J Korean Acad Nurs.  2012 Dec;42(7):1009-1018. 10.4040/jkan.2012.42.7.1009.

Effectiveness of Home Health Care Service for Elders after Spinal Surgery

• Jun M
• Jung JY

• KMID: 1739539
• DOI: http://doi.org/10.4040/jkan.2012.42.7.1009

Abstract

PURPOSE
This study was done to evaluate effectiveness of home healthcare services (HHCS) specialized for elders who received spinal surgeries.
METHODS
A non-equivalent control group pre-post test quasi-experimental study was performed. HHCS was developed based on the Rice model of dynamic self-determination for self-care. For data collection, a control group (n=23) and an experimental group (n=23) were selected by matching age, BMI, pain, general characteristics and type of spine surgery. Measurement tools to evaluate uncertainty and knowledge were developed by the authors. The Numeric Rating Scale (NRS) and Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) were used to evaluate pain levels. Muscular strength in the legs was measured using a digital muscle tester and tape ruler. Questionnaires were used to evaluate disability in performing ADL and psychological distress levels.
RESULTS
The experimental group showed significant decrease in uncertainty (p=.028), increased knowledge (p=.038), and partially decreased pain (p=.003-.331). Partial muscle strength increased significantly (p=.021-.644). Disability in performing ADL and psychological distress in the experimental group decreased significantly compared to control group (p=.002, p=.004).
CONCLUSION
Results indicate HHCS is an efficient home care nursing program for these elders. Further experimental studies with larger samples are required to confirm effects of HHCS.

Keyword

Health services for the aged; Home care services; Pain; Knowledge; Muscle strength

MeSH Terms

Activities of Daily Living
Aged
Body Mass Index
Disabled Persons/*psychology
Female
Health Services for the Aged/*utilization
Humans
Male
Middle Aged
Muscle Strength
Pain Measurement
Psychiatric Status Rating Scales
Questionnaires
Spinal Injuries/*surgery
Stress, Psychological
Uncertainty

Figure

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  Figure 1 Theoretical framework of this study based on Rice's model of dynamic self-determination.

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  Figure 2 Flow of study procedure.

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