이홍자1, 김춘미2, 백선복3

1대구한의대학교 간호학과, 2선문대학교 간호학과, 3대불대학교 복지상담학과


Background: The purpose of this study was to examine the effects of a group intervention program on elderly people with chronic disease(s) living in the community.
Methods: This study was a nonequivalent control group pretest-posttest study. Participants were 101 elderly persons with hypertension and/or diabetes mellitus. The experimental group participated in an intervention program as a group while the control group participated individually, both for 16 weeks. The program involved health education, stretching exercises with thera-band and massage. The experimental group attended this program including group discussions while the control group attended the same program but without group discussions. Data were collected before and after the intervention, which went from September 1 to December 26, 2010. Data were analyzed using descriptive statistics, Spearman's rho and repeated measure analysis of covariance.
Results: There were significant differences between the groups for depression (F=49.756, P<0.001) and quality of life (F=7.289, P=0.008) after the intervention program.
Conclusions: Our results indicate that intervention programs with a group approach are more effective than an individual approach for community-dwelling elderly with chronic disease. Therefore, a group approach should be considered when planning programs for elders in the community.

Keywords: Elderly, Chronic disease, Depression, Quality of life