건강관리 프로그램이 노인의 건강관리에 미치는 영향

Effect of a Health Management Program on Health Promotion in the Elderly

The purposes of this research were to understand the realities of health management and to analyze the subjective, functional, psychological, and social health effects of the application of an exercise and education program to manage health on an elderly population residing in an agricultural community. The specific purposes of this research were: 1. to determine the subjective, functional, psychological health conditions, and performance level of instrumental activities of daily living of both the experimental and control groups before introducing a health management program, and then 2. to compare these with both the experimental and control groups' subjective, functional, psychological health condition and performance level of instrumental activities of daily living after applying the health management program. The health management program was introduced to the experimental group (50 people) but not to the control group (50 people) The health management program was composed of a health exercise program and a health education program. A comparative study of subjective health conditions was done to examine the effect of the health management program and the characteristics of health related variables before and after the program application. The results were as follows: 1. When the experimental group, which had received the 8-week health management exercise and education program, was compared with the control group, which had not, the experimental group's subjective health condition scored higher than that of the control group (p<0.01). More of the experimental group replied 'Yes' to the following statements: 'My body feels lighter', 'My walking has improved', 'I am getting better sleep', and 'My whole body strength improved', in the functional health condition section than did the control group (P<0.05). Also, the experimental group's psychological health condition improved more than that of the control group (p<0.05). The health management program used in this research demonstrated how an improvement of subjective health condition in the elderly can be achieved, and how it was a help in improving their functional or activities of daily living performance. Continuous future research on the management and improvement of the health condition of elderly populations is important.