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KMID : 0603920220300020095
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Journal of Korean Academy of Occupational Therapy
2022 Volume.30 No. 2 p.95 ~ p.109
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Associations Between Motor Function of Upper and Lower Extremities and Independent Instrumental Activities of Daily Living in the Non-Beneficiary Older Adults of the Long-Term Care Insurance Program
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Park Sang-Mi
Hong Ick-Pyo
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Abstract
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Objective: The aim of this study was to investigate and examine the associations between the motor function ofupper and lower extremities and independent instrumental activities of daily living (IADLs) in community-dwellingolder adults who are non-beneficiaries of the long-term care insurance program. Based on the results, wesuggest the way to provide the community health care services effectively for the non-beneficiaries of thelong-term care insurance program.
Methods: For this cross-sectional study, we used the 2015 Elderly Cohort database which was collected andadministrated by National Health Insurance of South Korea. Information on the motor disability of four extremities,dependency in ten IADLs items, age, sex, living status, socioeconomic status, and cognitive function were used foranalysis. Descriptive analysis and binary logistic regression analysis were conducted using SAS Enterprise 7.1.
Results: Data from 3,706 older adults without missing valus were used for analysis. Mean age was 81.48 years (SD5.27) and female was 75.63%. The rates of people without motor disability in four extremities for each were77.8% - 95.7%. Excepting for bodycare (50.0%) and medication (70.4%) which showed relatively high rate ofindependence, the levels of independence in eight items were 13.5% - 45.7%. Although there were differencesaccording to the extremities, motor disability was positively associated with dependency in IALDs when adjustingfor confounders.
Conclusion: Compared to the rate of extremities without motor disability, the rate of dependence in IADLs wasrelatively high. There were statistically significant positive associations between motor function of extremities anddependent IADLs. It is recommended that developing diverse community health care services in addition toutilizing the present health care services to prevent non-beneficiary older adults of the long-term care insuranceprogram from entering long-term care service users group.
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KEYWORD
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Care services for older adults, Independent living, Prevention, Community
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