Effects of Tailored Case Management using a Gatekeeper for the Depressed Single-household Elderly Population: Focusing on the Mental Health Case Management.
10.12799/jkachn.2012.23.4.376
- Author:
Yun Jung CHOI
1
;
Mi Ra WON
Author Information
1. Red Cross College of Nursing, Chung-Ang University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Elderly;
Gatekeeping;
Case management;
Depression;
Satisfaction
- MeSH:
Aged;
Case Management;
Depression;
Early Intervention (Education);
Gatekeeping;
Humans;
Mental Health
- From:Journal of Korean Academy of Community Health Nursing
2012;23(4):376-385
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aim of this study was to evaluate the effects of tailored case management using a gatekeeper on depression and life satisfaction in the single-household elderly population. METHODS: The design of Quasi experiment was applied to compare the variables before and after the management. Ninety-seven people who had depression categorized by the Korean Geriatric Depression Scale. RESULTS: Depression (t=11.22, p<.001) and life satisfaction (t=-5.36, p<.001) were improved after management in comparison to the results of pre-tests, and the differences were statistically significant. The difference in the pre-test and post-test scores of the support system (chi2=13.89, p<.001) were significant, while the differences in the perception of depression (chi2=.02, p=.891) and coping methods (chi2=.34, p=.558) were not statistically significant. CONCLUSION: Tailored case management using a gatekeeper is effective to reduce the degree of depression and improve life satisfaction in the single-household elderly population having depression. This study offers a model of individualized as well as systemic mental health care for the community of single-house hold elderly people as an effective means for prevention of and early intervention in depression.
