우울증 노인을 위한 현실치료 프로그램의 효과
The Effects of a Reality Therapy Program for the Elderly with Depressive Disorder
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초록
목적: 본 연구의 목적은 지역사회에 거주하는 우울증 노인을 대상으로 현실치료 프로그램을 개발하고 적용하여 그 효과를 검증하는 것이다. 방법: 본 연구의 대상은 K도 노인정신건강센터에 등록한 항울제를 복용중인 우울증 노인 48명으로 구성되었다. 본 연구에 적용된 현실치료 프로그램은 선행연구 고찰, 전문가 자문, 예비 프로그램 적용 절차를 거쳐 개발되었고, 60분씩 10주간 10회기로 진행되었다. 자료수집은 2012년 9월에서 12월까지 시행되었고, 프로그램의 효과를 확인하기 위해 자아존중감, 내적통제성, 우울척도를 사용하였다. 결과: 현실치료 프로그램에 참여한 실험군은 대조군보다 자아존중감 수준이 높아졌고(t=-4.87, p<.001), 우울수준이 낮아졌다(t=3.61, p=.001). 실험군의 내적통제성 점수가 대조군보다 향상되었으나 그 차이는 통계적으로 유의하지는 않았다(t=-.66, p=.510). 결론: 본 연구결과 현실치료 프로그램은 우울증 노인의 우울 수준을 감소시키고, 자아존중감을 향상시키는데 유용한 중재임을 확인하였다. 따라서 현실치료 프로그램을 지역사회를 비롯한 다양한 간호환경에서 간호중재로 활용할 수 있을 것으로 본다.
Abstract
Purpose: The purpose of this study is to develop a Reality Therapy program for the elderly with depressive disorder, and then examine the effects of the developed program. Methods: This study used ‘non-equivalence control group pretest-posttest design’. The participants were forty-eight elderly who were on medication treatment with depressive disorder. Twenty-two participants were assigned to the experimental group and twenty-six ones were assigned to the control group. A 10-session Reality Therapy program was provided to the experimental group. The data were collected from September to December in 2012. Dependent variables were self-esteem, internal control, and depression. Results: The scores of self-esteem for the experimental group were significantly increased compared to the control group (t=-4.87, p<.001). The scores of depression for the experimental group were significantly decreased compared to the control group (t=3.61, p=.001). However, there was no significant change on the scores of internal control between the two groups. Conclusion: The results of this study indicate that the Reality Therapy program is effective in increasing self-esteem and decreasing depression for the elderly with depressive disorder.
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