The Effects of Home Visit Healthcare Using a Complex Program on Community-dwelling Frail Elders' Strength, Frailty, and Depression.
10.12799/jkachn.2015.26.4.405
- Author:
Hee Gerl KIM
1
Author Information
1. College of Nursing, Gachon University, Incheon, Korea. hgkim@gachon.ac.kr
- Publication Type:Original Article
- Keywords:
Frail elderly;
Motor activity;
Depression;
Program evaluation
- MeSH:
Aged;
Counseling;
Delivery of Health Care*;
Depression*;
Disease Management;
Frail Elderly;
Health Education;
House Calls*;
Humans;
Motivation;
Motor Activity;
Muscle Strength;
Nurses, Community Health;
Program Evaluation;
Telephone
- From:Journal of Korean Academy of Community Health Nursing
2015;26(4):405-414
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purposes of this study were to examine the effects of home visit healthcare using a complex program on community-dwelling frail elders' physical strength, frailty, and depression and to compare the effects among three regions. METHODS: This study was conducted as a quasi-experimental study using one-group pretest-posttest design. A total of 86 subjects were sampled from three regions (metropolis, small city, and rural area). The program was applied for 14 weeks. This program consisted of disease management by a visiting nurse, exercise with a visiting nurse, self exercise, telephone monitoring, health education, counseling, providing handbook, and incentive. Physical strength was measured by balance, upper-limb, and lower-limb muscle strength. Frailty was measured by the Korean Frail Scale and depression was measured by the Geriatric Depression Scale. Paired t-test and ANCOVA were used to analyze the effects. RESULTS: Physical strength, frailty, and depression were significantly improved after applying the complex program. There were not differences among the regions. CONCLUSION: Home visit healthcare using a complex program was effective in improving frail elders' physical strength, frailty, and depression. There were not differences among the regions. Therefore, home visit healthcare using a complex program needs to be expanded to other regions.
