Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Republic of Korea.
Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea.
Eur J Public Health. 2017 Oct 1;27(5):822-826. doi: 10.1093/eurpub/ckx110.
The risk of pressure ulcers in beneficiaries of long-term care insurance is expected to increase in South Korea's aging society. However, those who stay at home may not be managed appropriately with regard to pressure ulcer development. Here, we examined the relationship between home-visit nursing services and hospitalization related to pressure ulcers among beneficiaries with pressure ulcers in home-care settings.
We analyzed National Aging Cohort data from 2008 to 2013. The study population was defined as those who required nursing care for pressure ulcers and received home-care services at least once under long-term care insurance. Logistic regression analysis using generalized estimating equation models was performed to examine the association between home-visit nursing services and hospitalization related to pressure ulcers.
Among 4,807 beneficiaries with pressure ulcers, 859 (17.9%) were admitted to hospitals during the study period. The use of home-visit nursing services was associated significantly with a lower risk of hospitalization (odds ratio = 0.68, 95% confidence interval = 0.49-0.93; reference, no use). This association was especially strong in beneficiaries with mildly impaired mobility and cognitive function.
Given the protective role of home-visit nursing services in the management of long-term care insurance beneficiaries with pressure ulcers who stay at home, healthcare professionals need to consider effective strategies for the activation of home-visit nursing services in South Korea.
在韩国老龄化社会中，长期护理保险受益人的压疮风险预计会增加。然而，那些居家的人在压疮发展方面可能无法得到适当的管理。在这里，我们研究了居家护理环境中压疮受益人的家庭访视护理服务与压疮相关住院之间的关系。
我们分析了 2008 年至 2013 年的国家老龄化队列数据。研究人群被定义为那些需要护理压疮且至少在长期护理保险下接受过一次居家护理服务的人。使用广义估计方程模型进行逻辑回归分析，以检验家庭访视护理服务与压疮相关住院之间的关联。
在 4807 名患有压疮的受益人中，有 859 人（17.9%）在研究期间住院。使用家庭访视护理服务与降低住院风险显著相关（优势比=0.68，95%置信区间=0.49-0.93；参考，未使用）。这种关联在移动和认知功能轻度受损的受益人中尤为强烈。
鉴于家庭访视护理服务在管理居家的长期护理保险受益人的压疮方面的保护作用，韩国的医疗保健专业人员需要考虑有效策略来激活家庭访视护理服务。
