KACHN
Articles
- Page Path
- HOME > J Korean Acad Community Health Nurs > Volume 23(2); 2012 > Article
-
Original Article
- Evaluation of the Effects of a Frailty Preventing Multi-factorial Program Concentrated on Local Communities for High-risk Younger and Older Elderly People
- In Sook Lee, Young Ko, Kwang Ok Lee, Eun Shil Yim
-
Journal of Korean Academy of Community Health Nursing 2012;23(2):201-211.
DOI: https://doi.org/10.12799/jkachn.2012.23.2.201
Published online: June 30, 2012
1Professor, College of Nursing, Seoul National University, Seoul, Korea.
2Full-time Lecturer, College of Nursing, Eulji University, Daejeon, Korea.
3Full-time Lecturer, Department of Nursing, Sangmyung University, Seoul, Korea.
4Full-time Lecturer, Department of Nursing, Daegu Health College, Daegu, Korea.
• Received: February 23, 2012 • Accepted: June 25, 2012
Copyright © 2012 Korean Academy of Community Health Nursing
- 810 Views
- 0 Download
Abstract
-
Purpose
- The purpose of this study is to evaluate the effects of a local community based multi-factorial program for high-risk younger and older elderly people.
-
Methods
- The quasi-experimental research design (pretest-post test) was employed. Participants were recruited in Seoul and a total of 98 elders completed an 8-week multi-factorial program for preventing frailty. Descriptive statistics, χ2-test and GLM were used in the data analysis with SPSS/WIN 15.0.
-
Results
- The high-risk elderly people in the younger and older stages showed differences in IADL, TUG and BMI, and after being provided with the multi-factorial program for preventing frailty, some effects were shown on improving the total score of frailty, a physical function, TUG, BMI, depression, subjective feeling of health, and social interaction.
-
Conclusion
- The 8-week multi-factorial program for preventing frailty had positive effects on improving physical, emotional and social functions of the high-risk elderly people. It is necessary to evaluate the effects after individual intervention as well as group intervention and to evaluate the effects of the program by setting a control group in the future.
- 1. Bernabei R, Ladni F, Gambassi G, Sgadari A, Zuccala G, Mor V, et al. Randomised trial of impact of model of integrated care and case management for older people living in community. BMJ 1998;316(7141):1348–1351.
- 2. Beswick AD, Rees K, Dieppe P, Ayis S, Goonerman-Hill R, Horwood J, et al. Complex intervention to improve physical function and maintain independent living in elderly people: A systematic review and meta-analysis. Lancet 2008;371(9614):725–735.
- 3. Brook DR. Caring for the frail elderly: An office protocol. Med North Am 1991;16:2195–2199.
- 4. Coleman EA, Grothaus LC, Sandhu N, Wagner EH. Chronic care clinics: A randomized controlled trial of a new model of primary care for frail older adults. J Am Geriatr Soc 1999;47(7):775–783.
- 5. Cusimano MD, Kork J, Spadafora K. Effectiveness of multifaceted fall-prevention programs for the elderly in residential care. Inj Prev 2008;14:113–122.
- 6. Gill TM, Baker DJ, Gottschalk M, Peduzzi PN, Allore H, Bayers A. A program to prevent functional decline in physically frail, elderly persons who live at home. N Engl J Med 2002;347(14):1068–1074.
- 7. van Haastregt JC, Diederiks JP, Rossum E, Witte LP, Voorhoeve PM, Crebolder HF. Effects of a programme of multifactorial home visits on falls and mobilidty impairments in elderly people at risk: Randomised controlled trial. BMJ 2000;321(7267):994–998.
- 8. Kang JS. Effects of social support on the decrease of low-income families' caregiving burden for elders: Focused on 75-year old or older frail elderly 2004;Seoul: Seoul Women's University; Unpublished doctoral dissertation.
- 9. Kee BS. A preliminary study for the standardization of geriatric depression scale short-form-Korea version. J Korean Neuropsychiatr Assoc 1996;35(2):298–307.
- 10. Kim EH. A study on the effects of thera-band exercise program for frail elderly. J Korean Data Anal Soc 2011;13(3):1241–1254.
- 11. Kim SH, So WY. Factors associated with falling in older, community-dwelling adults in Korea. J Korean Gerontol Nurs 2011;13(2):91–100.
- 12. Kim SH, Lee JH, Koh KW, Ha HB. Effects of low intensity exercise program with telephone coaching on physical fitness in the elderly served home visiting nursing care. J Korean Acad Fundam Nurs 2008;15(4):457–466.
- 13. Koretz BK, Moore AA. Assessment of the geriatric patient: A practical approach. J Clin Outcomes Manag 2001;8(7):35–40.
- 14. Kristensson J, Ekwall AK, Jakobsson U, Midlov P, Hallberg IR. Case managers for frail older people: A randomised controlled pilot study. Scand J Caring Sci 2010;24(4):755–763.
- 15. Lawton MP. The functional assessment of elderly people. J Am Geriatr Soc 1971;19:465–481.
- 16. Lee IS, Jung IS, Lee MK, Kim YK, Ko Y. Development of health promotion program for elderly health improvement 2010;Seoul: Seoul National University College of Nursing.
- 17. Lightbody E, Watkins C, Leathley M, Sharma A. Evaluation of a nurse-led falls prevention programme versus usual care: A randomized controlled trial. Age Ageing 2002;31(3):203–210.
- 18. Lustosa LP, Silva JP, Coelho FM, Pereira DS, Parenton AN, Pereira LS. Impact of resistance exercise program on functional capacity and muscular strength of knee extensor in pre-frail community-dwelling older women: A randomized crossover trial. Rev Bras Fisioter 2011;15(4):318–324.
- 19. Markle-Reid M, Browne G. Conceptualizations of frailty in relation to older adults. J Adv Nurs 2003;44(1):58–68.
- 20. Melis RJ, Eijken MI, Teerenstra S, Achterberg T, Parker SG, Boom GF, et al. A randomized study of a multidisciplinary program to intervene on geriatric syndromes in vulnerable older people who live at home (Dutch EASYcare Study). J Gerontol A Biol Sci Med Sci 2008;63(3):283–290.
- 21. Ministry of Health and Welfare Affairs. 2011 Health promotion manual 2011;Seoul: Author.
- 22. Park MH, Ha JC, Shin IH, Kim HG, Lee SY, Cho JH, et al. 2008 Survey for the elderly-national living profiles and welfare service needs of older persons in Korean's survey 2009;Seoul: Ministry of Health, Welfare, and Family Affairs & Kyemyung University.
- 23. Shamliyan T, Talley K, Ramakrishnan R, Kane RA. Association of frailty with survival: A systematic literature review. Ageing Res Rev 2012;1568–1673.
- 24. Sin JH, Park JS, Jin YS, Kim YK. The effect of SUN-MU program on physical fitness and ADL in physically frailed elderly women. Korean J Sports Med 2002;20(1):51–56.
- 25. Son HH, Kim K. Effects of elderly gymnastic program on physical function in hospitalized frail people. J Korean Data Anal Soc 2011;13(1):123–134.
- 26. Stel VS, Smit JH, Pluijm SM, Lips P. Consequences of falling in older men and women and risk factors for health service use and functional decline. Age Ageing 2004;33:58–65.
- 27. Sumwoo D, Lee S, Park JS, Bae SS, Cho YH, Kim CB, et al. Analysis of the effects of muscle strength exercises on physical function and quality of life in the frail elderly. J Korean Soc Health Educ Promot 2008;25(1):39–53.
- 28. Syddall H, Roberts HC, Evandrou M, Cooper C, Berman H, Sayer AA. Prevalence and correlates of frailty among community-dwelling older men and women: Findings from the Hertfordshire cohort study. Age Ageing 2010;39(2):197–203.
- 29. Whitson HE, Purser JL, Cohen HJ. Frailty thy name is... phrailty? J Gerontol A Biol Sci Med Sci 2007;62(7):728–730.
Figure & Data
References
Citations
Citations to this article as recorded by 
PubReader
Cite
XML DownloadEvaluation of the Effects of a Frailty Preventing Multi-factorial Program Concentrated on Local Communities for High-risk Younger and Older Elderly People
Evaluation of the Effects of a Frailty Preventing Multi-factorial Program Concentrated on Local Communities for High-risk Younger and Older Elderly People
Table 1
Multi-Factorial Programs for Preventing Frailty
Table 2
General Characteristics of Participants (N=98)
Table 3
The Effect of Multi-Factorial Programs for Preventing Frailty on the Physical Function
Table 4
The Effect of Multi-Factorial Programs for Preventing Frailty on Depression
Table 5
The Effect of Multi-Factorial Programs for Preventing Frailty on Social Interaction
Table 1
Table 2
Table 3
Table 4
Table 5
Editorial Office
College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea
E-mail: office@rcphn.org
© Korean Academy of Community Health Nursing.
College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea
E-mail: office@rcphn.org
© Korean Academy of Community Health Nursing.