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KMID : 1104420190300040528
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Research in Community and Public Health Nursing
2019 Volume.30 No. 4 p.528 ~ p.538
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The Follow-up Study of Changes in Frailty in Elderly Receiving Home Health Care of the Public Health Center
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Lee Dong-Ok
Chin Young-Ran
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Abstract
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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’.
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KEYWORD
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Visiting nurses, Home visits, Social welfare, Comprehensive healthcare, Home health care nursing
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