Research in Community and Public Health Nursing

Original Articles

The Effects of Group Movement Training on Psychophysiological Variables and the Range of Motion in the Institutionalized Elderly: Boo Deuk Suh; J Korean Acad Community Health Nurs. 2009;20(4):403-411. Published online December 31, 2009

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Abstract PDF: PURPOSE
The purpose of this study is to explore the effects of a group movement exercise program on psychophysiological variables in the institutionalized elderly.
METHODS
This research adopted the non-equivalent control group pretest-posttest design. Twenty elders were selected as an experimental group, whereas twenty-two elders were as a control group. The group movement program consisted of 35 minutes of dance and three days a week for eight weeks. Resting systolic blood pressure, diastolic blood pressure and heart rate were measured in a relaxed sitting position. The range of flexion and extension of joint was measured with a gonimeter. Life satisfaction and self-efficacy were measured by self-report. Data were analyzed through chi2-test, t-test and ANCOVA using SPSS/WIN program.
RESULTS
The results were as follows: Resting systolic blood pressure, diastolic blood pressure and resting heart rate decreased significantly by the group movement training. The range of flexion and extension of the shoulder and hip joints increased significantly. The scores of life satisfaction and self-efficacy increased remarkably by the group movement.
CONCLUSION
The results suggest that group movement training can be an effective intervention to improve psychophysiological variables and the range of motion for the institutionalized elderly.

Factors Influencing the Health Status and Life Satisfaction of Elders in Free and Charged Welfare Facilities: Yoen Kyoung Kim, Kyung Min Park, Chung Nam Kim; J Korean Acad Community Health Nurs. 2008;19(2):317-325. Published online June 30, 2008

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Abstract PDF: OBJECTIVES
The purpose of this study was to investigate factors influencing the health status and life satisfaction of elders in welfare facilities.
METHODS
The subjects of this study were selected randomly among those without cognitive impairment from free (140 persons) and charged (140 persons) welfare facilities in the Yeongnam area. Data was analyzed using t-test and stepwise multiple regression.
RESULTS
Health status and life satisfaction were 2.52 and 1.98, respectively, in the elders from free welfare facilities, and 2.67 and 2.08 respectively, in the elders from charged welfare facilities. In those from free facilities, life satisfaction and motivation for getting into the welfare facility were the influencing factors of health status. In those from charged facilities, life satisfaction, gender, motivation for getting into the welfare facility, limited service such as physiotherapy, age, and lack of staff and professionalism were the influence factors of health status. In those from free facilities, health status, relationship conflict with fellow elders, lack of staff and professionalism, insufficient facilities and inadequate environment, and indifference of sons and daughters were the influence factors of life satisfaction, In those from charged facilities, health status, education and age were the influence factors of life satisfaction.
CONCLUSIONS
It was found that both health status and life satisfaction of elders in charged welfare facilities were higher than those in free welfare facilities.

The Effect of the Walking Exercise on Physiological index, Physical Fitness, Self Esteem, Depression and Life Satisfaction in the Institutionalized Elderly Women: Jo Ug Son, Ji Hyun Lee; J Korean Acad Community Health Nurs. 2006;17(1):5-16. Published online March 31, 2006

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Abstract PDF: PURPOSE
The purpose of this study was to show the effect of walking exercise on physiological index, physical fitness, self-esteem. depression. and life satisfaction in institutionalized elderly women aged over 70. SAMPLE AND METHOD: Data were collected from subjects who consented to participate in this program for eight weeks from the 2nd of July to the 27th of August 2005. The subjects were divided into two groups, 26 subjects in the experimental group who had walking exercise and 30 in the control group who did not have walking exercise. The intensity of the walking exercise allowed 50-65% of the maximum heartbeat.
RESULTS
The results of the experiment supported the hypothesis that the experimental group would have higher flexibility, left grip strength, sense of equilibrium, self-esteem and life satisfaction and lower depression than the control group.
CONCLUSION
Walking exercise has the effect of decreasing diastolic blood pressure together with improvement in flexibility, left grip strength, sense of equilibrium, self-esteem, depression and life satisfaction for institutionalized elderly women aged over 70. According to the results presented above, walking exercise can be strongly recommended for improving the health of institutionalized elderly women.

The Relations between Self-esteem, Self-care and Life Satisfaction in the Home-dwelling Elderly: Bong Im Kim; J Korean Acad Community Health Nurs. 2005;16(4):415-423. Published online December 31, 2005

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Abstract PDF: PURPOSE
The present study was conducted to identify the relations between self-esteem. self-care and life satisfaction in the home-dwelling elderly.
METHODS
The subjects were 106 persons aged over 65 in J city. Data were collected from April to June 2005 by a questionnaire survey. The instruments used in this study are the self-esteem scale developed by Rosenberg(1965), the self-care scale by Hwang (2000) and the life-satisfaction scale by Choi (1986). Data were analyzed through t-test, ANOVA. least significant difference, Pearson's correlation coefficient and stepwise regression analysis using SPSS-Win 10.0.
RESULTS
Self-esteem and self-care were in a positive correlation with each other (r=.464, p=.000). Self-care and life-satisfaction showed a significant correlation with each other (r=.222 p=.031), and a significant correlation was found between self-esteem and life-satisfaction (r=.506, p=.000). The most significant predictors influencing life-satisfaction were self-esteem, self-care and perceived health condition, and the three factors accounted for 47.7% of variance in life satisfaction in the home-dwelling elderly.
CONCLUSION
These results suggest that self-esteem, self-care and life-satisfaction can be important factors the quality of life of the elderly in long-term care. Therefore nurses can plan nursing interventions to promote self-esteem, self-care and life satisfaction of the home-dwelling elderly.

The Effects of an Exercise Program on Physical Fitness, Cardiopulmonary Function and Life Satisfaction for Adult Women: Kun Ja Lee, Chun Ja Chang, Jae Hee Yoo, Myung Hee Lee, Cha Nam Kim, Hee Kyo In; J Korean Acad Community Health Nurs. 2005;16(2):177-185. Published online June 30, 2005

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Abstract PDF: PURPOSE
This study was to examine the effects of an exercise program on physical fitness, cardiopulmonary function and life satisfaction for adult women.
METHOD
The exercise program combined dance and resistance training. The subject group consisted of 114 women aged between 33 and 60. Three 8-week sessions consisted of 55-80% HR max for 60-90 minutes a day and 3 times a week from March to November, 2004. Data were collected through pre- and post-exercise tests before and after each session. Data were collected with dynamometer, sphygmomamometer, spirometer and structured questionnaires. Data were analyzed employing descriptive statistics and paired t-test with SPSS/PC(10.0version) program.
RESULTS
There were significantly positive changes in muscle strength, flexibility, balance quality, forced vital capacity and life satisfaction, but no significantly positive changes in agility and blood pressure.
CONCLUSION
This study showed that an exercise program has partially positive effects for adult women. The results of this study suggest that there should be programs of continuous exercise at community health centers for adult women's health.

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