J Korean Acad Community Health Nurs.  2015 Dec;26(4):405-414. 10.12799/jkachn.2015.26.4.405.

The Effects of Home Visit Healthcare Using a Complex Program on Community-dwelling Frail Elders' Strength, Frailty, and Depression

Affiliations
  • 1College of Nursing, Gachon University, Incheon, Korea. hgkim@gachon.ac.kr

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.

Keyword

Frail elderly; Motor activity; Depression; Program evaluation
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