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Effectiveness of Primary Health Care Posts: Frailty Prevention and Chronic Disease Management for Older Adults in a Medically Vulnerable Rural Area

의료취약 농촌 지역 노인을 위한 보건진료소 일차보건의료서비스 제공 사례: 마을회관 군과 가정방문 군 중심으로

  • Received : 2025.05.21
  • Accepted : 2025.06.19
  • Published : 2025.06.30

Abstract

Purpose: This study investigates the effectiveness of providing healthcare management services for older adults at one primary healthcare post in a medically vulnerable rural area. Methods: The average ages of older adults who could walk to the community center was 79.6 years old (34 participants) and of those who had significant mobility constraints was 86.7 years old (10 participants). Approximately 77% of the participants were in the pre-frailty stage or higher, and 100% of those who received home visits were frail. Results: The p-value for TUG speed after the provision of healthcare services was 4.18229 × 10-6 <.005, and the p-value for systolic blood pressure was .008, which indicated a significant effect with p-value <.05. In the survey, respondents reported high satisfaction, improved flexibility and subjective health status, and a decrease in pain and the frequency of painkiller use. Conclusion: It can be concluded that it is effective in preventing frailty, managing systolic blood pressure, improving satisfaction among elderly beneficiaries, enhancing physical flexibility, and managing chronic diseases.

Keywords

References

  1. 법제처. 의료취약지 관련 법령.[Internet]. 서울: 법제처; [cited 2025 May 4]. https://law.go.kr/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=060101&query=%EA%B3%B5%EA%B3%B5%EB%B3%B4%EA%B1%B4%EC%9D%98%EB%A3%8C%EC%97%90+%EA%B4%80%ED%95%9C+%EB%B2%95%EB%A5%A0#undefined
  2. 법제처. 보건진료소 관련 법령[Internet]. 서울: 법제처; [cited 2025 May 4]. https://www.law.go.kr/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=060101&query=%EB%86%8D%EC%96%B4%EC%B4%8C+%EB%93%B1+%EB%B3%B4%EA%B1%B4%EC%9D%98%EB%A3%8C%EB%A5%BC+%EC%9C%84%ED%95%9C+%ED%8A%B9%EB%B3%84%EC%A1%B0%EC%B9%98%EB%B2%95#undefined
  3. 법제처. 보건진료전담공무원 관련 법령[Internet]. 서울: 법제처; [cited 2025 May 4]. https://law.go.kr/lsLinkCommonInfo.do?lspttninfSeq=109606&chrClsCd=010202
  4. 통계청. 2024 고령자 통계.[Internet]. 대전: 통계청; 2024 Sep 26 [cited 2025 May 3]. https://www.kostat.go.kr/board.es?act=view&bid=10820&list_no=432917&mid=a10301010000
  5. 한국농촌경제연구원. 농촌‧도시 건강실태 및 의료비용 효과 비교와 정책과제. 나주: 한국농촌경제연구원; 2019.
  6. 보건복지부, 한국보건사회연구원. 2023년도 노인실태조사. 세종: 보건복지부; 2023.
  7. 오현주, 강문희. 자살예방 프로그램이 농촌 거주 저소득 80세 이상 여성노인의 통증, 우울, 삶의 의미 및 자살생각에 미치는 효과. 산업융합연구. 2022;20(6).
  8. 보건복지부, 한국생명존중희망재단. 2025 자살통계연보. 세종: 보건복지부; 2025.
  9. 황환식, 권인순, 박병주, 조비룡, 윤종률, 원장원. 한국형 노쇠측정도구 개발 및 타당도 조사. 대한노인병학회지. 2010;14(4).
  10. 원장원, 노용균, 김수영, 조비룡, 이영수. 한국형 일상생활 활동 측정도구(K-ADL)의 타당도 및 신뢰도. 대한노인병학회지. 2002;6(2):98-106.
  11. 강수진, 최성혜, 이병화, 권재철, 나덕렬, 한설희. 한국판 Instrumental Activities of Daily Living의 타당도와 신뢰도. 대한신경과학회지. 2002;20(1).