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The Follow-up Study of Changes in Frailty in Elderly Receiving Home Health Care of the Public Health Center
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Dong Ok Lee, Young Ran Chin
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J Korean Acad Community Health Nurs. 2019;30(4):528-538. Published online December 31, 2019
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DOI: https://doi.org/10.12799/jkachn.2019.30.4.528
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 Abstract
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- PURPOSE
The purpose of this study was to follow-up the frailty of the old who received home health care by Registered Nurse in Public Health Center over 8 years.
METHODS
We used the second wave data which was a comprehensive longitudinal data set, Public Health Information System of a public health center located in Seoul from 2010 to 2018. For statistical analysis, a mixed model of repeated measures by R program was used.
RESULTS
Frailty (range: 0~31) was getting worse significantly from 5.38 on registration to 6.54 on 4th year, 7.40 on 7th year, 7.69 on 8th year with adjustment for age, sex, economic status, the number of family, and the number diseases. The coefficient of parameters with frailty change was serviced year (β=0.29, p < .001), age (70~79 to 60~69; β=0.98, p=.018) and sex (female to male; β=2.55, p < .001).
CONCLUSION
This study showed that the home visiting health service needs to take attention to aged 70s and over, female. The home health care of public health center need to be extended more practical and effective services in terms of ‘community care’ and ‘ageing in place’.
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Citations
Citations to this article as recorded by  - Factors influencing the stages of frailty among Korean older adults focusing on objective and subjective social isolation
Song Yi Han, Hye Young Jang, Young Ko
BMC Geriatrics.2022;[Epub] CrossRef - Long-term Monitoring of Changes in Blood Pressure, Blood Glucose, and Total Cholesterol Levels among Frail Older Individuals Receiving Home Health Care Nursing in South Korea
Young-Ran Chin, Hyo Young Lee
Journal of Community Health Nursing.2021; 38(1): 13. CrossRef - Type 1 Diabetes Home Care Project and Educational Consultation
Eun Chong Shin
The Journal of Korean Diabetes.2020; 21(2): 88. CrossRef
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Effect of Rhythmic Exercise Program to Elderly on Risk Factors of Fall Injury
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In Sook Lee, Young Ran Chin, Dong Ok Lee, Yun A Kim, Kyeng Ae Baek
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J Korean Acad Community Health Nurs. 2001;12(3):600-608. Published online December 31, 2001
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Abstract
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- Accidents are the fourth-leading causal factor of death among the elderly, and fall is a major type of accident (53.17%). Many cases of falls in the elderly result in delayed discovery and loss of quality of life. As the number of the elderly grows, falls will be a more important health problem.
Most previous research on falls investigated prevalence, mortality, and the related factors. There are many studies proving the effect of rhythmic movements. But few researches considered linking risk factors of fall with rhythmic movements.
PURPOSE: We want to show the changes after performing rhythmic movement program, in risk factors of falls and mobility such as flexibility, balance, muscle power and persistency in the elderly, in order to provide basic information needed for the development of fall injury prevention program for the elderly.
METHOD
The design of this study is quasi-experimental, the equivalent control group, pretest-posttest. The subjects consist of 124 people who lived in Do-Bong-Gu, Seoul, agreed to participate in this study, and were able to follow this rhythmic movement program. About 93% of them are from 65 to 84 years (Mean+/-sd: 73.7+/-5.7); 64% are female. The rhythmic movement program was designed, and performed by two community health nurses working in the Do-Bong-Gu Public Health Center, regularly twice a week from May, 4 to December, 17, in 10 senior citizens' community centers. Risk factors of fall were measured with RAFS-II (Risk Assessment for Falls Scale II) by asking about each item; mobility was measured by observing their specific movements asked by investigators.
RESULTS
1. After performing the program during 7 months, risk factors score of falls were decreased significantly (paired-t = 4.77, p>0.01). 2. After performing the program during 7 months, flexibility (paired-t = 2.26, p=0.03) and mobility were improved (paired-t = 4.98, p>0.01), but muscle power and persistency did not change (paired-t = 0.33, p=0.74). Overall, mobility affecting the occurrence of falls was improved significantly (paired-t = 5.15, p>0.01).
CONCLUSIONS
A regular rhythmic movement program can be helpful in preventing falls in the elderly. Further, we can develop a fall injury prevention program using rhythmic movement.
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