The Korean Journal of Rehabilitation Nursing (재활간호학회지)

Korean Academic Society of Rehabilitation Nursing (한국재활간호학회)
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Effects of a Fall Prevention Program on Physical Functions and Psychological Functions in Rural Elderly Women

낙상예방 프로그램이 농촌여성노인의 신체기능과 심리기능에 미치는 효과

  • Received : 2012.04.27
  • Accepted : 2012.06.13
  • Published : 2012.06.30
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Abstract

Purpose: The purpose of this study was to determine the effects of a fall prevention program on gait ability, one leg standing-right, one leg standing-left, fear of falling, fall efficacy, and depression in the elderly. Methods: A fall prevention program was consisted of fall preventing exercise with laughter therapy. Quasi-experimental design with one group pre- and post-test was used. Twenty-two elderly were participated in this study from a community health center located in a rural area, South Korea. SPSS/WIN 18.0 was used for descriptive analysis and paired t-test. Results: After 12 weeks with a fall prevention program, gait ability (t=3.44, p=.002), one leg standing-right (t=-3.73, p=.001), one leg standing-left (t=-4.17, p<.001) and fear of falling (t=2.12, p=.046) in the elderly were significantly improved. Conclusion: A fall prevention program was effective on physical and psychological functions. This study suggested that control groups and a larger sample should be included in order to validate the effects of a fall prevention program for the elderly. Key Words: Elderly, Fall prevention program, Physical functions, Psychological

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References

  1. Berry, S. D., & Miller, R. R. (2008). Falls: Epidemiology, pathophysiology, and relationship to fracture. Current Osteoporosis Reports, 6 (4), 149-154. https://doi.org/10.1007/s11914-008-0026-4
  2. Chang, K. Y., & Woo H. S. (2010). Influence of Fall-preventive Occupational Therapy Applied to Elderly in the Community upon Balance Ability. The Journal of the Korea Contents Association, 10 (3), 232-240.
  3. Choi, J. H. (2002). The effects of Tai Chi exercise on physiologic, psychological functions, and fall in fall prone elderly. Unpublished doctoral dissertation, The Catholic University of Korea, Seoul.
  4. Chon, M. Y. (2001). Effect of the fall prevention program (FPP) on gait, balance and muscle strength in elderly women at nursing home. Unpublished doctoral dissertation, Seoul National University, Seoul.
  5. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Erlbaum Associates.
  6. Feibel, J. H., & Springer, C. J. (1982). Depression and failure to resume social activities after stroke. Archives of Physical Medicine and Rehabilitation, 36, 276-278.
  7. Gu, M. O., Jeon, M. Y., Kim, H. J., & Eun, Y. (2005). A review of exercise interventions for fall prevention in the elderly. Journal of Korean Academy of Nursing, 35, 1101-1112. https://doi.org/10.4040/jkan.2005.35.6.1101
  8. Ha, S. W. (2010). The effects of falls prevention program on falls-related physical fitness and falls-related perception in elderly female. Unpublished master's thesis, The Catholic University of Korea, Seoul.
  9. Jeong, G. H., Yang, S. O., Lee, K. O., Pye, O. J., Lee, M. R., Baik, S. H., et al. (2003). Bone mineral density, health-promoting behaviors, and self-efficacy in middle-aged women. Korean Journal of Women Health Nursing, 9 (2), 170-178.
  10. Kim, J. M., & Lee, M. S. (2007). Risk factors for falls in the elderly population in korea: An analysis of the third Korea national health and nutrition survey data. Korean Journal of Health Education and Promotion, 24 (4), 23-39.
  11. Kim, S. N. (2011). Development and evaluation of multifactorial fall prevention program for community dwelling low-income elderly people. Unpublished doctoral dissertation, Korea University, Seoul.
  12. Kirkendall, D. R., Gruver, J. S., & Johnson, R. E. (1987). Measurement and evaluation for physical educators (2nd ed.). Illinois: Human Kinetics Publishers.
  13. Ko, H. J. (2008). The effect of laughter therapy on depression and cognition in a community for the aged. Unpublished master's thesis, Kyungpook National University, Daegu.
  14. Kwon, M. S. (2011). Effects of a fall prevention program on physical fitness and psychological functions in community dwelling elders. Journal of Korean Academy of Nursing, 41 (2), 165-174. https://doi.org/10.4040/jkan.2011.41.2.165
  15. Lee, J. H., Ahn, E. M., Kim, G. E., Jeong, Y. K., Kim, J. H., & Kim, J. H., et al. (2009). The effect of falling and fear of falling on daily activity levels in the elderly residing in Korean rural community. Journal of the Korean Geriatrics Society, 13 (2), 79-88. https://doi.org/10.4235/jkgs.2009.13.2.79
  16. Lee, K. I. (2011). Effect of laughing therapy on pain, depression, and sleep with elderly patients in long term care facility. Unpublished master's thesis, Gyeongsang National University, Jinju.
  17. Lee, M. H. (2006). The Laughter therapy. Korean Nurses Association, 45 (4), 36-39.
  18. Lee, S. G., & Kam, S. (2011). Incidence and estimation of socioeconomic costs of falls in the rural elderly population. Journal of the Korean Geriatrics Society, 15 (1), 8-19. https://doi.org/10.4235/jkgs.2011.15.1.8
  19. Legters, K., Verbus, N. B., Kitchen, S., Tomecsko, J., & Urban, N. (2006). Fear of falling, balance confidence and health related quality of life in individuals with postpolio syndrome. Physiotherapy Theory and Practice, 22 (3), 127-135. https://doi.org/10.1080/09593980600724196
  20. Liu, M. R., & So, H. Y. (2008). Effects of Tai Chi exercise program on physical fitness, fall related perception and health status in institutionalized elders. Journal of Korean Academy of Nursing, 38 (4), 620-628. https://doi.org/10.4040/jkan.2008.38.4.620
  21. Mathias, S., Nayak, U. S., & Isaacs, B. (1986). Balance in elderly patients the "Get-up and Go" test. Archives of Physical Medicine and Rehabilitation, 67, 387-389.
  22. Ministry of Health Welfare and Family Affairs. (2009). 2008 National Elderly Survey: The living condition and welfare needs for older adults. Seoul: Author.
  23. Myeong, S. Y. (2010). The effects of the laughter therapy program on the elderly. Unpublished master's thesis, Hanyang University, Seoul.
  24. 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 (5), 807-824. https://doi.org/10.1016/j.mcna.2006.05.013
  25. Sheikh, J. I., & Yesavage, J. A. (1986). Geriatric depression scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontology, 30, 319-325.
  26. 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. https://doi.org/10.4040/jkan.2005.35.1.104
  27. Tideiksaar, R. (1997). Falling in old age: Prevention and management(2nd ed). New York: Springer Publishing Company.
  28. Tinetti, M. E., Richman, D., & Powell, L. (1990). Falls efficacy as a measure of fear of falling. The Journals of Gerontology, 45, 239-243. https://doi.org/10.1093/geronj/45.6.P239
  29. Yoo, I. Y., & Lee, J. A. (2009). Characteristics and factors associated with falls of the community-dwelling elderly in small cities. Journal of the Korean Society of Living Environment System, 16 (4), 428-435.

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