남해군에서의 소지역 건강 격차 해소 사업

Abstract

This project was carried out to improve the health-related quality of life of the elderly in Namhae-gun and to bridge the health disparity between sub-regions by (pre)frailty prevention and intervention program to the local community. The project included physical activity support through nurturing health leaders for residents, direct customized nutrition supply, disease management through linking local primary medical institutions and health center visit health management projects, and other community resource linkage. In order to evaluate the effectiveness of this project, pre-and post-comparison with the same group; sarcopenia expansion questions, physical function evaluation (grip strength, gait speed, 5-chair stand test), and healthrelated quality of life tools related to sarcopenia, and nutritional quotient questionnaires for the elderly. The number of people surveyed both before and after was 450 (males were 24.4%, females 75.6%). Compared to before the program, the group with reduced gait speed decreased by 36.4% (p<0.001), the group with reduced physical function decreased by 31.6% (p<0.001), and the group with reduced grip strength also decreased by 17.0% (p<0.001). In the nutritional quotient for the elderly, the low and low-middle grades in balance, diverse, and overall domains decreased by 20.6%, 10.2%, and 15.9% in the post-test compared to the pre-test, respectively (p<0.001). The quality of life score related to sarcopenia increased by 2.0 points (p=0.014) in the physical and mental health domain and 19.7 points in the leisure activity domain (p<0.001). Rural areas should promote the health of residents through integrated care through residents must participate and local resources are connected.