title: Effectiveness of home health care service for elders after spinal surgery.
abstract: OBJECTIVE
  This study was done to evaluate effectiveness of home healthcare services (HHCS) specialized for elders who received spinal surgeries.
  
  
  METHODS
  A non-equivalent control group pre-post test quasi-experimental study was performed. HHCS was developed based on the Rice model of dynamic self-determination for self-care. For data collection, a control group (n=23) and an experimental group (n=23) were selected by matching age, BMI, pain, general characteristics and type of spine surgery. Measurement tools to evaluate uncertainty and knowledge were developed by the authors. The Numeric Rating Scale (NRS) and Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) were used to evaluate pain levels. Muscular strength in the legs was measured using a digital muscle tester and tape ruler. Questionnaires were used to evaluate disability in performing ADL and psychological distress levels.
  
  
  RESULTS
  The experimental group showed significant decrease in uncertainty (p=.028), increased knowledge (p=.038), and partially decreased pain (p=.003-.331). Partial muscle strength increased significantly (p=.021-.644). Disability in performing ADL and psychological distress in the experimental group decreased significantly compared to control group (p=.002, p=.004).
  
  
  CONCLUSIONS
  Results indicate HHCS is an efficient home care nursing program for these elders. Further experimental studies with larger samples are required to confirm effects of HHCS.
authors: School of Nursing, Daejeon University, Daejeon, Korea.
authors: Myunghee
authors: M
authors: Jun
authors: Ji Young
authors: JY
authors: Jung
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D015992:Body Mass Index; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D006299:Health Services for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength; D010147:Pain Measurement; D011569:Psychiatric Status Rating Scales; D013124:Spinal Injuries / Q000601:surgery*; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D035501:Uncertainty
keywords: Health services for the aged; Home care services; Knowledge; Muscle strength; Pain