the perception of depression (χ2=.02, p=.891) and coping methods (χ2=.34, p=.558) were not statistically significant.
  • Conclusion
    Tailored case management using a gatekeeper is effective to reduce the degree of depression and improve life satisfaction in the single-household elderly population having depression. This study offers a model of individualized as well as systemic mental health care for the community of single-house hold elderly people as an effective means for prevention of and early intervention in depression.
Figure 1
A study on process.
jkachn-23-376-g001.jpg
Table 1
The Means of the Major Variables and Subject Characteristics (N=97)
jkachn-23-376-i001.jpg
Table 2
Differences of Depression Perception level, Depression Coping Method and Support Systems between the Pre-intervention and Post-intervention. (N=97)
jkachn-23-376-i002.jpg
Table 3-1
Differences of SWLS and K-GDS Score between the Pre-intervention and Post-intervention (N=97)
jkachn-23-376-i003.jpg

SWLS=satisfaction with life scale; K-GDS=Korean geriatric depression scale.

Table 3-2
Categories Differences of SWLS and K-GDS between the Pre-intervention and Post-intervention (N=97)
jkachn-23-376-i004.jpg

SWLS=satisfaction with life scale; K-GDS=Korean geriatric depression scale.

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References

    Citations

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