Paper
Friday, 21 July 2006
This presentation is part of : Health Promotion Studies and Projects
Chronic Disease Self Management Program for Korean Elderly
Hyera Yoo, RN, DNSc, Department of Nursing Science, School of Medicine, Ajou University, Suwon, South Korea and Jee won Park, RN, PhD, Dept. of Nursing, Ajou University, School of Medicine, Suwon, South Korea.
Learning Objective #1: The learner will be able to have knowledge about the benefits and barriers using the Chronic Disese Self Management Program for Korean elderly.
Learning Objective #2: The learner will be able to know the effect of the CDSMP in health, depression, self-efficacy and medical expenses of the olders in Korea.
  Objectives : To evaluate 1-month and 3-month health status, depression, self-efficacy and medical expenses of a community-based self-management programs for older Koreans. Design : A single group pre-post comparative design. Method : Participants in a community health center were conveniently selected to participate the CDSMP. The program included one 3 hours session per week for 14 weeks. Outcomes evaluated at 1-month and 3- month included modified Self-rated health status Scale, Center for Epidemiologic Studies Short Depression Scale, Self-Efficacy for Managing Chronic Disease 6-item Scale, and 1-item medical expenses scale. Results : Self-rate health scores were significantly increased at just after the intervention (M=16.22), 1-month (M=17.57) and 3-month (M=19.04) (x2=32.06, p=.000); Depression scores (reversed) were also significantly increased at just after the intervention (M=6.04), 1-month (M=7.75) and 3-month (M=8.39) (x2=29.92, p=.000); Self-efficacy score was significantly increased at just after intervention (M=12.87), however, the scores were decreased at 1-month (M=12.73) and 3-month (M=12.04). But all three scores continuously higher than that prior to the intervention (M=8.65) (x2=32.42, p=.000); Medical expense score was decreased at the end of the intervention (M=1.57), however, the cost scores were increased at 1-month (M=2.48) and at 3-month (M=2.39) (x2=7.81, p=.050). Conclusions : CDSMP is effective to increase self-rate health and self-efficacy and to decrease depression of Korean elderly. However, there was no advantage of the program to decrease medical cost of Korean elderly. The CDSMP can be applicable to trans-cultural population.   

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