Journal of Korean Academy of Nursing (대한간호학회지)

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

DOI QR Code

Effects of a Fall Prevention Program on Falls in Frail Elders Living at Home in Rural Communities

농촌 지역의 재가 취약계층 허약노인을 위한 낙상예방 프로그램의 효과

  • Yoo, Jae-Soon (Department of Nursing, Chungbuk National University) ;
  • Jeon, Mi Yang (College of Nursing, Gyeongsang National University) ;
  • Kim, Chul-Gyu (Department of Nursing, Cheongju University)
  • 유재순 (충북대학교 간호학과) ;
  • 전미양 (경상대학교 간호대학 간호학과) ;
  • 김철규 (청주대학교 간호학과)
  • Received : 2013.03.08
  • Accepted : 2013.08.08
  • Published : 2013.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was conducted to determine the effects of a fall prevention program on falls, physical function, psychological function, and home environmental safety in frail elders living at home in rural communities. Methods: The design of this study was a nonequivalent control group pre posttest design. The study was conducted from July to November, 2012 with 30 participants in the experimental group and 30 in the control group. Participants were registered at the public health center of E County. The prevention program on falls consisted of laughter therapy, exercise, foot care and education. The program was provided once a week for 8 weeks and each session lasted 80 minutes. Results: The risk score for falls and depression in the experimental group decreased significantly compared with scores for the control group. Compliance with prevention behavior related to falls, knowledge score on falls, safety scores of home environment, physical balance, muscle strength of lower extremities, and self-efficacy for fall prevention significantly increased in the experimental group compared with the control group. Conclusion: These results suggest that the prevention program on falls is effective for the prevention of falls in frail elders living at home.

Keywords

References

  1. American Geriatrics Society, British Geriatrics Society, & American Academy of Orthopaedic Surgeons Panel on Falls Prevention. (2001). Guideline for the prevention of falls in older persons. Journal of the American Geriatrics Society, 49(5), 664-672. https://doi.org/10.1046/j.1532-5415.2001.49115.x
  2. Chang, C. M. (2005). A structural model for falls and quality of life in elderly people living at home. Unpublished doctoral dissertation, Kyung Hee University, Seoul.
  3. Chungchengbuk-do. (2012). 2012 home visiting health care: Development of health management program. Cheongju: Author.
  4. Choe, M. A., Kim, J., Jeon, M. Y., & Chae, Y. R. (2010). Evaluation of the Korean version of physical activity scale for the elderly (K-PASE). Korean Journal of Women Health Nursing, 16(1), 47-59. http://dx.doi.org/10.4069/kjwhn.2010.16.1.47
  5. Choi, K. W., Park, U. A., & Lee, I. S. (2011). Factors influencing the fear of falling according to gender in frail elderly. Journal of the Korean Gerontological Society, 31(3), 539-551.
  6. Faber, M. J., Bosscher, R. J., Paw, M. J. C. A., & van Wieringen, P. C. (2006). Effects of exercise programs on falls and mobility in frail and pre-frail older adults: A multicenter randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 87(7), 885-896. http://dx.doi.org/10.1016/j.apmr.2006.04.005
  7. Gu, M. O., Jeon, M. Y., & Eun, Y. (2006). The development and effect of an tailored falls prevention exercise for older adults. Journal of Korean Academy of Nursing, 36(2), 341-352. https://doi.org/10.4040/jkan.2006.36.2.341
  8. Gu, M. O., Kang, Y. S., Kim, S. Y., Kim, E. S., Kim, E. H., Ahn, H. R., et al. (2002). Growing younger and more active. Seoul: Hyunmoon.
  9. Health Quality Ontario. (2008). Prevention of falls and fall-related injuries in community-dwelling seniors: An evidence-based analysis. Ontario Health Technology Assessment Series, 8(2), 1-78.
  10. Hintze, J. (2012). PASS 11. NCSS, LLC. Kaysville, Utah, USA. www.ncss.com.
  11. Hwang, S. Y. (2011). Knowledge, efficacy, and prevention behavior related to fall of older people in a hospital. Unpublished master's thesis, Soonchunhyang University, Asan.
  12. Hyeon, I. S., Park, M., Park, K. M., & Kim, C. N. (2010). The effects of a fall prevention program on the low-income elderly at risk of falls. Journal of Korean Academy of Community Health Nursing, 21(2), 200-209. https://doi.org/10.12799/jkachn.2010.21.2.200
  13. Jeon, M. Y., & Choe, M. A. (2002). Effect of the fall prevention program(FPP) on gait, balance and muscle strength in elderly women at a nursing home. Journal of Korean Biological Nursing Science, 4(1), 5-23.
  14. Kim, S., & So, W. Y. (2011). Factors associated with falling in older, community-dwelling adults in Korea. Journal of Korean Gerontological Nursing, 13(2), 91-100.
  15. Kim, S. M., & Choi, G. (2012). Effects of a fall prevention program on physical functions and psychological functions in rural elderly women. The Korean Journal of Rehabilitation Nursing, 15(1), 63-71. https://doi.org/10.7587/kjrehn.2012.63
  16. Kim, S. N. (2012). Effects of a multifactorial fall prevention program on physical psychological function and home environmental hazards in community dwelling low-income elderly. Journal of Korean Gerontological Nursing, 32(2), 377-395.
  17. Korea Centers for Disease Control and Prevention. (2010). 2007 discharge injury survey and operation statistics. Cheongwon: Author.
  18. 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. http://dx.doi.org/10.4040/jkan.2011.41.2.165
  19. Lee, I. S., Ko, Y., Lee, K. O., & Yim, E. S. (2012). Evaluation of the effects of a frailty preventing multi-factorial program concentrated on local communities for high-risk younger and older elderly people. Journal of Korean Academy of Community Health Nursing, 23(2), 201-211. http://dx.doi.org/10.12799/jkachn.2012.23.2.201
  20. 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. http://dx.doi.org/10.4235/jkgs.2011.15.1.8
  21. Miller, K. L., Magel, J. R., & Hayes, J. G. (2010). The effects of a home-based exercise program on balance confidence, balance performance, and gait in debilitated, ambulatory community-dwelling older adults: A pilot study. Journal of Geriatric Physical Therapy, 33(2), 85-91.
  22. Ministry of Health and Welfare. (2009). 2008 survey of elderly state. Seoul: Author.
  23. Ministry of Health and Welfare. (2012a). 2011 survey of elderly state. Seoul: Author.
  24. Ministry of Health and Welfare. (2012b). 2012 manual of home visiting health care. Seoul: Author.
  25. Ross, J. E., Watson, C. A., Gyldenvand, T. A., & Reinboth, J. (1991). Potential for trauma: Falls. In M. Maas, K. C. Buckwalter & M. Hardy (Eds.), Nursing diagnosis and interventions for the elderly (pp. 18-31). Redwood City, CA: Addison-Wesley.
  26. 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. http://dx.doi.org/10.1016/j.mcna.2006.05.013
  27. 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
  28. Song, M. S. (1991). Construction of a functional status prediction model for the elderly. Unpublished doctoral dissertation, Seoul National University, Seoul.
  29. SunWoo, D., Lee, S., Park, J. S., Bae, S. S., Cho, Y. H., Kim, C. B., et al. (2008). Analysis of the effects of muscle strength exercises on physical function and quality of life in the frail elderly. Journal of Korean Society for Health Education and Promotion, 25(1), 39-53.
  30. Yoo, I. Y. (2005). Fall and housing environmental problem of the couple and single elderly. Journal of the Korean Society of Living Environmental System, 12(3), 199-205.

Cited by

  1. 지역사회 기반의 통합적 낙상예방 프로그램이 노인의 근력, 균형능력 및 낙상효능감에 미치는 영향 vol.44, pp.6, 2014, https://doi.org/10.4040/jkan.2014.44.6.697
  2. 복합 프로그램을 적용한 방문건강관리가 재가허약노인의 체력, 허약, 및 우울 개선에 미치는 영향 vol.26, pp.4, 2013, https://doi.org/10.12799/jkachn.2015.26.4.405
  3. 포괄적 중재 프로그램이 취약계층 허약노인의 기능 상태와 골밀도에 미치는 효과 vol.27, pp.1, 2013, https://doi.org/10.12799/jkachn.2016.27.1.51
  4. 낙상예방프로그램이 노인의 근력, 균형 및 낙상두려움에 미치는 효과 vol.22, pp.1, 2013, https://doi.org/10.22650/jkcnr.2016.22.1.10
  5. 요양병원 입원 치매노인을 위한 율동적 걷기프로그램이 보행, 인지 및 낙상위험에 미치는 효과 vol.20, pp.3, 2018, https://doi.org/10.7586/jkbns.2018.20.3.141
  6. 스팀업(Stim UP)매트 걷기운동 프로그램이 허약노인의 균형능력과 보행기능 및 관절 가동범위에 미치는 효과 vol.30, pp.1, 2013, https://doi.org/10.12799/jkachn.2019.30.1.47
  7. 스팀업(Stim UP)매트 걷기운동 프로그램이 허약노인의 균형능력과 보행기능 및 관절 가동범위에 미치는 효과 vol.30, pp.1, 2013, https://doi.org/10.12799/jkachn.2019.30.1.47