|
KMID : 1161020210030020061
|
|
Korea Journal of Geriatric Occupational Therapy
2021 Volume.3 No. 2 p.61 ~ p.76
|
|
|
Effect of Home Modification Service on Fall Prevention and Independence of Activities of Daily Living for the Elderly with Dementia Residing in the Community
|
|
Ju Yu-Mi
Park Ju-Yeon
Han Hyo-Jin
Ryu Je-Kwang
|
|
|
Abstract
|
|
|
Objective : The aim of this study was to provide a home modification service for elderly people with dementia living in the community and to verify its effectiveness.
Methods : Sixteen elderly people diagnosed with dementia participated in the home modification service provided in this study. Six home visits were provided for each individual subject. Including pre-and post-evaluation, personal behavior evaluation, home environment consulting, home environment modification, daily activities training, and cognitive strategy education were provided.
To examine the effects before and after the service, changes in the environment, balance confidence, fall behavioral factors, and independence of ADL and IADL were evaluated. The preand post-score comparisons were analyzed using Jamovi 2.2.2.
Results : The intervention showed statistically significant environmental changes in home hazards, adaptation, visual
cues, and observation (p<.001). However, there was no statistically significant improvement in the comfort of the home environment. Also, there were statistically significant changes in activity-specific balance confidence, fall behavioral factors, and independence in IADL after intervention (p<.001). On the other hand, there was no change in independence in ADL (p=.186). Overall satisfaction with the service was very high at 9.6 out of 10.
Conclusion : The home modification service for the elderly with dementia living in the community was found to be effective not only in improving the living environment at home, but also in preventing falls and improving the independence of IADL. In the future, it will be necessary to provide services to a larger population and investigate its effectiveness.
|
|
|
KEYWORD
|
|
|
Community-based,, Community care, Dementia, Home modification, Occupational therapy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|