Figure 1

Home visit healthcare using complex program.

Table 1

The Visit Health Program Using Complex Program for the Frail Elderly

Domains	Contents	Instruments	Frequency	Personnels
Physical strength & mental status assessment	· Measurement · Planning	· Items · Physical strength (Balance, upper-limb, and lower-limb strength) · Frailty · Depression · Providing health mileage handbook, and poster on exercise, and self ckecklist	· Pre: at the beginning class · Post: at the ending class	Visit nurse, physical therapist, exercise therapist
Complex exercise	· Exercise without tools for muscle strength · Hand exercise for preventing dementia · Laughter Therapy · Exercise with tools (Sera band, bean bag)	· Exercise with visit nurse · Self ckecklist after exercise at home · Telephone monitoring · Providing mileage stickers	· 1 / week · 2~3 / week · 1 / week · 1 / week	Visit nurse, physical therapist, exercise therapist
Health education	· Nutrition · Oral care · Chronic disease management	· Providing mileage stickers	· 1 / 4~6week	Visit nurse, dietitians, dental hygiene agents

Table 2

General Characteristics of the Subjects

Variables	Categories	n (%) or M±SD
Region	Metropolis	24 (27.90)
	Small city	48 (55.81)
	Rural area	14 (16.27)
Gender	Male	9 (10.46)
	Female	77 (89.53)
Age (year)		78.5±5.50
	<80	55 (63.95)
	≥80	31 (36.05)
Total		86 (100.00)

Table 3

Physical Function, Frailty, and Depression Before Home Visit Healthcare Using Complex Program

Indicators		Region	Pre	F (p)
			M±SD
Physical function	Balance (second)	D-gu	4.13±6.16	0.53 (.594)
		S-si	5.42±5.18
		Y-gun	5.71±6.01
	Low-limb strength (frequency)	D-gu	6.50±2.99a	7.12 (.001) b>a
		S-si	10.02±4.18b
		Y-gun	8.14±3.13ab
	Upper-limb strength (frequency)	D-gu	11.08±9.30	1.89 (.157)
		S-si	13.19±4.95
		Y-gun	9.86±3.84
Frailty		D-gu	3.38±1.86	0.79 (.456)
		S-si	3.58±1.39
		Y-gun	4.00±1.11
Depression		D-gu	4.96±3.94	0.42 (.662)
		S-si	5.56±3.25
		Y-gun	4.71±4.12
Physical function	Balance (second)	<80	6.11±6.37	2.27 (.008)
		≥80	3.32±3.10
	Low-limb strength (frequency)	<80	9.15±4.25	1.26 (.210)
		≥80	8.00±3.62
	Upper-limb strength (frequency)	<80	12.47±6.92	0.80 (.427)
		≥80	11.32±5.40
Frailty		<80	3.44±1.49	-1.32 (.191)
		≥80	3.87±1.43
Depression		<80	5.05±3.83	-0.69 (.490)
		≥80	5.61±3.08

Table 4

Differences in Physical Function, Frailty, and Depression Before and After Home Visit Healthcare Using Complex Program

Indicators		Pre	Post	t (p)	Post-Pre
		M±SD	M±SD		M±SD
Physical function	Balance (second)	5.31±5.70	9.85±12.63	-4.08 (<.001)	4.54±9.96
	Lower-limb strength (frequency)	8.85±4.08	11.68±4.80	-6.10 (<.001)	2.83±3.85
	Upper-limb strength (frequency)	12.12±6.46	17.16±5.82	-6.93 (<.001)	5.04±6.54
Frailty		3.59±1.52	2.19±1.69	1.77 (<.001)	-1.41±1.63
Depression		5.22±3.58	4.35±3.57	1.64 (.025)	-0.88±4.37

Table 5

Differences in Physical Function, Frailty, and Depression Before and After Home Visit Healthcare Using Complex Program by Regions and Age

Indicators		Region	Post-Pre		Source	F (p)
			<80	≥80
			M±SD	M±SD
Physical function	Balance (second)	D-gu	2.94±4.71	2.29±2.69	Region	1.51 (.228)
		S-si	8.00±14.85	3.81±6.08	Age	0.66 (.418)
		Y-gun	1.75±7.25	0.20±1.31	Region*Age	0.24 (.778)
	Low-limb strength (frequency)	D-gu	3.88±4.19	2.71±1.70	Region	1.09 (.340)
		S-si	3.24±4.81	2.43±3.39	Age	0.89 (.766)
		Y-gun	0.75±1.16	1.80±1.41	Region*Age	0.35 (.709)
	Upper-limb strength (frequency)	D-gu	7.69±9.47	8.57±6.80	Region	3.73 (.029)
		S-si	4.41±5.66	4.56±5.60	Age	0.41 (.525)
		Y-gun	1.00±2.00	3.20±2.73	Region*Age	0.13 (.883)
Frailty		D-gu	-0.88±1.50	-2.00±1.15	Region	0.45 (.643)
		S-si	-1.70±1.67	-1.44±1.67	Age	0.33 (.566)
		Y-gun	-1.13±1.46	-1.00±2.45	Region*Age	1.22 (.301)
Depression		D-gu	-1.19±2.61	-3.00±4.65	Region	3.03 (.054)
		S-si	-1.45±3.26	0.06±4.02	Age	0.15 (.698)
		Y-gun	0.25±2.87	1.60±2.87	Region*Age	1.68 (.194)

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Figure & Data

References

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