Abstract
Every year the number of the elderly increases in Korea thanks to the improvement of social and
economical levels and the development of medicine. However, many problems such as insufficent care and the
isolation of the elderly have been commonplace. This trend exists not only because of increased lifespan but
also the changing social structure of the nuclear family. Accordingly, inspite of the development of medicine,
geriatric diseases including circulatory diseases are increasing in proportion of elderly population, as well as
the severity. Therefore, it is important to emphasize that health care programs provide the best possible health
care and functional capacities in terms of healthy elderly lifestyles. Especially, the phenomena of aging and
geriatric diseases taking place with the elderly naturally are affected by lifestyle and the drastic changes in
exercise patterns.
This study aims to improve geriatric health by introducing a rhythmic movement program for the elderly
to estabilish a health-promoting self-care system and by developing quality of life, perceived health status,
their physical and physiological functions and emotional state.
The theoretical framework used in this dissertation is derived from the Health-Promoting Self-Care System
Model (Simmons, 1990), which integrates the Self-Care Deficit Nursing Theory (Orem, 1985), the interaction
model of Client Health Behavior (Cox, 1982) and the Health Promotion Model (Pender, 1987).
As a quasi-experimental design, the nonequivalent control group pretest-posttest design is utilized for this study.
The subjects of this study consist of 64 people, over 65 years old who live in 2 nursing homes for the aged
located in S city , Kyong-gi province and volunteered for this study from July, 12, 1999 to September, 17,
1999. They are divided into two groups: 33 in the experimental group and 31 in the control group. The
experimental group particpated in the Rhythmic Movement Program at the nursing home, which was comprised
of 45 minutes a session, 5 sessions a week during 9 weeks.
In order to measure the results of the Rhythmic Movement Program, aspects of perceived health status,
balance, flexibility, grip strength, leg strength, heart rate, blood pressure, depression, anxiety and the quality
of life were measured before and after participating in the Rhythimic Movement Program for the experimental
group after 9 weeks, as well as the control group.
The collected data were processed by SPSS PC+ and analyzed by the X2 test, t-test, ANCOVA and the Pearson
Correlation Coefficient.
The results of this study are as follows:
1. The perceived health status conditions in the experimental group show statistically significant
improvement when compared to the control group (F=17.51, p=.000).
2. The physical and physiological functions, that is, balance (F=17.51, p=.000), flexibility (F=8.01,
p=.006), grip strength (F=3.21, p=.018) and leg strength (F=25.78, p=.000) in the experimental group
are higher than the control group. The vital signs, that is, the number of heart rate (F=.022,
p=.884), systolic pressure (F=1.73 p=.193), and diastolic pressure (F=2.74, p=.103) in the experimental
group compared to the control group decreased, but doesn't show statistically significant differences.
Immune responses (F=5.13, p=.003) showed statistically significant increases in the experimental group
when compared to the control group.
3. The emotional state are improved, that is, degree of depression (F=11.56, p=.001) and degree of
anxiety (F=9.14, p=.004) in the experimental group showed statistically significant decreases.
4. The quality of life in the experimental group (F=3.03, p=.037) showed statistically significant
differences compared to the control group.
5. The observations of the relationships among the perceived health status, emotional state , the quality of
life, the relationships between the perceived health status, the degree of depression (r=-.653, p=.000)
and the degree of anxiety (r=-.786, p=.000) were in contrary propotions, while the relationships between
the perceived health status and the quality of life (r=.234, p=.008) were in direct propotion.
In conclusion, the Rhythmic Movement Program used in this study for geriatric nursing care is simple and safe for
application to the elderly and shows significant effects by implementing 5 sessions a week for 9 weeks. The
Rhythmic Movement Program improves the quality of life, maintains as well as improves the physical and
physiological fuctions and emotional state, therefore this program is strongly recommended for positive
applications for independant geriatric nursing health care.