지역사회간호학회지 (Research in Community and Public Health Nursing)

  • 제21권2호
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  • Pages.200-209
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  • 2010
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  • 1225-9594(pISSN)
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  • 2288-4203(eISSN)
한국지역사회간호학회 (Korean Academy of Community Health Nursing)
권호 표지

저소득층 낙상위험 노인을 대상으로 한 낙상예방 프로그램의 효과

The Effects of a Fall Prevention Program on the Low-Income Elderly at Risk of Falls

  • 투고 : 2010.04.19
  • 심사 : 2010.06.18
  • 발행 : 2010.06.30
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초록

Purpose: This study was conducted to determine the effects of a fall prevention program on knowledge, efficacy, and prevention behavior of falls among the low-income elderly. Methods: This study used a nonequivalent control group pre and post test quasi-experimental research design. The study was conducted from August to October, 2008 with 20 subjects in the experimental group and 22 in the control group who were registered at the public health center of S District in D City. Results: Hypothesis 1 "The experimental group that participated in the fall prevention program will show a higher degree of knowledge about falls than the control group" was supported. Hypothesis 2 "The experimental group will have a higher degree of self-efficacy of falls than the control group" was not supported. Hypothesis 3 "The experimental group will report fall prevention behavior more frequently than the control group" was supported. Conclusion: It was verified that the fall prevention program in this study was an effective intervention to improve knowledge about falls and fall prevention behaviors among the low-income elderly. The results can be used as part of an intervention to prevent falls for the vulnerable elderly such as the low-income elderly.

키워드

참고문헌

  1. Bergland, A., & Wyller, T. B. (2004). Risk factors for serious fall related injury in elderly women living at home. Injury Prevention, 10(5), 308-313. https://doi.org/10.1136/ip.2003.004721
  2. Campbell, A. J., Robertson, M. C., Gardner, M. M., Norton, R. N., Tilyard, M. W., & Buchner, D. M. (1997). Randomized controlled trial of a general practice programmer of home based exercise to prevent falls in elderly women. British Medical Journal, 315(25), 1065-1069.
  3. Chang, C. M. (2005). A structural Model for falls and quality of life in elderly people Iiving at home. Unpublished doctoral dissertation, Kyung Hee University, Seoul.
  4. Choe, J. H. (2002). The effects of tai chi exercise on physiologic physiological functions and faill in fall prone elderly. Unpublished doctoral dissertation, Catholic University, Seoul.
  5. Choe, M. A., Jeon, M. Y., & Choe, J. A, (2000), Effect of walk training on physical fitness for prevention of fall in a home bound elderly, Journal of Korean Academy of Nursing, 30(5), 1318-1331.
  6. Deery, H. A., Day, L. M., & Fildes, B. M. (2000). An impact evaluation of a fall prevention program among older people. Accident Analysis and Prevention, 32(2000), 427- 433.
  7. Downton, J., Falls, N., & Tallis, R. (1998), Brocklehurst's textbook of geriatric medicine and gerontology (5th ed.). London: Churchill Livingstone.
  8. Fuller, G. F. (2000). Falls in the elderly. American Academy of Family Physician, 61(7),2159-2168.
  9. Gill, T. M., Williams, C. S., & Tinetti, M. E. (2000). Environmental hazards and the risk of nonsyncopal falls in the homes of community-living older person. Medical Care, 38(12), 1174-1183. https://doi.org/10.1097/00005650-200012000-00004
  10. Gu, M. O., Gang, Y. S., Kim, S. Y., Kim, E. S., Kim, E. H., Ahn, H. R., et al. (2002). Younger and more active. Seoul: Hyeonmoonsa.
  11. Hur, J. Y. (2007). Knowledge and attitude toward falls among the elderly inpatients. Unpublished master's thesis, Yonsei University, Seoul.
  12. Jeon, M. Y., Choe, M. A., & Choe, Y. R. (2001). Effect of Korean traditional dance movement training on balance gait and leg strength in home bound elderly women. Journal of Korean Academy of Nursing, 30(3), 647-658.
  13. Kannus, P., Sievanen, H., Palvanen, M., Jarvinen, T., & Parkkari, J. (2005), Prevention of falls and consequent injuries in elderly people. The Lancet, 366(9500), 1885- 1893. https://doi.org/10.1016/S0140-6736(05)67604-0
  14. Kim, M. Y. (2008). Fall-related knowledge and prevention behavior among hospitalized elderly inpatients. Unpublished master's thesis, Keimyung University, Daegu.
  15. Kim, S. J. (2004). Risk factors of falling in the elderly in urban cities. Unpublished master's thesis, Ewha Womans University, Seoul.
  16. Lee, S. J. (2001). A study of long term care for non-institutionalized elderly, and nursing need in discharge for elderly patients in hospital. Seoul: Ministry for Health, Welfare and Family Affairs Press,
  17. Mills, E. M. (1994). The effect of low-intensity aerobic exercise on muscle strength, flexibility, and balance among sedentary elderly persons. Nursing Research. 43(4), 207- 211.
  18. Ministry of Health and Welfare (2007). Tailored home health management-FMTP. Seoul: Author .
  19. National Statistical Office (2009). Statistics of the aged. Seoul: National Statistical Office Press.
  20. Pack, H. S, (2003). Study on the direction of health care policies for the aged with low lncome in urban areas, Unpublished master's thesis, Yonsei University, Seoul.
  21. Ruchinskas, R. (2003). Clinical prediction of falls in the elderly. American Geriatric Society, 51, 841-846. https://doi.org/10.1046/j.1365-2389.2003.51267.x
  22. Ryan, J. W., & Spellbring, A. M. (1996). Implementing strategies to decrease risk of falls in older women. Journal of Gerontological Nursing, 22(12), 25-31.
  23. Schoenfelder, D. P. (2000). A fall prevention for elderly individuals exercise in long-term care settings. Journal of Gerontological Nursing, 26(3), 43-51.
  24. Shin, K. R., Kim, J. S., & Shin, S. J. (2005). The effects of exercise program on knowledge and attitude of excercise and depression in low-income elderly women, Journal of Korean Academy of Nursing, 24(4), 53-57,
  25. Shin, K. R., Shin, S. J., Kim, J. S., & Kim, J. Y. (2005). The effects of fall prevention program on knowledge, self-efficacy, and preventive activity related to fall and depression of low-income elderly women. Journal of Korean Academy of Nursing, 35(1), 104-112.
  26. Tinetti, M. E., Richman, D., & Powell, L. (1990). Fall efficacy as measure of fear of falling. Journal of Gerontology: Psychological Sciences, 45(6), 239-243.
  27. You, M. S. (2006). A study on related factors ofthe hospitalized elderly by falls. Unpublished master's thesis, Seoul National University, Seoul.