Mi-Ock Yoon; Hyun-Kyung Moon; Seo-Yeon Kim; Bok-Hee Kim

doi:10.5720/kjcn.2013.18.2.142

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Nutritional Assessment and Management in Long-term Care Insurance's Home Visit Care Service: Mi-Ock Yoon, Hyun-Kyung Moon, Seo-Yeon Kim, Bok-Hee Kim; Korean Journal of Community Nutrition 2013;18(2):142-153.
DOI: https://doi.org/10.5720/kjcn.2013.18.2.142
Published online: April 30, 2013

Department of Food and Nutrition, Dankook University, Gyeonggi, Korea.

¹Department of Food and Nutrition, Chosun University, Kwangju, Korea.

Corresponding author: Hyun-Kyung Moon, Department of Food and Nutrition, Dankook University, 152 Jukjeon-ro, Suji-gu, Yongin-si, Gyeonggi-do 448-701, Korea. Tel: (031) 8005-3173, Fax: (031) 8021-7200, moonhk52@dankook.ac.kr

• Received: May 30, 2012 • Revised: January 31, 2013 • Accepted: March 27, 2013

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Abstract
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REFERENCES

Abstract

The purpose of the study was to examine nutritional management and nutritional care demands of home-visit care service and the nutritional status of serviced elderly. The survey was carried out from 5^th to 21^st of January, 2011 among 37 In-Home Service institutions. The number of elderly surveyed by 143 care helpers was 281. Analysis was performed for 203 subjects (male: 44, female: 159). The age distribution was from 50 to 99 years. The grading by long-term care insuranceshowed 18,2% on level 1 and 2, and 81.8% on level 3. For the disease treatment, the proportion of implementing diet treatment turned out to be very low. The proportion of subjects living with their children was 45.3%, and living alone was 29.1%. The proportion of home-visit care among types of In-Home Service was 70%. Subjects who needed additional necessary diet management service turned out to be 40.9%. Diet management was the most necessary services from all levels. MNA (specifiy MNA) scores were significantly (p < 0.001) associated with BMI, mid-arm circumference (MAC), calf circumference (CC), intake problems, and weight loss during the last 3 months. For studied elderly, 45.3% were malnourished, and 46.8% were at the risk of malnutrition by MNA score. Based on the result of this survey, the nutritional care was not systematic on the In-Home Service. Prevention and management of the disease was much better than the treatment to improve the quality of life. We conclude that nutrition management is necessary for the elderly. To improve nutritional status of elderly in home care services, systematic nutrition management should be implemented.
Keywords: Long-Term Care Insurance; nutritional status; assessment; nutrition management; In-Home Service; MNA (Mini Nutrition Assessment)

NOTES

This research was supported by grant from Ministry of Health & Welfare (MW-2010-111-6011-00)

REFERENCES

1. Byun YW. An study on the use of long-term home care service in agricultural districts. Korean Soc Secur Stud. 2010; 26(3): 283-308.
2. Choe EH. A study on strategic proposal for improving of service quality management system of long-term care (LTC). J Korean Gerontol Soc. 2010; 30(2): 401-419.
3. Choi ID, Lee SL, Lee JM. Projection of long-term care insurance: Beneficiary and, personnel and facility. Korean Soc Secur Stud. 2010; 26(2): 375-400.
4. Chung SH, Sohn CM. Nutritional status of hospitalized geriatric patients using by the mini nutritional assessment. Korean J Community Nutr. 2005; 10(5): 645-653.
5. Guigoz Y. The Mini Nutritional Assessment (MNA) review of the literature. J Nutr Health Aging. 2006; 10(6): 466-485.PubMed
6. Kim CH. A comparative study on Long-term Care Insurance System for the Elderly In Germany, Japan and Korea. 2009; Dankook University; 19-43 Dissertation.
7. Korea National Statistical Office. The statistics of estimated future population. 2010; cited 2011 February 15. Available from http://www.index.go.kr.
8. Korean society for the study of obesity. Koreans obesity treatment guidelines. 2009; cited 2012 November 30. Available from http://www.kosso.or.kr.
9. Kuzuya M, Kanda S, Koike T, Suzuki Y, Satake S, Iguchi A. Evaluation of mini-nutritional assessment for Japanese frail elderly. Nutrition. 2005; 21(4): 498-503.Article PubMed
10. Kwon MY, Lim JY, Lee YW, Kim HS. A study of nurses' perception of the visiting nursing services of long-term care insurance. J Korean Acad Public Health Nurs. 2010; 24(1): 5-18.
11. Kim SH, Park CY, Nam CM. Related factor of in-home service utilization in Korean long-term care insurance among certificated elderly living alone. Health Soc Sci. 2011; 29: 237-258.
12. Kwon JH, Han EJ, Kang IO. A analysis of relationships among quality, satisfaction and purchase intention perceived by home help service users. J Korean Gerontol Soc. 2010; 30(2): 355-368.
13. Kwon SH, Park JR, Lee YK. A study on the elder care facility workers' attitude towards senior citizens and on the perception towards long-term care insurance system for senior citizens. J Korean Soc Dent Hyg. 2010; 10(5): 905-915.
14. Lee HO, Lee JS, Shin JW, Lee GJ. Nutrition assessment of older subjects in a health care center by MNA (Mini Nutritional Assessment). J Korean Diet Assoc. 2010; 16(2): 122-132.
15. Lee MJ. The status and problem educating care giver in Korea. J Soc Occup Ther Aged Dement. 2008; 2(1): 69-74.
16. Lee MJ. A study on measurement issue of the quality of long-term care services for older adults. Soc Welf Policy. 2011; 38(1): 141-165.
17. Lim JG. A study on factors of elderly home and community care service utilization. 2009; Baekseok University; 193-234.
18. Long Term Care Insurance. Insurance benefit in-home services. 2010; cited 2010 August 22. Available from http://www.longtermcare.or.kr/.
19. Nam YJ. A study on the improvement of long-term care insurance for senior citizen in Korea. 2009; Kwandong University; 1-19 Dissertation.
20. National Health Insurance Corporation. The statistics of Long Term Care Insurance Service. 2010; cited 2011 February 15. Available from http://www.nhic.or.kr/.
21. Nestle Nutrition Institute. MNA® Mini Nutritional Assessment. 2010; cited 2011 December 12. Available from http://www.mna-elderly.com/.
22. Pack CJ. Cost-effectiveness analysis of long term care services : Care in institutions vs in-home. J Welf Aged. 2010; 50: 145-172.
23. Park JH. Influence of service quality on service satisfaction in the long-term care service at home: Centered on home help service. Soc Welf Policy. 2011; 38(1): 227-246.
24. Park JI, Joo JH. Policy suggestions for the development of Korea's national longtermcare insurance program: With special emphasis on the careworker-educating institutions. J Soc Sci. 2009; 29: 17-35.
25. Seoh YH, Kim MW. A study on the improvement of visiting care with the introduction of the elderly long term care insurance system. Korean J 21Century Soc Welf. 2010; 7(2): 213-239.
26. Sunwoo D. An improvement plan for the government policy on long-term care insurance. Health Welf Policy Forum. 2010; 16-24.
27. Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, Albarede JL. The mini nutritional assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition. 1999; 15(2): 116-122.Article PubMed

Table 1

General characteristics of the subjects

1) Level: Level 1 = Requires help in all aspects of daily life (score > 95, n = 9); Level 2 = Requires help in most parts of daily life (75 ≤ score < 95, n = 28); Level 3 = Requires help in part of daily life (55 ≤ score > 75, n = 166)

2) By chi-square tests

3) N (%)

4) BMI: Body Mass Index = body weight(kg)/height (m)² (Underweight: BMI < 18.5, Normal: 18.5 ≤ BMI < 23.0, Overweight: 23.0 ≤ BMI < 25.0, Obesity: BMI ≥ 25.0)

Table 2

Disease types and number of elderly with the diet therapy of the subjects

1) Number of disease holder within number of elderly

2) Number of diet therapy within number of disease holder

3) p-values were derived by chi-square tests between prevalence of level 1+2 group and level 3group. but Both were not significant.

4) N (%)

5) Number of disease holder (people with more than one disease counted as one person) with diet therapy

Table 3

Age and anthropometry of the subjects by the long-term care level

1) p-values were calculated using the t-test comparing between the level 1+2 group and level 3 group

2) Mean ± SD

Table 4

Diet related variables of the subjects by the long-term care level

1) By chi-square tests

2) N (%)

Table 5

Comparison of MNA score of the subjects by the long-term care level

1) By t-test

2) Mean ± SD

Table 6

MNA assesment of the subjects by the long-term care level

1) By chi-square test

2) N (%)

MNA: Mini Nutritional Assessment

Table 7

Correlations between MNA score and Individual risk factors for malnutrition of the subjects by the long-term care level

1) by Pearson's correlation test: Age, BMI, MAC, CC, Intake problems, Weight loss during last 3 months; by Spearman's correlation test: Housemate, Disease types

2) Loss of appetite, digestive problems, chewing of swallowing difficulties

MNA: Mini Nutritional Assessment

BMI: Body Mass Index = body weight(kg)/height (m)²

MAC: Mid-arm circumference

CC: Calf-circumference

Figure & Data

REFERENCES

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Nutritional Assessment and Management in Long-term Care Insurance's Home Visit Care Service

Korean J Community Nutr. 2013;18(2):142-153. Published online April 30, 2013

DOI: https://doi.org/10.5720/kjcn.2013.18.2.142

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Nutritional Assessment and Management in Long-term Care Insurance's Home Visit Care Service

Table 1

General characteristics of the subjects

2) By chi-square tests

3) N (%)

4) BMI: Body Mass Index = body weight(kg)/height (m)² (Underweight: BMI < 18.5, Normal: 18.5 ≤ BMI < 23.0, Overweight: 23.0 ≤ BMI < 25.0, Obesity: BMI ≥ 25.0)

Table 2

Disease types and number of elderly with the diet therapy of the subjects

1) Number of disease holder within number of elderly

2) Number of diet therapy within number of disease holder

3) p-values were derived by chi-square tests between prevalence of level 1+2 group and level 3group. but Both were not significant.

4) N (%)

5) Number of disease holder (people with more than one disease counted as one person) with diet therapy

Table 3

Age and anthropometry of the subjects by the long-term care level

1) p-values were calculated using the t-test comparing between the level 1+2 group and level 3 group

2) Mean ± SD

Table 4

Diet related variables of the subjects by the long-term care level

1) By chi-square tests

2) N (%)

Table 5

Comparison of MNA score of the subjects by the long-term care level

1) By t-test

2) Mean ± SD

Table 6

MNA assesment of the subjects by the long-term care level

1) By chi-square test

2) N (%)

MNA: Mini Nutritional Assessment

Table 7

Correlations between MNA score and Individual risk factors for malnutrition of the subjects by the long-term care level

1) by Pearson's correlation test: Age, BMI, MAC, CC, Intake problems, Weight loss during last 3 months; by Spearman's correlation test: Housemate, Disease types

2) Loss of appetite, digestive problems, chewing of swallowing difficulties

MNA: Mini Nutritional Assessment

BMI: Body Mass Index = body weight(kg)/height (m)²

MAC: Mid-arm circumference

CC: Calf-circumference

Table 1 General characteristics of the subjects

2) By chi-square tests

3) N (%)

4) BMI: Body Mass Index = body weight(kg)/height (m)² (Underweight: BMI < 18.5, Normal: 18.5 ≤ BMI < 23.0, Overweight: 23.0 ≤ BMI < 25.0, Obesity: BMI ≥ 25.0)

Table 2 Disease types and number of elderly with the diet therapy of the subjects

1) Number of disease holder within number of elderly

2) Number of diet therapy within number of disease holder

3) p-values were derived by chi-square tests between prevalence of level 1+2 group and level 3group. but Both were not significant.

4) N (%)

5) Number of disease holder (people with more than one disease counted as one person) with diet therapy

Table 3 Age and anthropometry of the subjects by the long-term care level

1) p-values were calculated using the t-test comparing between the level 1+2 group and level 3 group

2) Mean ± SD

Table 4 Diet related variables of the subjects by the long-term care level

1) By chi-square tests

2) N (%)

Table 5 Comparison of MNA score of the subjects by the long-term care level

1) By t-test

2) Mean ± SD

Table 6 MNA assesment of the subjects by the long-term care level

1) By chi-square test

2) N (%)

MNA: Mini Nutritional Assessment

Table 7 Correlations between MNA score and Individual risk factors for malnutrition of the subjects by the long-term care level

1) by Pearson's correlation test: Age, BMI, MAC, CC, Intake problems, Weight loss during last 3 months; by Spearman's correlation test: Housemate, Disease types

2) Loss of appetite, digestive problems, chewing of swallowing difficulties

MNA: Mini Nutritional Assessment

BMI: Body Mass Index = body weight(kg)/height (m)²

MAC: Mid-arm circumference

CC: Calf-circumference