Effects and Standardization of Interdisciplinary Preventive Home Visit Program on Frail Older Adults Living at Home

2014 Fiscal Year Final Research Report

• Project/Area Number: 22390443
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Community health/Gerontological nurisng
• Research Institution: Osaka City University
• Principal Investigator: KONO Ayumi 大阪市立大学, 看護学研究科, 教授 (00313255)
• Co-Investigator(Kenkyū-buntansha): IZUMI Kyoko 武庫川女子大学, 看護学部, 教授 (80285329)
• Co-Investigator(Renkei-kenkyūsha): KANAYA Yukiko 大阪市立大学, 大学院看護学研究科, 准教授 (00336611) ; TSUMURA Chieko 甲南女子大学, 大阪府立大学, 名誉教授 (40264824)
• Research Collaborator: YOSHIYUKI Noriko 大阪市立大学, 大学院看護学研究科 ; RUBENSTEIN Laurence Z. オクラホマ大学, 医学部老年科, 教授
• Project Period (FY): 2010-04-01 – 2015-03-31
• Keywords: 高齢者 / 介護予防 / 予防給付 / 地域看護 / 在宅看護

Outline of Final Research Achievements

The aim of the randomized controlled trial was to examine the effects on quality of life (QoL) of an interdisciplinary preventive home visits for frail elders. Eligible subjects (n=360) were randomly assigned to visit (VG: n=179) or control group (IG: n=181).The program included nurses’ home visits for 2 years, listing care needs systematically to prevent frailty. QoL parameters were collected via mail questionnaire at baseline, and care levels and the LTCI service use were obtained. Subjects in VG were more likely to maintain in ADL (p<.05) and to decline in daily life satisfaction (p<.05) than those in CG over 2 years. A generalized linear model showed that the estimate of the effect on care level decline was -0.53 (p<.05) over 3 years. The results suggest that the updated preventive home visits could be effective in reduce on ADL and care need deterioration.

Free Research Field

地域看護学