DOI QR코드

DOI QR Code

Effectiveness of Home Health Care Service for Elders after Spinal Surgery

  • Jun, Myunghee (School of Nursing, Daejeon University & University of Wisconsin-Milwaukee) ;
  • Jung, Ji Young (Department of Nursing, Wonkwang Health Science University)
  • Received : 2012.05.30
  • Accepted : 2012.11.22
  • Published : 2012.12.31

Abstract

Purpose: This study was done to evaluate effectiveness of home healthcare services (HHCS) specialized for elders who received spinal surgeries. Methods: A non-equivalent control group pre-post test quasi-experimental study was performed. HHCS was developed based on the Rice model of dynamic self-determination for self-care. For data collection, a control group (n=23) and an experimental group (n=23) were selected by matching age, BMI, pain, general characteristics and type of spine surgery. Measurement tools to evaluate uncertainty and knowledge were developed by the authors. The Numeric Rating Scale (NRS) and Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) were used to evaluate pain levels. Muscular strength in the legs was measured using a digital muscle tester and tape ruler. Questionnaires were used to evaluate disability in performing ADL and psychological distress levels. Results: The experimental group showed significant decrease in uncertainty (p=.028), increased knowledge (p=.038), and partially decreased pain (p=.003-.331). Partial muscle strength increased significantly (p=.021-.644). Disability in performing ADL and psychological distress in the experimental group decreased significantly compared to control group (p=.002, p=.004). Conclusion: Results indicate HHCS is an efficient home care nursing program for these elders. Further experimental studies with larger samples are required to confirm effects of HHCS.

Keywords

Cited by

  1. 허리 척추수술환자의 수술 후 불확실성에 미치는 영향요인 vol.19, pp.3, 2012, https://doi.org/10.5953/jmjh.2012.19.3.294
  2. The effectiveness of home health care for reducing readmissions: an integrative review vol.37, pp.3, 2012, https://doi.org/10.1080/01621424.2018.1472702
  3. Effects of Functions of Daily Living, Depression, and Anxiety on Catastrophizing Pain among Patients Undergoing Lumbar Spinal Surgery vol.27, pp.3, 2012, https://doi.org/10.7739/jkafn.2020.27.3.289