Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Nutritional Assessment and Management in Long-term Care Insurance's Home Visit Care Service

경기도 일부 노인의 노인장기요양보험 방문요양서비스의 영양상태 평가 및 영양관리 현황

  • Yoon, Mi-Ock (Department of Food and Nutrition, Dankook University) ;
  • Moon, Hyun-Kyung (Department of Food and Nutrition, Dankook University) ;
  • Kim, Seo-Yeon (Department of Food and Nutrition, Dankook University) ;
  • Kim, Bok-Hee (Department of Food and Nutrition, Chosun University)
  • 윤미옥 (단국대학교 식품영양학과) ;
  • 문현경 (단국대학교 식품영양학과) ;
  • 김서연 (단국대학교 식품영양학과) ;
  • 김복희 (조선대학교 식품영양학과)
  • Received : 2012.05.30
  • Accepted : 2013.03.27
  • Published : 2013.04.30
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Abstract

The purpose of the study was to examine nutritional management and nutritional care demands of home-visit care service and the nutritional status of serviced elderly. The survey was carried out from $5^{th}$ to $21^{st}$ of January, 2011 among 37 In-Home Service institutions. The number of elderly surveyed by 143 care helpers was 281. Analysis was performed for 203 subjects (male: 44, female: 159). The age distribution was from 50 to 99 years. The grading by long-term care insuranceshowed 18,2% on level 1 and 2, and 81.8% on level 3. For the disease treatment, the proportion of implementing diet treatment turned out to be very low. The proportion of subjects living with their children was 45.3%, and living alone was 29.1%. The proportion of home-visit care among types of In-Home Service was 70%. Subjects who needed additional necessary diet management service turned out to be 40.9%. Diet management was the most necessary services from all levels. MNA (specifiy MNA) scores were significantly (p < 0.001) associated with BMI, mid-arm circumference (MAC), calf circumference (CC), intake problems, and weight loss during the last 3 months. For studied elderly, 45.3% were malnourished, and 46.8% were at the risk of malnutrition by MNA score. Based on the result of this survey, the nutritional care was not systematic on the In-Home Service. Prevention and management of the disease was much better than the treatment to improve the quality of life. We conclude that nutrition management is necessary for the elderly. To improve nutritional status of elderly in home care services, systematic nutrition management should be implemented.

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