의료취약 농촌 지역 노인을 위한 보건진료소 일차보건의료서비스 제공 사례: 마을회관 군과 가정방문 군 중심으로

• 영문명: Effectiveness of Primary Health Care Posts: Frailty Prevention and Chronic Disease Management for Older Adults in a Medically Vulnerable Rural Area
• 발행기관: 한국농촌간호학회
• 저자명: 임수현
• 간행물 정보: 『한국농촌간호학회지』제20권 제1호, 55~64쪽, 전체 10쪽
• 주제분류: 의약학 > 간호학
• 파일형태: PDF
• 발행일자: 2025.06.30

국문 초록

Purpose: This study investigates the effectiveness of providing healthcare management services for older adults at one primary healthcare post in a medically vulnerable rural area. Methods: The average ages of older adults who could walk to the community center was 79.6 years old (34 participants) and of those who had significant mobility constraints was 86.7 years old (10 participants). Approximately 77% of the participants were in the pre-frailty stage or higher, and 100% of those who received home visits were frail. Results: The p-value for TUG speed after the provision of healthcare services was 4.18229 × 10⁻⁶ <.005, and the p-value for systolic blood pressure was .008, which indicated a significant effect with p-value <.05. In the survey, respondents reported high satisfaction, improved flexibility and subjective health status, and a decrease in pain and the frequency of painkiller use. Conclusion: It can be concluded that it is effective in preventing frailty, managing systolic blood pressure, improving satisfaction among elderly beneficiaries, enhancing physical flexibility, and managing chronic diseases.

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키워드

Primary health care post Primary health care service Rural elderly Health care for chronic disease management Prevention of fraility Suicide prevention