한국보건간호학회지 (Journal of Korean Public Health Nursing)

  • 제24권2호
  • /
  • Pages.302-310
  • /
  • 2010
  • /
  • 1226-0290(pISSN)
  • /
  • 2234-2869(eISSN)
한국보건간호학회 (Korean Society of public Health Nursing)
권호 표지
DOI QR코드

DOI QR Code

고혈압이 있는 재가노인의 낙상발생의 차이 및 영향요인

Differences of Prevalence and Associated Factors of Falls in Community-Dwelling Older People with Hypertension

  • 장군자 (대구대학교 간호학부) ;
  • 전은영 (대구한의대학교 간호학과) ;
  • 권병현 (대구노인전문병원 주간보호센터)
  • 투고 : 2010.08.04
  • 심사 : 2010.09.02
  • 발행 : 2010.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: A comprehensive analysis of demographical, disease, functional status and fall risk related factors identified factors associated with falls in elderly hypertensive. Method: A descriptive research design was used. The participants were 124 persons aged 65 years or older registered at the community center in Daegu city. The data were collected from October, 2008 to February, 2009. Frequency, Fisher's exact test, $X^2$-test, t-test, and logistic regression were done using the SPSS V17.0. Results: Ninety (72.6%) subjects had experienced falls. The occurrence differed according to number of medications, activities of daily living and competence of vision. Logistic analysis revealed number of medication and impaired vision as independent risk factors for subsequent falls. Conclusion: Supportive nursing for the elderly needs to focus on dizziness and impaired vision to prevent falls in community-dwelling elderly with hypertension.

키워드

참고문헌

  1. Bulat, T., Castle, S. C., Rutledge, M., & Quigley, P. (2008). Clinical practice algorithym: Medication management to reduce fall risk in the elderly-Part 2, summary algorithm. J Am Acad Nurse Pract, 20, 1-4.
  2. Campbell, A. J., Borrie, M. J., Spears, G. F., Jackson, S. L., Brown, J. S., & Fitzgerald, J. L. (1990). Circumstances and consequences of falls experienced by a community population 7-years and over during a prospective study. Age Ageing, 19(2), 136-141. https://doi.org/10.1093/ageing/19.2.136
  3. Chang, C., & Kang, H. S. (2004). Physical function and psychological status in the elderly those who experienced a fall or not. Korean J Rehabil Nurs, 7(1), 48-57.
  4. Cho, J. P., Paek, K. W., Song, H. J., Jung, Y. S., & Moon, H. W. (2001). Prevalence and associated factors of falls in the elderly community. J Prev Med Publi Health, 34(1), 47-54.
  5. Heinze, C., Dassen, T., Halfens, R., & Lohrmann, C. (2008). Screening the risk of falls: A general or a specific instrument? J Clin Nurs, 18, 350-356.
  6. Jang, I. S., & Kim, S. M. (2006). A study on risk factors of injuries from fall experienced by home-staying elders in a provincial area. J Korean Gerontol Nurs, 8(2), 107-116.
  7. Jang, I. S., & Kim, D. J. (2002). Home safety assessment for fall prevention in elderly people in a rural community. J Korean Gerontol Nurs, 4(2), 176-186.
  8. Jeon, E. Y., & Kim, S. Y. (2008). A study of ADL, medications and falls frequency in community-dwelling elderly. Korean J Rehabil Nurs, 11(2), 107-113.
  9. Jung, S. W., Kim, M. K., Ahn, S. K., & Koo, B. S. (1998). The epidemiological study on the ocular disorders of the rural aged population. Kor J Opthalmol, 39(6), 233-239.
  10. Kim, E., Lee, J. C., & Eom, M. (2008). Falls risk factors of inpatients. J Korean Acad Nurs, 38(5), 676-686. https://doi.org/10.4040/jkan.2008.38.5.676
  11. Kim, J., & Lee, M. (2007). Risk factors for falls in the elderly population in Korean analysis of the third Korea national health and nutrition examination survey data. J Korean Soc Health Educ Promot, 24(4), 23-39.
  12. Kim, W. O. (1998). The literature review for fall in the elderly. Korean J Rehabil Nurs, 1(1), 43-50.
  13. Kim, Y., Shin, E., & Lee, K. (2006). Effects of the case management program for the elderly with hypertension. J Korean Gerontol Soc, 26(3), 477-492.
  14. Korea Institute of Health and Social Affairs. (2004). National survey of living status and welfare needs of the elderly. Retrieved November 11, 2009, from http://www.mw.go.kr/front/jc.
  15. Kwon, I. G., & Kim, K. H. (2007). A study on the variables forecasting elderly inpatients' fall experience. J Korean Acad Psychiatr Ment Health Nurs, 16(1), 59-68.
  16. Lee, J. H., Ahn, E. M., Kim, G. E., Jeong, Y. K., Kim, J. H., Kim, J. H., Lee, G. A., Lee, S. J., & Jung, S. W. (2009). The effects of falling and fear of falling on daily activity levels in the elderly residing in Korean rural community. J Korean Gerontol Soc, 13(2), 79-88. https://doi.org/10.4235/jkgs.2009.13.2.79
  17. Leipzig, R., Cumming, R., & Tinetti, M. (1999). Drugs and falls in older people: A systematic review and meta-analysis: II. Cardiac and analgesics drugs. J Am Geriatr Soc, 47(1), 40-50. https://doi.org/10.1111/j.1532-5415.1999.tb01899.x
  18. Lim, N. G., Shim, K. B., Kim, Y. B., Park, J. L., Kim, E. Y., Na, B. J., Kim, D. K., & Lee, M. S. (2002). A study on the prevalence and associated factors of falls in some rural elderly. J Korean Gerontol Soc, 6(3), 183-196.
  19. Morris, J. N., Fries, B. E., Steel, L., Ikegami, N., Bernabei, R., Carpenter, G. I., Gilgen, R., Hirdes, J. P., & Topinkova, E. (1997). Comprehensive clinical assessment in community setting: Applicability of the MDS-HC. J Am Geriatr Soc, 45(8), 1017-1024. https://doi.org/10.1111/j.1532-5415.1997.tb02975.x
  20. Park, H. S., Chang, R., & Park, K. Y. (2008). Comparative study on fall related characteristics between single and recurrent falls in community-dwelling older women. J Korean Acad Adult Nurs, 20(6), 905-916.
  21. Park, J. W., & Yoo, H. (2006). Fear of falling, ADL, and physical functioning among senior citizens. Korean J Rehabil Nurs, 9(2), 117-125.
  22. Park, Y. H. (2004). Fall risk assessment in the community-dwelling elderly, J Korean Gerontol Nurs, 6(2), 170-178.
  23. Rhalimi, M., Helou, R., & Jaecker, P. (2009). Medication use and increased risk of falls in hospitalized elderly patients: A retrospective, case-control study. Drugs Aging, 26(10), 847-852. https://doi.org/10.2165/11317610-000000000-00000
  24. Ryeom, T. H., Kim, S. Y., So, Y. K., Park, S. Y., Lee, J. H., Cho, H. S., Sim, J. Y., & Lee, H. R. (2001). The risk factors of falls in the elderly. J Korean Acad Fam Med, 22(2), 221-229.
  25. Sattin, R. W. (1992). Falls among older persons: A public health perspective. Annu Rev Public Health, 13, 489-508. https://doi.org/10.1146/annurev.pu.13.050192.002421
  26. Sirkin, A. J., & Rosner, N. G. (2009). Hypertensive management in the elderly patient at risk for falls. J Am Acad Nurse Pract, 21, 402-408. https://doi.org/10.1111/j.1745-7599.2009.00418.x
  27. Sohng, K. Y., Moon, J. S., Kang, S. S., & Choi, J. H. (2001). The survey of activities and fear of falling in the community dwelling elderly. J Korea Community Health Nurs Acad Soc, 15(2), 324-333.
  28. Yoo, I. Y., & Lee, J. A. (2009). Characteristics and factors associated with fall of the community-dwelling elderly in small cities. J Korean Soc Living Environ Sys, 16(4), 428-435.