Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

The Current Status of Adult Day Care in Korea - Operation, Staffing, and Service -

노인 주간보호시설의 운영, 인력, 서비스 현황

  • Published : 2007.06.30
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Abstract

Purpose: The purpose of this study was to describe the operation, staffing, and services provided at adult day care centers in Korea. Methods: The study was a cross-sectional descriptive survey. The subjects were 209 centers among 280 centers registered in Korea (response rate 74.6%). The data was collected from August to December in 2006. Results: 48.8% of centers were located in a city area. The centers were based on the Social Model 65.5% of the centers were open Monday to Friday, an average of $7{\sim}8$ hours per day Dementia, stroke or frail elderly could use the center, and 57.4% of centers were used for dementia and stroke elderly together. The enrollment of elderly was 13.5. The number of total staff was 8.27, the number of RN's and social workers was 0.67, and 2.54 respectively. The social services(Meal preparation 98.6%, Special event 98.1%, Transportation, 97.1%) were provided more than the health services(Physical therapy 98.1%, ADL training 95.2%, Counseling 84 7%, Vaccination 82.8%, Health monitoring 78.9%, Health education 78.5%, Bathing 66.1%, and Speech therapy 28.2%). Conclusion: These results suggest we have to develop a health-focused adult day health care model based on the needs of elderly and their families. Nurses will have an important role in adult day health care.

Keywords

References

  1. Baumgarten, M., Lebel, P., Laprise, H., Leclerc, C., & Quinn, C. (2002). Adult day care for the frail elderly: outcomes, satisfaction, and cost. J Aging Health, 14(2), 237-59 https://doi.org/10.1177/089826430201400204
  2. Chang, B. W. (2004). The trends and policy of elderly. Proceedings of symposium: Longterm care for the elderly. ppII 1-1142. Ministry of Health & Welfare. Unpublished! manuscript
  3. Chung, K. H. (2005). The life styles and welfare needs of the elderly. Forum of Health and Welfare. 101. KIHASA. Unpublished manuscript
  4. Committee on the Long Term Care (2000). A study on the comprehensive plan of the long term care of the elderly. Ministry of Health and Welfare, KIHASA. Unpublished manuscript
  5. Conrad, K. J., Hughes, S. L., & Wand, S. (1992). Program factors that influence utilization of adult day care. Health Service Research, 27(4), 481-503
  6. Gaugler, J. E., Jarrott, S. E., Zarit, S. H., Stephens, M. A., Townsend, A., & Greene, R. (2003). Adult day service use and reductions in care giving hours: effects on stress and psychological well-being for dementia caregivers. Int J Geriatr Psychiatry, 18(1), 55-62 https://doi.org/10.1002/gps.772
  7. Hui, E., Lum, C. M., Or, K. H., & Kay, R. L. (1995). Outcomes of elderly stroke patients. Day hospital versus conventional medical management. Stroke, 26(9), 1616-1619 https://doi.org/10.1161/01.STR.26.9.1616
  8. Hunter, S. (1992) Adult day care: promoting quality of life for the elderly. J Gerontol Nurs, 18(2), 17-20 https://doi.org/10.3928/0098-9134-19920201-06
  9. Jeon, Y. H., Brody, H., & Chesteron, J. (2005) Respite care for caregivers and people with severe mental illness: literature review. J Adv Nurs, 49(3), 297-306 https://doi.org/10.1111/j.1365-2648.2004.03287.x
  10. Jeong, S. H. (1999). The need for rehabilitation day care program service of stroke survivors. Unpublished master's thesis, Seoul National University, Seoul
  11. Jeong, I. S., Jo, Y. H., & Park, Y. C. (2002) Effect of health promotion and characteristics of elderly used day care service in community health practitioner's post. Korean J Rural Med, 27(2), 127-136
  12. Kan, K. S. (2004). The Operation and satisfaction of the day care service in Seoul. Unpublished master's thesis, Kangnam University, Gyeonggi-do
  13. Kang, K. S. (2004). Development of a model of a day care center for rural elderly people. J Korean Comm Nurs, 15(4), 551-565
  14. Kim, H. S. (2005). Development and evaluation of Kyung-RoDang-based daycare program for the elderly. Unpublished doctoral dissertations. Seoul National University, Seoul
  15. Kim, S. Y., & Kang, K. S. (1999). A study on the degree of satisfaction at day care center's service among elderly clients. J Korean Comm Nurs, 10(2), 422-434
  16. Kim, B. I., Yun, C. H., & Kang, B. (2003). Analysis of the realities of adult day care centers and their treatment space preference. J Welfare for the Aged, Winter, 203-38
  17. Kim, O. S., Kim, S. S., Kim, K. O., Kim, Y. A., Kim, H. S., Park, J. S., & Choi, W. J. (2005). The needs about paying nursing homes for elderly parents. J Korean Gerontol Nurs, 7(1), 20-7
  18. Korean National Statistical Office. (2006). Population projects for Korea
  19. McCann, J. J., Hebert, L. E., Li, Y., Wolinsky, F. D., Gilley, D. W., Aggarwal, N. T., Miller, J. M., & Evans, D. A. (2005). The effect of adult day care services on time to nursing home placement in older adults with Alzheimer's disease. Gerontologist, 45(6), 754-63 https://doi.org/10.1093/geront/45.6.754
  20. Ministry of Health & Wellfare (2006). The current status of adult day care center. Retrieved June 1, 2006 from the World Wide Web http://www.mohw.go.kr
  21. Mo, S. H. (2002). The study of adult day care service. J Welfare for the Aged, Summer, 149-172
  22. Nadash, P. (2003). Adult day centers: everything you wanted to know but were afraid to ask. Caring Magazine, 22(8), 6-8
  23. National Adult Day Services Association(NADSA) (2006). National study of adult day services. Retrieved March 11, 2006 from the World Wide Web http://www.helpguide.org/elder/adult_day_care_center
  24. National Alliance for Caregiving & American Association of Retired Persons. (2004). Caregiving in the U.S. Washington, DC: Authors
  25. Neufeld, A., & Strang, V. (1992). Issues in the evaluation of small-scale adult day care programs. Int J Nurs Stud, 29(3), 261-73 https://doi.org/10.1016/0020-7489(92)90029-G
  26. Park, Y. H. (2003). The effects of the day care service program for the elderly and family with the stroke - compared with the elderly and family in home -. J Korean Acad Nurs, 33(7), 990-998
  27. Shin, H. R. (2000). A needs assessment of adult day care for the Alzheimer's Victims. J Welfare Aged, 9, 67-93
  28. Stolee, P., Hiller, L. M., Esbaugh, J., Griffiths, N., & Borrie, M. J. (2006). Examining the nurse practitioner role in long-term care: evaluation of a pilot project in Canada. J Gerontol Nurs, 32(1), 28-36
  29. Warren, S., Kerr, J. R., Smith, D., & Schalm, C. (2003). The impact of adult day programs on family caregivers of elderly relatives. J Community Health Nurs, 20(4), 209-221 https://doi.org/10.1207/S15327655JCHN2004_02