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KMID : 0379320030280020049
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Korean Journal of Rural Medicine
2003 Volume.28 No. 2 p.49 ~ p.59
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Charact er ist ics of Disease and Assist ance Required for Bed-Ridden Elder ly Pat ients at Home in Rural Areas
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Kim Jin-Ho
Jeong Yong-Jun
Cho Young-Chae
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Abstract
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Objectives : This study was intended to provide basic data available for the establishment of comprehensive and systematic public medical service for older persons about their concurrent pathology and time span for their bedridden state, and thereby, the medical service, and individual cares they have received.
Methods : The study subjects included 207 elderly residents of men and women aged over 65, who were in the bedridden state at home at the time of investigation in September of 2002 at 11 Myon in Kongju city, Chungchongnamdo Province. They were asked to respond to the questionnaires by using interviews at their homes.
Results : Of the elderly population studied, the overall rate of bedridden states was 1.61%(1.46% in men and 1.71% in women) and there was an increasing tendency with age in both sexes. The causes for bedridden states indicated that hypertension and atherosclerosis accounted for 43.6 % of them in men, and lumbago·neuralgia·spinal disease 40.3% in women as the most frequent cause, respectively . The mean years of bedridden states were greater in men (4.81±2.89) than women(4.98±2.89). By age groups, both sexes showed an increasing tendency of time span with age. The items of care required for the bedridden showed that bathing was the most frequent and it was followed by toileting, dressing and feeding in a decreasing order of frequency. The number of care per one patient was 3.4 in men and 3.5 in women with the increased tendency with decreasing age Ain both sexes.
Conclusions : Though the proportion of bed- ridden patients increased according to the increasing age, there are substantial limitations in reducing the prevalence of chronic diseases. Therefore, it is required to establish the appropriate measures, such as various resources of health care services for dealing with the steadily increasing rate of bed- ridden patients.
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KEYWORD
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Elderly people, Bedridden states
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