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Ann Geriatr Med Res > Volume 20(2); 2016 > Article
Journal of the Korean Geriatrics Society 2016;20(2):85-93.
DOI: https://doi.org/10.4235/jkgs.2016.20.2.85    Published online June 30, 2016.
The Study for Improvement of Frailty and Depression in the Health Vulnerable Elderly of Home Visiting Health Care Service
Youngji Kim, Song Nang Jang
Department of Nursing, Red Cross College of Nursing, Nursing Science Research Institute, Chung-Ang University, Seoul, Korea. sjang@cau.ac.kr
방문건강관리사업 대상 취약계층 노인의 허약과 우울의 개선에 관한 연구
김영지1, 장숙랑1
중앙대학교 적십자 간호대학 간호학과
Abstract
BACKGROUND
Home health-care services have been implemented to promote health among older adults (medicare beneficiaries and low-income or vulnerable older adults) with health conditions, though there is limited evidence to support their effectiveness. This study aimed to identify improvements in frailty and depression in vulnerable older adults who received home health-care services.
METHODS
We used a database comprised of approximately 15,053 older adults residing in the Seoul metropolitan area having received home health-care services from 2008 to 2011. Frailty was measured using the Otasha-Kenshin scale, and geriatric depression was measured using the short-form Geriatric Depression Scale.
RESULTS
We observed a significant decline in the prevalence of frailty and depression symptoms in vulnerable older adults between 2009 and 2011 (p<0.001). Logistic regression analysis found that the decreased prevalence observed in vulnerable older adults was statistically significant for both frailty (odds ratio [OR], 0.52; 95% confidence interval [CI], 0.43-0.63; p<0.001) and depression (OR, 0.61; 95% CI, 0.51-0.72; p<0.001). A greater decrease was observed among the younger elderly subjects.
CONCLUSION
This study showed that frailty and depression were significantly improved in the vulnerable older adults who received home health-care services. These services need to focus on high-risk groups with frailty and depression. In particular, early intervention is needed for younger elderly people, and more professional and focused management is needed for those aged 85 and above.
Key Words: Frail elderly, Depression, Home care services
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