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Effects of Tailored Case Management using a Gatekeeper for the Depressed Single-household Elderly Population -Focusing on the Mental Health Case Management-

Article information

Res Community Public Health Nurs. 2012;23(4):376-385
Publication date (electronic) : 2012 December 31
doi : https://doi.org/10.12799/jkachn.2012.23.4.376
Yun-Jung Choi1, Mi-Ra Won2
1Red Cross College of Nursing, Chung-Ang University, Seoul, Korea.
2Department of Nursing, Daewon University, Jecheon, Korea.
Corresponding author: Won, Mi-Ra. Department of Nursing, Daewon University, 274 Daehak-ro, Jecheon 390-702, Korea. Tel: +82-10-9095-1247, happysgmr@paran.com
Received 2012 March 26; Accepted 2012 December 19.

Abstract

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.

Keywords: Elderly; Gatekeeping; Case management; Depression; Satisfaction

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Copyright © 2012 Korean Academy of Community Health Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Figure 1

Figure 1

A study on process.

Table 1

The Means of the Major Variables and Subject Characteristics (N=97)

Table 1

Table 2

Differences of Depression Perception level, Depression Coping Method and Support Systems between the Pre-intervention and Post-intervention. (N=97)

Table 2

Table 3-1

Differences of SWLS and K-GDS Score between the Pre-intervention and Post-intervention (N=97)

Table 3-1

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)

Table 3-2

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