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This study was done to test a structural equation modeling of case management outcomes in order to identify parameters affecting case management outcomes for the community-dwelling vulnerable elders.
Data were collected from 309 nurses (case managers) and community-dwelling vulnerable elders (clients) from public health centers. For data analysis,...
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... The growing number of elderly people inevitably poses serious challenges to our society: as life expectancy increases, the risk of chronic diseases or injuries also increases. Chronic diseases related to functional decline or the collapse of social support systems reduce the well-being of the vulnerable elderly and cause excessive spending on care facilities and medical services [1,2]. Therefore, promoting the health of vulnerable elderly people who live in communities has attracted constant interest. ...
This study multidimensionally examines rural elderly women’s subjective barriers to practicing health-promoting behaviors. Twenty-six rural elderly women participated in three focus group interviews. Content analysis and a qualitative research method were used. The results, based on an ecological model, show that the implementation of health-promoting behaviors in rural elderly women was comprehensively related to intrapersonal (functional decline, passive attitude, and lack of implementation), interpersonal (lack of social support), community (restrictive conditions, accessibility issues, and lack of infrastructure), and public policy (lack of policy support) factors. Interventions addressing each factor can help reduce or eliminate the perceived barriers to health-promoting behaviors through interactions. Our findings can contribute to the development of health-promoting programs focused specifically on the socialization of rural elderly women and community-centered health policies in the future.
... (Rhee, 2006;Kim et al., 2008;Kim, 2012;Cho, Kim, Song, & Yim, 2012;Moon, 2013 (Yim, 2008 (Kim, Shin, & Lee, 2006;Ko et al., 2007;Choi, & Yu, 2008;Yang, Ahn, Yim, & Kwon, 2008;Chung, 2009;Oh, Kim, Park, & Yoo, 2010;Kim, & Jeong, 2010;Kee, 2011;Moon, 2013) ...
... (Rhee, 2006;Kim et al., 2008;Kim, 2012;Cho, Kim, Song, & Yim, 2012;Moon, 2013 (Yim, 2008 (Kim, Shin, & Lee, 2006;Ko et al., 2007;Choi, & Yu, 2008;Yang, Ahn, Yim, & Kwon, 2008;Chung, 2009;Oh, Kim, Park, & Yoo, 2010;Kim, & Jeong, 2010;Kee, 2011;Moon, 2013) ...
Purpose: This study was conducted in order to present the effects of case management of a home visiting health service for clients with hypertension. Method: One-group pretest-posttest design was used. The subjects were 280 clients who received case management among the first and second registered group. The data were eight-week-case management results from January to December, 2010. In order to evaluate the effect of the visiting nursing service, biological indexes(blood pressure, total cholesterol, triglyceride, high density lipoprotein, low density lipoprotein, BMI) and self-care abilities(knowledge/attitude of hypertension, management of medication, nutritional care, confidence of self care) were measured. Result: Biological indexes and self-care abilities were improved, except total cholesterol, low density lipoprotein. Conclusion: The case management of home visiting health service by public health centers is considered to be an effective nursing service. Therefore, greater effort is needed for better maintenance of case management, and more research is needed in order to examine a variety of biological indexes.
This study examined age-gender specific problem presentation among vulnerable older persons with hypertension who live with low income. As part of a larger community-based home visiting project, 26,622 participants completed face-to-face interviews (younger old 65-74 years, 36%; oldest old ≥75 years, 64%; women, 83%). Knowledge deficit (86%) was the most common, followed by uncontrolled blood pressure (67%), poor nutritional management (65%), and medication noncompliance (40%). Age-gender specific presentation was evident: uncontrolled blood pressure was substantially difficult in younger older men; medication noncompliance in oldest old men; overweight in younger older women; and knowledge deficit in oldest old women. This information can be helpful to health professionals in assisting vulnerable subgroups with problems having greater priority. Such a problem-based approach is likely to improve hypertension management among vulnerable elderly persons.
