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KMID : 0191120200350070043
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Journal of Korean Medical Science
2020 Volume.35 No. 7 p.43 ~ p.43
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Applicability of the 48/6 Model of Care as a Health Screening Tool, and its Association with Mobility in Community-Dwelling Older Adults
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Uhm Kyeong-Eun
Oh-Park Mooyeon
Kim Yoon-Sook
Park Jae-Min
Choi Jae-Kyung
Moon Yeon-Sil
Han Seol-Heui
Hwang Jeong-Hae
Lee Kun-Sei
Lee Jong-Min
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Abstract
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Background: The 48/6 Model of Care is an integrative care initiative for improving the health outcomes of hospitalized older patients; however, its applicability in community-dwelling older adults as a health screening tool has not been investigated. The present study aimed to examine the applicability of this model, prevalence of dysfunction in 6 care areas, and its relationship with self-reported mobility in community-dwelling older adults.
Methods: This was a cross-sectional survey study of community-dwelling adults aged 65 or older. Participants were screened for problems using 9 items corresponding to the 6 care areas of the 48/6 Model of Care (cognitive functioning, functional mobility, pain management, nutrition and hydration, bladder and bowel management, and medication management). Mobility was assessed via the Life-Space Assessment (LSA). We examined the correlation between each screening item and the LSA.
Results: A total of 444 older adults (260 women, 58.6%) participated. The mean number of health problems was 2.3 ± 2.1, with the most common being pain, cognitive impairment, and urinary incontinence. These problems and LSA scores were significantly different by age groups. A multiple regression analysis showed that polypharmacy (β = ?10.567, P < 0.001), dysphagia (β = ?9.610, P = 0.021), and pain (β = ?7.369, P = 0.004) were significantly associated with life-space mobility after controlling for age.
Conclusion: The 48/6 Model of Care is applicable to community-dwelling older adults, who show high prevalence of dysfunction in the 6 care areas. This study supports the role of the model in screening for the health status of older adults living in the community, and in estimating mobility.
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KEYWORD
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48/6 Model of Care, Life-Space, Mobility, Older Adults, Screening
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