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The Effects of ICT Enhanced Home-visit Nursing in Long-Term Care Insurance on Health-related Quality of Life among Community-Dwelling Older Adults

ICT 활용 방문간호서비스가 재가노인의 건강관련 삶의 질에 미치는 효과

  • Yoo, Keunjoo (College of Nursing, Yonsei University, National Evidence-based Healthcare Collaborating Agency (NECA)) ;
  • Shin, Jinhee (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Cho, Eunhee (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Hong, Seokwon (Daesung Foundation, Bucheon University Hospital)
  • 유근주 (연세대학교 간호대학.한국보건의료연구원) ;
  • 신진희 (연세대학교 간호대학.김모임간호학연구소) ;
  • 조은희 (연세대학교 간호대학.김모임간호학연구소) ;
  • 홍석원 (대성재단 부천대성병원)
  • Received : 2021.07.20
  • Accepted : 2021.12.13
  • Published : 2022.03.31

Abstract

Purpose: This secondary data analysis study evaluated the effects of ICT enhanced home-visit nursing in long-term care insurance on health-related quality of life among community-dwelling older adults. Methods: This study included data of 131 older adults who had experienced a pilot service for ICT enhanced home-visit nursing. ICT enhanced home-visit nursing refers to a method of sharing health records and teleconference between a visiting nurse and a doctor during the home-visit nursing services to community-dwelling older adults. Health-related quality of life and influencing factors were analyzed by t-tests, logistic regression analysis using the Stata 17/SE program. Results: After a pilot service for ICT enhanced home-visit nursing, their health-related quality of life increased. The teleconferencing method had a significant effect on the increase in health-related quality of life. Conclusion: The findings indicate a pilot service for ICT enhanced home-visit nursing can be applied to the domestic community-based healthcare service model in terms of health management. In the future, the advanced service model of a pilot service for ICT enhanced home-visit nursing in which subjects conduct detailed for each health problem, and a well-designed evaluation system should be developed.

Keywords

Acknowledgement

이 논문은 「과학기술정보통신부 정보통신진흥기금」을 지원받아 제작한 것으로 과학기술정보통신부의 공식의견과 다를 수 있습니다.

References

  1. Korea Ministry of Health and Welfare. Long-term care insurance Act No. 17173 (Mar 31, 2020).
  2. Byeon DH, Hyun HJ. I (mportance and performances of visiting nurse services provided under the long-term care insurance system for the elderly. Journal of Korean Academy of Community Health Nursing. 2013;24(3):332-345. https://doi.org/10.12799/jkachn.2013.24.3.332
  3. Lim JY, Kim EJ, Choi KW, Lee JS, Noh WJ. Analysis of barriers and activating factors of visiting nursing in long-term care insurance. The Journal of the Korea Contents Association. 2012;12(8):283-299. https://doi.org/10.5392/JKCA.2012.12.08.283
  4. Jeong KH. Living arrangement in later life and polict implications: focused on the diversity of living arrangement [Internet]. Sejong:Korea Institute for Health and Social Affairs. 2016 [cited 2018 August 12]. Available from: https://www.kihasa.re.kr/publish/regular/hsw/view?seq=22745&volume=20382
  5. Statistics Korea. The elderly statistics 2017 [Internet]. Daejeon: Statistics Korea. 2019 [cited 2020 Februry 3]. Available from: https://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=377701
  6. Jeong KH, Oh YH, Kang EN, Kim KR, Lee YG, Oh MA, et al. 2017 Survey of Living Condition of Elderly Study. Poly Report. Sejong, Korea: Korea institute for Health and Social Affairs. 2017 November. Report No.: 2017-53.
  7. Flodgren G, Rachas A, Farmer AJ, Inzitari M, Shepperd S. Interactive telemedicine: Effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews. 2015;(9):CD002098. https://doi.org/10.1002/14651858.CD002098.pub2
  8. Wildevuur SE, Simonse LW. Information and communication technology-enabled person-centered care for the "big five" chronic conditions: Scoping review. Journal of Medical Internet Research. 2015;17(3):e77. https://doi.org/10.2196/jmir.3687
  9. Snoswell CL, Rahja M, Lalor AF. A systematic review and meta-analysis of change in health-related quality of life for interactive telehealth interventions for patients with asthma. Value in Health. 2021;24(2):291-302. https://doi.org/10.1016/j.jval.2020.09.006
  10. Mahoney MF. Telehealth, telemedicine, and related technologic platforms: Current practice and response to the COVID-19 pandemic. Journal of Wound, Ostomy and Continence Nursing. 2020;47(5):439-444. https://doi.org/10.1097/WON.0000000000000694
  11. Baek KH. A Study on Telemedicine in the United States-Focusing on implications for countermeasures about Covid-19-. Kyungpook National University Law Journal. 2020;70:363-386. https://doi.org/10.17248/knulaw..70.202007.363
  12. Jang SH. Only 19 years of pilot project...Telemedicine, how long will it be delayed?. Chosun Biz [Internet]. 2019 May 4 [cited 2021 June 20]. Available from: https://biz.chosun.com/site/data/html_dir/2019/05/03/2019050301907.html Article includes a correction
  13. Cha SM, Yoo KJ, Choi SJ, Hong SW. The development and effect of doctor-visiting nurses ICT communication system for the elderly: focusing on visiting nursing services for long-term care patients. Journal of Korean Gerontology Nursing. 2018;20 (Suppl 1):137-143. https://doi.org/10.17079/jkgn.2018.20.s1.s137
  14. Jo IS, Lee SJ, Kim SY, Yang SY, Park SY. Status of public digital healthcare service and development direction. Research Report. Seoul: Korea Health Promotion Institute; 2020 December. Report No.: Research-04-2020-011-01.
  15. Yim ES, No KH. The effects of related factors on health-related quality of life for the frail elderly. Journal of Korean Academy of Community Health Nursing. 2010;21(1):12-20. https://doi.org/10.12799/jkachn.2010.21.1.12
  16. Bulamu NB, Kaambwa B, Ratcliffe J. A systematic review of instruments for measuring outcomes in economic evaluation within aged care. Health and Quality of Life Outcomes. 2015; 13(1):179. https://doi.org/10.1186/s12955-015-0372-8
  17. Shirley M, Shaohung SW, Kevin H, Charlotte SY. Homebound older adults: Prevalence, characteristics, health care utilization and quality of care. Geriatric Nursing. 2015;36(6):445-450. https://doi.org/10.1016/j.gerinurse.2015.06.013
  18. Kamei T. Information and communication technology for home care in the future. Japan Journal of Nursing Science. 2013;10 (2):154-161. https://doi.org/10.1111/jjns.12039
  19. Donabedian A. The quality of care. How can it be assessed? JAMA. 1988;260(12):1743-1748. https://doi.org/10.1001/jama.1988.03410120089033
  20. Jo M, Ahn J, Kim S, Shin S, Park J, Ok M, et al. The valuation of EQ-5D-5L health states in Korea. Research Report. Seoul: National Evidence-based Healthcare Collaborating Agency; 2014 April.
  21. Lee SI. Validity and reliability evaluation for EQ-5D in Korea. Research Report. Sejong:Korea Disease Control and Prevention Agency; 2011 December.
  22. Kee BS. A preliminary study for the standardization of geriatric depression scale short form-Korea Version. Journal of Korean Neuropsychiatric Association. 1996;35(2):298-307.
  23. Won CW, Yang GY, Rho YG, Kim SW, Lee EJ, Yoon JR, et al. The Development of Korean Activities of Daily Living (K-ADL) and Korean Instrumental Activities of Daily Living (K-IADL) Scale. Journal of the Korean Geriatrics Society. 2002; 6(2):98-106.
  24. Won CW, Rho YG, Sunwoo D, Lee YS. The validity and reliability of Korean Instrumental Activities of Daily Living (K- IADL) Scale. Journal of the Korean Geriatrics Society. 2002; 6(4):273-280.
  25. Valdivieso B, Garcia-Sempere A, Sanfelix-Gimeno G, Faubel R, Librero J, Soriano E, et al. The effect of telehealth, telephone support or usual care on quality of life, mortality and healthcare utilization in elderly high-risk patients with multiple chronic conditions. A prospective study. Medicina Clinica (English Edition). 2018;151(8):308-314. https://doi.org/10.1016/j.medcli.2018.03.013
  26. De Luca R, Bramanti A, De Cola MC, Trifiletti A, Tomasello P, Torrisi M, et al. Tele-health-care in the elderly living in nursing home: The first Sicilian multimodal approach. Aging Clinical and Experimental Research. 2016;28(4):753-759. https://doi.org/10.1007/s40520-015-0463-8
  27. Huang CH, Umegaki H, Kamitani H, Asai A, Kanda S, Maeda K, et al. Change in quality of life and potentially associated factors in patients receiving home-based primary care: A prospective cohort study. BMC geriatrics. 2019;19(1). https://doi.org/10.1186/s12877-019-1040-3
  28. van den Berg N, Schumann M, Kraft K, Hoffmann W. Telemedicine and telecare for older patients-A systematic review. Maturitas. 2012;73(2):94-114. https://doi.org/10.1016/j.maturitas.2012.06.010
  29. Steindal SA, Nes AAG, Godskesen TE, Dihle A, Lind S, Winger A, et al. Patients' experiences of telehealth in palliative home care: Scoping review. Journal of Medical Internet Research. 2020;22(5):e16218. https://doi.org/10.2196/16218