대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지
DOI QR코드

DOI QR Code

도시 빈곤 노인의 낙상발생 위험요인에 관한 연구

Fall Risk in Low-Income Elderly People in One Urban Area

  • 투고 : 2010.03.09
  • 심사 : 2010.08.17
  • 발행 : 2010.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to investigate the factors that increase of the risk for falls in low-income elders in urban areas. Methods: The participants were elderly people registered in one of public health centers in one city. Data were collected by interviewing the elders, assessing their environmental risk factors, and surveying relevant secondary data from the public health center records. For data analysis, descriptive statistics and multiple logistic regression were performed using SPSS version 14. Results: Stroke, diabetes, visual deficits, frequency of dizziness, use of assistive devices and moderate depression were statistically significant risk factors. The comorbidity of chronic diseases with other factors including depression, visual deficit, dizziness, and use of assistive devices significantly increased the risk of falls. From multiple logistic regression analysis, statistically significant predictors of falls were found to be stroke, total environmental risk scores, comorbiditiy of diabetes with visual deficits, and with depression. Conclusion: Fall prevention interventions should be multifactorial, especially for the elders with stroke or diabetes, who were identified in this study as the high risk group for falls. A fall risk assessment tool for low-income elders should include both the intrinsic factors like depression, dizziness, and use of assistive devices, and the extrinsic factors.

키워드

참고문헌

  1. Berg, K. O., Maki, B. E., Williams, J. I., Holliday, P. J., & Wood- Dauphinee, S. L. (1992). Clinical and laboratory measures of postural balance in an elderly population. Archives of Physical Medicine and Rehabilitation, 73, 1073-1080.
  2. Biderman, A., Fried, C., & Galinsky, D. (2002). Depression and falls among community dwelling elderly people: A search for common risk factors. Journal of Epidemiology and Community Health, 56, 631-636. https://doi.org/10.1136/jech.56.8.631
  3. Ciechanowski, P. S., Katon, W. J., & Russo, J. E. (2000). Depression and diabetes: Impact of depressive symptoms on adherence, function, and costs. Archives of Internal Medicine, 160, 3278- 3285. https://doi.org/10.1001/archinte.160.21.3278
  4. Consumer Safety Department. (2007). A survey on the safety accidents of elderly. Seoul: Korea Consumer Agency.
  5. Fleming, B. E., & Pendergast, D. R. (1993). Physical condition, activity pattern, and environment as factors in falls by adults care facility residents. Archives of Physical Medicine Rehabilitation, 74, 627-630. https://doi.org/10.1016/0003-9993(93)90161-3
  6. Ganz, D. A., Bao, Y., Shekelle, P. G., & Rubmenstein, L. Z. (2007). Will my patient fall? The Journal of the American Medical Association, 297, 77-86. https://doi.org/10.1001/jama.297.1.77
  7. Iwarsson, S., Horstmann, V., Carlsson, G., Oswald, F., & Wahl, H. W. (2009). Person-environment fit predicts falls in older adults better than the consideration of environmental hazards only. Clinical Rehabilitation, 23, 558-567. https://doi.org/10.1177/0269215508101740
  8. 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. Journal of Korean Gerontological Nursing, 8, 107-116.
  9. Jeon, S. J., Kimgang, M. J., Park, J. S., & Lee, M. H. (2005). Adult health nursing. Seoul: Hyunmoonsa.
  10. Jeong, K. H., Oh, Y. H., Suk, J. E., Do, S. L., Kim, C. W., Lee, Y. K., et al. (2005, March). The nationwide survey of elderly' living and desire for welfare in 2004. Seoul: Korea Institute for Health and Social Affairs.
  11. Josephson, K. R., Fabacher, D. A., & Rubenstein, L. Z. (1991). Home safety and fall prevention. Clinics in Geriatrics Medicine, 7, 707-731.
  12. Kee, B. S. (1996). A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of Korean Neuropsychiatric Association, 35, 298-307.
  13. Kim, C. Y., & Kim, S. M. (2000). RAI-HC assessment manual verson 2.0 in Korean by inter RAI. Seoul: Korea Medical Consulting Co.
  14. Kim, D. H. (1999). Elderly dizziness. Journal of Korean Academy of Family Medicine, 20, 549-555.
  15. Lee, B. D., & Dong, J. U. (2005). A study on the improvement projects of resident environment in the poor residence for low income families in inner city. Journal of Korean Academy of Community Development, 30, 91-103.
  16. Lord, S. R., Menz, H. B., & Sherrington, C. (2006). Home environment risk factors for falls in older people and the efficacy of home modifications. Age Ageing, 35(Supple 2), ii55-ii59.
  17. McAllister, A. (2007). Fall injury prevention for older adults and those who care about them. Lincoln, NE: iUniverse, Inc.
  18. Ministry of Health and Social Welfare. (2004). Elderly health and social welfare service guideline. from http://www.mw.go.kr/front/jc/sjc0106mn.jsp
  19. Moon, Y. H. (2005). The prevalence and associated factors of the in-home falls of the elderly. Journal of Korean Academy of Public Health Nursing, 19, 249-260.
  20. Park, S. I., & Kim, T. W. (2000). Poverty and income distribution. Health and Welfare Forum, 41, 17-25.
  21. Rubenstein, L. Z., & Josephson, K. R. (2006). Falls and their prevention in elderly people: What does the evidence show? The Medical Clinics of North America, 90, 807-824. https://doi.org/10.1016/j.mcna.2006.05.013
  22. Shin, Y. S., & An, Y. Y. (1997). Methodology for medical science. Seoul: Seoul National University Publishing.
  23. Tromp, A. M., Smit, J. H., Deeg, D. H., Bouter, L. M., & Lips, P. (1998). Predictors for falls and fractures in the Longitudinal Aging Study Amsterdam. Journal of Bone and Mineral Research, 13, 1932-1939. https://doi.org/10.1359/jbmr.1998.13.12.1932
  24. Vassallo, M., Stockdale, R., Sharma, J. C., Briggs, T., & Allen, S. (2005). A comparative study of the use of four fall risk assessment tools on acute medical wards. Journal of the American Geriatrics Society, 53, 1034-1038. https://doi.org/10.1111/j.1532-5415.2005.53316.x
  25. Won, J. S., & Kim, K. H. (2008). Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services. Journal of Korean Academic of Nursing, 38, 1-10. https://doi.org/10.4040/jkan.2008.38.1.1
  26. Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang V., Adey, M., et al. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17, 37-49.
  27. Yi, G. M., Kim, E. Y., Kim, H. G., Park, E. O., So, A. Y., & June, K. J. (2001). A study of environmental hazards in the homes of older people. Journal of the Korea Gerontological Society, 21, 179- 190.
  28. Yoo, I. Y. (2005). Fall and housing environmental problem of the couple and single elderly. Journal of Korean Society of Living Environment System, 12, 199-205.
  29. Yoo, I. Y., & Choi, J. H. (2007). Experience and predictors of falls in the elderly at senior citizens' centers. Journal of Korean Academy of Community Health Nursing, 18, 14-22.

피인용 문헌

  1. 요양시설 노인의 낙상 실태와 영향 요인 vol.18, pp.1, 2010, https://doi.org/10.5953/jmjh.2011.18.1.050
  2. 건강다이어리 프로그램이 저소득 관절염 여성노인의 낙상관련 심리적 변수에 미치는 효과 vol.36, pp.3, 2010, https://doi.org/10.5393/jamch.2011.36.3.167
  3. 지역사회거주 여성노인에게 적용한 타이치 낙상예방 프로그램의 효과 vol.19, pp.3, 2012, https://doi.org/10.5953/jmjh.2012.19.3.282
  4. 지역사회거주 노인의 황반변성 관련 요인 vol.24, pp.1, 2010, https://doi.org/10.12799/jkachn.2013.24.1.1
  5. 재가 노인의 낙상 경험률과 관련 요인 vol.27, pp.1, 2010, https://doi.org/10.5932/jkphn.2013.27.1.89
  6. 지역사회 재가노인의 낙상경험과 낙상위험요인 vol.20, pp.2, 2010, https://doi.org/10.5953/jmjh.2013.20.2.91
  7. 독거여성노인의 낙상경험에 따른 낙상두려움과 관련요인 vol.38, pp.4, 2013, https://doi.org/10.5393/jamch.2013.38.4.243
  8. 독거노인의 안전의식과 낙상 vol.20, pp.3, 2010, https://doi.org/10.5953/jmjh.2013.20.3.180
  9. 지역사회 노인의 요실금과 수면의 질이 낙상 효능감에 미치는 영향 vol.15, pp.4, 2010, https://doi.org/10.5762/kais.2014.15.4.2142
  10. 방문간호를 받는 재가노인의 낙상위험 vol.21, pp.1, 2010, https://doi.org/10.5953/jmjh.2014.21.1.36
  11. 노인의 신체기능과 낙상두려움과의 관계 vol.15, pp.10, 2010, https://doi.org/10.5762/kais.2014.15.10.6242
  12. 노인의 신체기능과 낙상두려움과의 관계 vol.15, pp.10, 2010, https://doi.org/10.5762/kais.2014.15.10.6242
  13. 태극권이 노인의 악력, 통증과 낙상공포에 미치는 효과 vol.17, pp.5, 2010, https://doi.org/10.5762/kais.2016.17.5.631
  14. Falls among the non-institutionalized elderly in northern Minas Gerais, Brazil: prevalence and associated factors vol.19, pp.4, 2010, https://doi.org/10.1590/1809-98232016019.150110
  15. 지역사회 고령자의 낙상경험에 따른 위험요인 비교 vol.14, pp.2, 2010, https://doi.org/10.21598/jkpnfa.2016.14.2.93
  16. 노인의 낙상두려움, 일상생활수행능력과 삶의 질에 관한 연구 -낙상경험유무, 만성질환유무, 거주지역별 비교- vol.18, pp.7, 2010, https://doi.org/10.5762/kais.2017.18.7.193
  17. Epidemiology of fall and its socioeconomic risk factors in community-dwelling Korean elderly vol.15, pp.6, 2010, https://doi.org/10.1371/journal.pone.0234787
  18. 탄력밴드저항운동이 장기요양 방문간호 이용 여성노인의 체력, 일상생활수행능력, 낙상효능감 및 삶의 질에 미치는 효과 vol.27, pp.2, 2010, https://doi.org/10.5953/jmjh.2020.27.2.71