Journal of Convergence for Information Technology (융합정보논문지)

Convergence Society for SMB (중소기업융합학회)
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Comparative Analysis of Differences in Health Condition with Elderly Age Using the Customized Home Modification : Focusing on Community Care Projects

맞춤형 주거환경수정을 이용한 노인의 건강상태 차이비교 분석: 커뮤니티케어 사업을 중심으로

  • Han, Sang-Woo (Department of Occupational Therapy, Kwangju Women's University)
  • 한상우 (광주여자대학교 작업치료학과)
  • Received : 2021.06.09
  • Accepted : 2021.08.20
  • Published : 2021.08.28
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Abstract

The purpose of this study was to investigate the effects of home modification in the community care project on the fall risk environment and the health condition in elderly people aged 65 and over. HOME FAST and WHODAS-K 2.0 were used to evaluate, and it was conducted as a group pre-post experimental study. As a result of implementing the home modification service based on the assessment, the fall risk level showed a statistically significant decrease (p<.01), and in the case of health condition, mobility (p<.01) and social participation (p<.05) was confirmed that it was statistically significantly improved in the domain, showing a positive change in the overall health condition (p<.05). In the future, research using a comprehensive home assessment is needed for more subjects. and a process of selecting subjects prior, expansion of professional manpower infrastructure to providing a quality service is required.

본 연구는 65세 이상 노인 36명을 대상으로 커뮤니티 케어 사업에서의 주거환경수정이 낙상 위험환경과 대상자의 건강상태에 미치는 영향에 대해 알아보고자 하였다. 주거환경 및 대상자의 특성에 대한 평가를 위해 HOME FAST와 WHODAS-K 2.0을 사용하였으며, 집단 사전·사후 실험연구로 진행되었다. 평가를 바탕으로 주거환경수정 서비스를 시행한 결과, 낙상 위험수준은 통계적으로 유의하게 감소되는 변화를 나타내었으며(p<.01), 건강상태의 경우에는 이동성(p<.01)과 사회참여(p<.05)영역에서 통계적으로 유의하게 향상되어 전반적 건강상태(p<.05)의 변화에도 긍정적인 변화를 보이는 것으로 확인되었다. 향후 더 많은 연구 대상자 확보하고, 포괄적인 주거환경 평가를 활용한 연구가 필요하며, 주거환경수정의 질적 서비스 제공을 위해 대상자 우선순위 선별과정과 전문인력 인프라 확충이 요구된다.

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References

  1. F. Oswald & H. Wahl. (2005). Dimensions of the meaning of home in later life. In G. D. Rowles & H. D. Chaudhury(Eds.), Home and identity in late life: International perspective (pp. 21-46). New York, NY: Springer Publishing Company Inc.
  2. K. Dovey. (1985). Home and homelessness. In I. Altman & C M. Werner (Eds.), Home environments (pp.33-61). New York, NY: Plenum Press.
  3. E. Ainsworth & D. De Jonge. (2011). An occupational therapist's guide to home modification practice. Thorofare, NJ: Slack Incorporated.
  4. H.-W. Wahl. & F. Oswald. (2010). Environmental Perspectives on Ageing. In Dannefer, D. & Phillipson, C. (Eds.). The Sage Handbook of Social Gerontology. (pp.111-124). Los Angeles: SAGE Publications.
  5. Y. J. Kim. (2006). A Study on Residential Remodeling and Needs of Elderly Households to Activate "Aging in Place". Chung-Ang Journal of Human Ecology, 23, 13-35.
  6. R. G. Cumming et al. (1999). Home visits by an occupational therapist for assessment and modification of environmental hazards: a randomized trial of falls prevention. Journal of the American geriatrics society, 47(12), 1397-1402. DOI : 10.1111/j.1532-5415.1999.tb01556.x
  7. S. Stark, A. Landsbaum, J. Palmer, E. K. Somerville & J. C. Morris. (2009). Client-centered home modifications improve daily activity performance of older adults. Canadian Journal of Occupational Therapy, 76, 235-245. DOI : 10.1177/000841740907600s09
  8. J. W. Kim, J. S. Choi, S. J. Lee, G. G. Lee, Y. H. Yoon & O. H. Seo. (2008). A Study on the Rural Handicapped Old People House Remodeling to correspond with Physical and Mental Disabilities. Journal of the Korean Institute of Rural Architecture, 10(2), 17-26.
  9. S. M. Park, J. H. Park & M. Y. Jung. (2020). Trend Analysis of Domestic Studies on Home Modification for Older Adults: Home Modification as a Way of Supporting Aging in Place. Korean Journal of Occupational Therapy, 28(1), 1-14. DOI : 10.14519/kjot.2020.28.1.01
  10. S. W. Kim, Y. K. Kim, K. C. Seong, K. J. Park & B. K. Kang. (2012). A Study on the Regulatory Supporting System of Housing Adaptations in order to improve Housing Welfare. Journal of Korea Institute of Healthcare Architecture, 18(2), 19-31. DOI : 10.15682/jkiha.2012.18.2.019
  11. S. Y. Lee. (2012). Characteristics of Housing Renovation for the Disabled and the Effects of Housing Renovation on Their Housing Satisfaction. Journal of the Korean Housing Association, 23(5), 9-18. DOI : 10.6107/JKHA.2012.23.5.009
  12. K. M. Lim & Y. N. Lee. (2013). Need Survey of Home Modification on Outpatient with Stroke and Spinal Cord Injury in Rehabilitation Center. The Journal of the Korea Contents Association, 13(8), 324-333. DOI : 10.5392/JKCA.2013.13.08.324
  13. Ministry of Health and Welfare. (2019, January 10). Press release. Announcement of community care projects plan. (Online). http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=347345&page=1
  14. E. Ainsworth & D. De Jonge. (2010). An occupational therapist's guide to home modification practice. Thorofare, NJ: Slack Incorporated.
  15. A. L. Weeks, B. A. Lamb & N. D. Pickens. (2010). Home modification assessments: Clinical utility and treatment context. Physical and Occupational Therapy in Geriatrics, 28(4), 396-409. DOI : 10.3109/02703180903528405
  16. L. Mackenzie, J. Byles & N. Higginbotham. (2000). Designing the Home Falls and Accidents Screening Tool (HOME FAST): Selecting the items. British Journal of Occupational Therapy, 63(6), 260-269. DOI : 10.1177/030802260006300604
  17. Y. M. Ju & S. Y. Cho. (2019). Validity and Reliability of Korean Version of Home Falls and Accidents Screening Tool (HOME FAST). Therapeutic Science for Rehabilitation, 8(4), 77-92. DOI : 10.22683/tsnr.2019.8.4.077
  18. T. B. ustun, N. Kostanjsek, S. Chatterji & J. Rehm. (2010). Measuring health and disability: Manual for WHO disability assessment schedule WHODAS 2.0. Geneva, CH: World Health Organization.
  19. J. M. Song & H. J. Lee. (2018). Korean cultural adaptation of WHODAS 2.0 (36-item version): Reliability and linking to ICF. Korea Society of Physical Therapy, 30(6), 246-256. DOI : 10.18857/jkpt.2018.30.6.246
  20. Y. J. Jo. & D. H. Yoo. (2018). The effect of personal and environmental factors in health status of people with disabilities on community participation. Journal of Korean Society of Occupational Therapy, 26(2), 129-138. DOI : 10.14519/jksot.2018.26.2.10
  21. REHAB management. (2020, December 12). Home Modifications for Fall Prevention. Recommending Home Modification. (Online). https://rehabpub.com/gait-balance/home-modifications-for-fall-prevention/
  22. H. R. Kim, C. S. Lim, S. B. Kim, E. J. Kim & K. W. Hong. (2013). A Study on the Improvement related with the House Remodeling Support Program for Underprivileged Group in Rural Area. Korean society of rural planning, 19(2), 75-91. DOI : 10.7851/ksrp.2013.19.2.075
  23. K. Delbaere, G. Crombez, G. Vanderstraeten, T. Willems & D. Cambier. (2004). Fear-related avoidance of activities, falls and physical frailty. A prospective community-based cohort study, Age Ageing, 33(4), 368-373. DOI: 10.1093/ageing/afh106
  24. D. Auriemma, S. Faust, K. Sibrian & J. Jimenez. (1999). Home modifications for the elderly: Implications for the occupational therapist. Physical & Occupational Therapy in Geriatrics, 16(3-4), 135-144. DOI : 10.1080/J148v16n03_08
  25. Y. S. Lee, J. S. Park, H. S. Lee & Y. S. Kim. (2017). Exploring Customized Home Modification Plan for Disabled Female Single Elderly Living in Rural Area. Journal of the Korean Institute of Interior Design, 26(3), 71-80. DOI : 10.14774/JKIID.2017.26.3.071
  26. R. Dahl & T. Lejnieks. (1990). Occupational therapy in environmental planning for the elderly. Gerontology, 13, 2-4.