재가서비스 전·후 요양보호노인의 일상생활수행능력, 인지기능, 욕창발생위험의 변화

Changes in Activities of Daily Living, Cognition, and Risk Factors for Pressure Ulcers of the Long-Term Care elderly Receiving Home Care Service

Purpose: This study was conducted to compare the levels of activities of daily living, cognition, and risk factors for pressure ulcers of the long-term care elderly receiving home care services before and after the services. Method: Data were collected from December 2011 to February 2012 for 55 seniors residing in Jeollanam-do, entitled to long-term home care service and receiving the service longer than 1 year. Research instruments were Modified Barthel Index (MBI) for the activities of daily living, Mini Mental State Examination (MMSE) for the Cognition developed by Folstein et al. (1975) and modified by Kwon & Park (1989), and Braden scale for risk factors for bedsore developed by Bergstrom, et al. (1987). Data were analyzed using SPSS 19.0 for Windows by descriptive statistics, Kolmogorov-Smirnov test, paired t-test, and McNemar test. Result: Scores of activities of daily living, cognition, and risk factors for pressure ulcers were significantly increased after the service compared to the scores before the service (p<.001). The changes in three dependent variables based on nurses visiting number was also significant (p<.05). Conclusion: Home care service showed significant changes in activities of daily living, cognition, and risk factors for pressure ulcers of the elderly entitled to the home care service. In addition, there were larger changes when the visit number increased. Therefore, there need more home care service programs for the long-term care elderly in order to improve their activities of daily living, cognition, and risk factors for pressure ulcers.