J Korean Acad Community Health Nurs.  2019 Dec;30(4):528-538. 10.12799/jkachn.2019.30.4.528.

The Follow-up Study of Changes in Frailty in Elderly Receiving Home Health Care of the Public Health Center

Affiliations
  • 1Team Reader, Junggu Public Health Center, Seoul, Korea.
  • 2Associate Professor, Department of Nursing, Chungwoon University, Hongseong, Korea. chinyr@chungwoon.ac.kr

Abstract

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'.

Keyword

Visiting nurses; Home visits; Social welfare; Comprehensive healthcare; Home health care nursing
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