지역사회간호학회지 (Research in Community and Public Health Nursing)

  • 제23권2호
  • /
  • Pages.201-211
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  • 2012
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  • 1225-9594(pISSN)
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  • 2288-4203(eISSN)
한국지역사회간호학회 (Korean Academy of Community Health Nursing)
권호 표지

전.후기 허약 고위험 노인을 대상으로 한 지역사회 중심의 다요인적 허약 예방 프로그램의 효과 평가

Evaluation of the Effects of a Frailty Preventing Multi-factorial Program Concentrated on Local Communities for High-risk Younger and Older Elderly People

  • 투고 : 2012.02.23
  • 심사 : 2012.06.25
  • 발행 : 2012.06.30
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초록

Purpose: The purpose of this study is to evaluate the effects of a local community based multi-factorial program for high-risk younger and older elderly people. Methods: The quasi-experimental research design (pretest-post test) was employed. Participants were recruited in Seoul and a total of 98 elders completed an 8-week multi-factorial program for preventing frailty. Descriptive statistics, $x^2$-test and GLM were used in the data analysis with SPSS/WIN 15.0. Results: The high-risk elderly people in the younger and older stages showed differences in IADL, TUG and BMI, and after being provided with the multi-factorial program for preventing frailty, some effects were shown on improving the total score of frailty, a physical function, TUG, BMI, depression, subjective feeling of health, and social interaction. Conclusion: The 8-week multi-factorial program for preventing frailty had positive effects on improving physical, emotional and social functions of the high-risk elderly people. It is necessary to evaluate the effects after individual intervention as well as group intervention and to evaluate the effects of the program by setting a control group in the future.

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참고문헌

  1. Bernabei, R., Ladni, F., Gambassi, G., Sgadari, A., Zuccala, G., Mor, V., et al. (1998). Randomised trial of impact of model of integrated care and case management for older people living in community. British Medical Journal, 316 (2), 1348-1351. https://doi.org/10.1136/bmj.316.7141.1348
  2. Beswick, A. D., Rees, K., Dieppe, P., Ayis, S., Goonerman-Hill, R., Horwood, J., et al. (2008). Complex intervention to improve physical function and maintain independent living in elderly people: A systematic review and metaanalysis. Lancet, 371 (9614), 725-735. https://doi.org/10.1016/S0140-6736(08)60342-6
  3. Brook, D. R. (1991). Caring for the frail elderly: An office protocol. Medicine North America, 16 , 2195-2199.
  4. Coleman, E. A., Grothaus, L. C., Sandhu, N., & Wagner, E. H. (1999). Chronic care clinics: A randomized controlled trial of a new model of primary care for frail older adults. Journal of the American Geriatrics Society, 47 (7), 775-783. https://doi.org/10.1111/j.1532-5415.1999.tb03832.x
  5. Cusimano, M. D., Kork, J., & Spadafora, K. (2008). Effectiveness of multifaceted fall-prevention programs for the elderly in residential care. Injury Prevention, 14 , 113-122. https://doi.org/10.1136/ip.2007.017533
  6. Gill, T. M., Baker, D. J., Gottschalk, M., Peduzzi, P. N., Allore, H., & Bayers, A. (2002). A program to prevent functional decline in physically frail, elderly persons who live at home. The New England Journal of Medicine, 347 (14), 1068-1074. https://doi.org/10.1056/NEJMoa020423
  7. Hasstregt. J. C., Diederiks, J. P., Rossum, E., Witte, L. P., Voorhoeve, P. M., & Crebolder, H. F. (2000). Effects of a programme of multifactorial home visits on falls and mobilidty impairments in elderly people at risk: Randomised controlled trial. British Medical Journal, 321 (7267), 994-998. https://doi.org/10.1136/bmj.321.7267.994
  8. Kang, J. S. (2004). Effects of social support on the decrease of low-income families' caregiving burden for elders: Focused on 75-year old or older frail elderly. Unpublished doctoral dissertation, Seoul Women's University, Seoul.
  9. Kee, B. S. (1996). A preliminary study for the standardization of geriatric depression scale short-form-Korea version. Journal of the Korean Neuropsychiatric Association, 35 (2), 298-307.
  10. Kim, E. H. (2011). A study on the effects of thera-band exercise program for frail elderly. Journal of the Korean Data Analysis Society, 13 (3), 1241-1254.
  11. Kim, S. H., & So, W. Y. (2011). Factors associated with falling in older, community-dwelling adults in Korea. Journal of Korean Gerontology Nursing, 13 (2), 91-100.
  12. Kim, S. H., Lee, J. H., Koh, K. W., & Ha, H. B. (2008). Effects of low intensity exercise program with telephone coaching on physical fitness in the elderly served home visiting nursing care. The Korean Journal of Fundamentals of Nursing, 15 (4), 457-466.
  13. Koretz, B. K., & Moore, A. A. (2001). Assessment of the geriatric patient: A practical approach. Journal of Clinical Outcomes Management, 8 (7), 35-40.
  14. Kristensson, J., Ekwall, A. K., Jakobsson, U., Midlov, P., & Hallberg, I. R. (2010). Case managers for frail older people: A randomised controlled pilot study. Scandinavian Journal of Caring Science, 24 (4), 755-763. https://doi.org/10.1111/j.1471-6712.2010.00773.x
  15. Lawton, M. P. (1971). The functional assessment of elderly people. Journal of the American Geriatric Society, 19 , 465-481. https://doi.org/10.1111/j.1532-5415.1971.tb01206.x
  16. Lee, I. S., Jung, I. S., Lee, M. K., Kim, Y. K., & Ko, Y. (2010). Development of health promotion program for elderly health improvement. Seoul: Seoul National University College of Nursing.
  17. Lightbody, E., Watkins, C., Leathley, M., & Sharma, A. (2002). Evaluation of a nurse-led falls prevention programme versus usual care: A randomized controlled trial. Age and Ageing, 31 (3), 203-210. https://doi.org/10.1093/ageing/31.3.203
  18. Lustosa, L. P., Silva, J. P., Coelho, F. M., Pereira, D. S., Parenton, A. N., & Pereira, L. S. (2011). Impact of resistance exercise program on functional capacity and muscular strength of knee extensor in pre-frail community-dwelling older women: A randomized crossover trial. Revista Brasileira de Fisioterapia, 15 (4), 318-324. https://doi.org/10.1590/S1413-35552011000400010
  19. Markle-Reid, M., & Browne, G. (2003). Conceptualizations of frailty in relation to older adults. Journal of Advanced Nursing, 44 (1), 58-68. https://doi.org/10.1046/j.1365-2648.2003.02767.x
  20. Melis, R. J., Eijken, M. I., Teerenstra, S., Achterberg, T., Parker, S. G., Boom, G. F., et al. (2008). A randomized study of a multidisciplinary program to intervene on geriatric syndromes in vulnerable older people who live at home (Dutch EASYcare Study). The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 63 (3), 283-290. https://doi.org/10.1093/gerona/63.3.283
  21. Ministry of Health and Welfare Affairs. (2011). 2011 Health promotion manual. Seoul: Author.
  22. Park, M. H., Ha, J. C., Shin, I. H., Kim, H. G., Lee, S. Y., Cho, J. H., et al. (2009). 2008 Survey for the elderly-national living profiles and welfare service needs of older persons in Korean's survey. Seoul: Ministry of Health, Welfare, and Family Affairs & Kyemyung University.
  23. Shamliyana. T., Talleyc, K., Ramakrishnana, R., & Kanea, R. A. (2012). Association of frailty with survival: A systematic literature review. Ageing Research Reviews, 1568-1673.
  24. Sin, J. H., Park, J. S., Jin, Y. S., & Kim, Y. K. (2002). The effect of SUN-MU program on physical fitness and ADL in physically frailed elderly women. The Korean Journal of Sports Medicine, 20 (1), 51-56.
  25. Son, H. H., & Kim, K. (2011). Effects of elderly gymnastic program on physical function in hospitalized frail people. Journal of the Korean Data Analysis Society, 13 (1), 123-134.
  26. Stel, V. S., Smit, J. H., Pluijm, S. M., & Lips, P. (2004). Consequences of falling in older men and women and risk factors for health service use and functional decline. Age and Ageing, 33 , 58-65. https://doi.org/10.1093/ageing/afh028
  27. Sumwoo, D., Lee, S., Park, J. S., Bae, S. S., Cho, Y. H., Kim, C. B., et al. (2008). Analysis of the effects of muscle strength exercises on physical function and quality of life in the frail elderly. Journal of Korean Society for Health Education and Promotion, 25 (1), 39-53.
  28. Syddall, H., Roberts, H. C., Evandrou, M., Cooper, C., Berman, H., & Sayer, A. A. (2010). Prevalence and correlates of frailty among community-dwelling older men and women: Findings from the Hertfordshire cohort study. Age and Ageing, 39 (2), 197-203. https://doi.org/10.1093/ageing/afp204
  29. Whitson, H. E., Purser, J. L., & Cohen, H. J. (2007). Frailty thy name is... phrailty? The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 62 (7), 728-730. https://doi.org/10.1093/gerona/62.7.728