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The Effects of the Fall Prevention Exercise Program Focussed on Activity of daily living, Fear of fall and Quality of life for the Senior Citizen Center Elderly

낙상예방운동 프로그램이 지역 경로당 센터 노인의 일상생활수행능력, 낙상두려움 및 삶의 질에 미치는 효과

  • 강기선 (제주한라대학교 간호학부)
  • Received : 2016.07.06
  • Accepted : 2016.08.11
  • Published : 2016.08.31

Abstract

Falling is one of the problems that threatens the health of elderly patients. This study was conducted once a week for 12 weeks, from 15th of April to 13th of June in 2016, and included 118 subjects above the age of 65 in 6 centers of J city. We evaluated the effectiveness of the fall prevention exercise program (FPEP) and analyzed its effects by making a comparison between before and after the exercise that pertains to activities of daily living, fear of falling, and quality of life. Moreover, this study confirms that there is a relationship between these three factors. The results of this study are as follows: There were statistically significant differences of activities of daily living (F=-4.75, p<..001), fear of falling (F=10.22, p<..001) and quality of life (F=-11.58, p<..001) between post-test improvements and pre-test conditions. In addition, this study confirms that there is a relationship between activities of daily living, fear of falling, and quality of life (r=.551, p<..001, r=-.477, p<..001, r=-.584, p<..001). Accordingly, we have identified that FPEP is very effective for improving activities of daily living, fear of falling, and quality of life for senior citizens.

낙상은 노인의 건강을 위협하는 건강문제 중의 하나이다. 본 연구의 목적은 노인을 대상으로 12주 동안 1주 1회는 경로당에서 낙상예방운동프로그램을 교육받고 주1회는 집에서 대상자 본인이 복습하도록 한 후 그 효과를 알기위해 사전 사후의 일상생활능력, 낙상두려움, 삶의 질 정도를 비교분석하고 그 상관관계를 규명하는 것이다. 본 연구의 시행은 J시 경로당 센터 6곳의 65세 이상 노인 118명을 대상으로 2016년 4월15일부터 6월13일까지 12주 동안 주 1회 낙상예방운동 프로그램을 적용하였고, 적용 전 후 일상생활수행능력, 낙상두려움, 삶의 질의 정도를 비교하여 그 효과를 분석하였으며, 일상생활수행능력, 낙상두려움, 삶의 질의 상관관계를 검증하였다. 본 연구의 T-test 검정 결과는 일상생활수행능력 점수에서 사전 사후(F=-4.75, p<..001)를 보여 통계적으로 유의한 차이가 있었고, 낙상두려움의 점수에서도 (F=10.22, p<..001)를 보여 통계적으로 유의한 차이를 보였다. 또한 삶의 질 점수에서도 (F=-11.58, p<..001)를 보여 통계적으로 유의한 차이를 보였다. 그리고 일상생활수행능력, 낙상두려움, 삶의 질의 상관관계에서도 ((r=.551, p<..001, r=-.477, p<..001, r=-.584, p<..001)를 보여 통계적으로 유의하게 관계가 있는 것으로 검정되었다. 따라서 본 연구에서 적용한 낙상예방운동 프로그램은 J시 광역경로당센터를 이용하는 노인의 일상생활수행능력, 낙상두려움, 삶의 질을 향상시키는데 매우 효과적임을 알 수 있다.

Keywords

References

  1. Statistic Korea, 2012.
  2. K. Y. Song, J. S. Moon, S. S. Kang, J. H. Choi, "The survey of activities and fear of falling in the community dwelling elderly", J of Korean Community Health Nursing Academic Society, 15(2), pp. 333-344, 2001.
  3. G.F.Fuller"Falls in the elderly", American Academy of Family Physician, 61(7), 2159-2168, 2000.
  4. S. K. Kim, J. I. Kim, "Activity of daily living, Health Related Quality of life According to the Experience of Falls among the Aged in Community", J Muscle Joint Health, 18(2), 227-237, 2011. DOI: http://dx.doi.org/10.5953/JMJH.2011.18.2.227
  5. K. Hill, J. Schwarz, " Assesment and Management of falls in older people." J Intern Med, 34. pp. 557-564, 2004. DOI: http://dx.doi.org/10.1111/j.1445-5994.2004.00668.x
  6. A. C. Scheffer, M. J. Schuurmans, N. Dijk, T. Hooft "Fear of falling: Measurement strategy, prevalence, risk factors and consequences among older person," Age and Ageing, 37(1), 19-24, 2008. DOI: http://dx.doi.org/10.1093/ageing/afm169
  7. M. Kim, " A study on the Fear of Falling, ADLand Quality of life for the Elderly at home," Department of Clinical nursing data Graduate School, Hanyang University, 2013.
  8. J. Yang, W. H. Lee, K. S. Kang, H. S. Kim, "The Effect of the Fall Prevention Exercise Program Focussed on Strengthening of the Lower Extremity Muscles on the Change of Physical Function and Muscle Architecture of the Elderly,," Journal of the Korea Academia-Industrial cooperation Society, 16(3), pp. 1904-1919, 2015. https://doi.org/10.5762/KAIS.2015.16.3.1904
  9. F. F. Camargos, R. C. Dias, J. M. Dias, M. T. Freire, "Cross-cultural adaptation and evaluation of the psychometric properties of the Falls Efficacy Scale - International Among Elderly Brazilians (FES-I-BRAZIL)", Rev Bras Fisioter, 14(3), pp. 237-243, 2010. DOI: http://dx.doi.org/10.1590/S1413-35552010000300010
  10. J. Howland, M. E. Lachman, E. W. Peterson, J. Cote, L. Kasten, A. Jette, "Covariates of fear of falling and associated activity curtailment", Gerontologist, 38(5), pp. 549-555, 1998. DOI: http://dx.doi.org/10.1093/geront/38.5.549
  11. S. L. Murphy, C. S. Williams, T. M. Gill, "Characteristics associated with fear of falling and activity restriction in community-living older persons", J Am Geriatr Soc, 50(3), pp. 516-520, 2002. DOI: http://dx.doi.org/10.1046/j.1532-5415.2002.50119.x
  12. A. M. Myers, L. E. Powell, B. E. Maki, P. J. Holliday, L. R. Brawley, W. Sherk, "Psychological indicators of balance confidence: relationship to actual and perceived abilities", J Gerontol A Biol Sci Med Sci, 51(1), pp. M37-43, 1996. DOI: http://dx.doi.org/10.1093/gerona/51A.1.M37
  13. G. A. Zijlstra, J. C. van Haastregt, J. T. van Eijk, E. van Rossum, P. A. Stalenhoef, G. I. Kempen, "Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people", Age Ageing, 36(3), pp. 304-309, 2007. DOI: http://dx.doi.org/10.1093/ageing/afm021
  14. C. L. Arfken, H. W. Lach, S. J. Birge, J. P. Miller, "The prevalence and correlattes of fear of falling in elderly persons living in the community", Am J Public Health, 84(4), pp. 565-570, 1994. DOI: http://dx.doi.org/10.2105/AJPH.84.4.565
  15. J. Y. Kim, S. G. Lee, S. K. Lee, "The relationship between health behaviors, health status, Activities of daily living, daily living and health-related Quality of life in the elderly. J of Korean Gerontological Society. 30(2), pp.471-484, 2010.
  16. F. Li, P. Harmer, "Protocol for disseminating an evidence-based fall prevention program in community senior centers: evaluation of translatability and public health impact via a single group pre-post study", Implementation Sci, 9, pp. 63, 2014. DOI: http://dx.doi.org/10.1186/1748-5908-9-63
  17. J. A. Stevens, P. S. Corso, E. A. Finkelstein, T. R. Miller, "The costs of fatal and nonfatal falls among older adults", Inj Prevent, 12, pp. 290-295, 2006. DOI: http://dx.doi.org/10.1136/ip.2005.011015
  18. Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society, "Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons", J Am Geriatr Soc, 59(1), pp. 148-157, 2011. DOI: http://dx.doi.org/10.1111/j.1532-5415.2010.03234.x
  19. F. Englander, T. J. Hodson, R. A. Terregrossa, "Economic dimensions of slip and fall injuries", J Forensic Sci, 41(5), pp. 733-746, 1996. DOI: http://dx.doi.org/10.1520/JFS13991J
  20. Y. J. Gschwind, S. Eichberg, H. R. Marston, A. Ejupi, H. de Rosario, M. Kroll, M. Drobics, J. Annegarn, R. Wieching, S. R. Lord, K. Aal, K. Delbaere, "ICT-based system to predict and prevent falls(iStoppFalls): study protocol for an international multicenter randomized controlled trial", BMC Geriatr, 14, pp. 91, 2014. DOI: http://dx.doi.org/10.1186/1471-2318-14-91
  21. C. Sherrington, J. C. Whitney, S. R. Lord, R. D. Herbert, R. G. Cumming, J. C. Close, "Effective exercise for the prevention of falls: a systematic review and meta-analysis", J Am Geriatr Soc, 56(12), pp. 2234-2243, 2008. DOI: http://dx.doi.org/10.1111/j.1532-5415.2008.02014.x
  22. K. S. Kang, H. S. Kim, "Effects of an exercise program for fall prevention of the elderly in rural communities", Journal of the Korea Academia-Industrial cooperation Society, 15(8), pp. 5186-5194b, 2014. https://doi.org/10.5762/KAIS.2014.15.8.5186
  23. E. Sillanpaa, A. Hakkinen, K. Nyman, M. Mattila, S. Cheng, L. Karavirta, D. E. Laaksonen, N. Huuhka, W. J. Kraemer, K. Hakkinen, "Body composition and fitness during strength and/or endurance training in older men", Medicine Science Sports Exercise, 40(5), pp. 950-958, 2008. DOI: http://dx.doi.org/10.1249/MSS.0b013e318165c854
  24. B. J. Hwang, "The Effect of Exercises Types for Strengthening Lumbar Muscles of Elderly on Fall-related Variables", Department of Physical Education Graduate School Keimyung University, 2010.
  25. F. I. Mahoney & D. W.Barthal, "Functional evaluation, The Barthel index, Maryland State Medical Journal,14, pp. 61-65, 1965.
  26. S. N. Kim, "Development and Evaluation of Multifactorial Fall Prevention Program for Community dwelling Low- Income Elderly people", Unpublished doctoral dissertation, korea University, 2010.
  27. R. Tideiksaar," Falls in older persons : Prevention and management"(2nd ed) Baltimore, Health Professions Press, 1997.
  28. D.P. Schoenfelder," A fall prevention program for elderly individual-exercise in long term case setting. J Gerontol Nurs, March, 43-51, 2000. DOI: http://dx.doi.org/10.3928/0098-9134-20000301-09
  29. K. R. Shin, S. J. Shin, J. S. Kim, J. Y. Kim, "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), pp. 104-112, 2005. https://doi.org/10.4040/jkan.2005.35.1.104
  30. S. Y. Choi, Y. S. Kang, Y. Eun, " The Effects of an Exercise Program on Quality of life, Depression and Physical Performance for the Senior Citizen Center Elderly," Journal of Korean Data Analysis Society, 10(1),pp133-147, 2008.
  31. S. M. Lee, "The Effects of an Low-strenth Exercise Program on Strength of daily living ,Quality of life of the female elderly in rural communities," Unpublished doctoral dissertation, Kyung hee University, 2006.
  32. J. K. Park, S. H. Jang, S.Min" The Effects of an Stretching Exercise on Quality of life, Depression and Total cholesterol level for the Elderly," Journal of Korean basic science ,4(2),pp.139-150.2002.
  33. Y. S. Lim, "The Effects of an Physical function, Depression, Social support on Quality of life for Low-income Elderly at home," Unpublished master's thesis, Yeon Sae University, Seoul. 2003.