DOI QR코드

DOI QR Code

노인 낙상 예방을 위한 운동 가이드라인의 적절성과 적용가능성

Assessment of Applicability of Guidelines for Fall Prevention Exercise of Elderly People

  • 이선희 (가천대학교 간호대학) ;
  • 은영 (경상대학교 간호대학.건강과학연구원) ;
  • 박원숙 (경희대학교 대학원) ;
  • 신계영 (신한대학교 간호학과) ;
  • 전미양 (경상대학교 간호대학.건강과학연구원) ;
  • 임경춘 (성신여자대학교 간호대학) ;
  • 이인옥 (대한근관절건강학회) ;
  • 최희권 (대한근관절건강학회) ;
  • 김민주 (동아대학교 간호학과) ;
  • 배선형 (아주대학교 간호대학.간호과학연구소) ;
  • 최미경 (한양대학교의료원) ;
  • 박정하 (한양대학교의료원 류마티스병원) ;
  • 정재희 (경희대학교의료원) ;
  • 이은남 (동아대학교 간호학과) ;
  • 이경숙 (강릉원주대학교 간호학과)
  • Lee, Seon Heui (College of Nursing, Gachon University) ;
  • Eun, Young (College of Nursing, Institute of Health Sciences, Gyeongsang National University) ;
  • Bak, Won-Sook (Graduate School, Kyung Hee University) ;
  • Shin, Gyeyoung (Department of Nursing, Shinhan University) ;
  • Jeon, Mi Yang (College of Nursing, Institute of Health Sciences, Gyeongsang National University) ;
  • Lim, Kyung-Choon (College of Nursing Science, Sungshin University) ;
  • Lee, Inok (Korean Society of Muscle and Joint Health) ;
  • Choi, Hee Kwon (Korean Society of Muscle and Joint Health) ;
  • Kim, Minju (Department of Nursing, Dong-A University) ;
  • Bae, Sun Hyoung (College of Nursing.Nursing Research Institute, Ajou University) ;
  • Choi, Mi-Kyung (Hanyang University Medical Center) ;
  • Park, Jeong Ha (Hospital for Rheumatic Disease, Hanyang University Medical Center) ;
  • Chung, Jae Hee (Kyung Hee University Medical Center) ;
  • Lee, Eun Nam (Department of Nursing, Dong-A University) ;
  • Lee, Kyung-Sook (Department of Nursing, Gangneung-Wonju National University)
  • 투고 : 2017.11.02
  • 심사 : 2017.11.27
  • 발행 : 2017.12.31

초록

Purpose: The purpose of this study is to analyze the suitability and applicability of the recommendations for the exercise intervention program in fall prevention guidelines for the elderly. Methods: We searched systematically RISS, KISS, National Assembly Library, KoreaMed, and KM base for Korean guidelines and used OVID-MEDLINE, EMBASE, Cochrane library, Trip database, GIN, NGC, WHO, and CDC for international guidelines including fall prevention exercises for the elderly until August 2016. Results: A total of 11 guidelines were selected as the result of the literature search. After evaluating the quality of guidelines, 9 guidelines were used to analyze the recommendations. A total of 19 recommendations were derived from 9 guidelines. Of 19 recommendations, 12 recommendations were considered to be appropriate and applicable. As a result, we recommend for the elderly to do a single type of balance exercise, strength exercise, aerobic exercise or multiple forms of exercise for 20~30 minutes per a day, 2~3 days or more than 3 days per a week, and consistently for more than 10 weeks. Conclusion: To prevent falls in the elderly, it is important for the elderly to perform a regular balance, strength, or aerobic exercise for 20~30 minutes per a day, 2~3 days per a week.

키워드

참고문헌

  1. Choe, M. A., Jeon, M. Y., & Choi, J. A. (2000). Effect of walk training on physical fitness for prevention in a home bound elderly. Journal of Korean Academy of Nursing, 30(5), 1318-1332. https://doi.org/10.4040/jkan.2000.30.5.1318
  2. Choi, B. R. (2010). RAM (RAND/UCLA appropriateness method) applied to decision making method. HIRA Policy Trends, 4(1), 58-62. https://doi.org/10.4040/jkan.2000.30.5.1318
  3. Craig, J., & Smyth, R. L. (2014). The Evidence-Based Practice Manual for Nurses 3rd Edition. London: ELSEVIER.
  4. Field, M. J., & Lohr, K. N. (Eds.). (1990). Clinical practice guidelines: Directions for a New Program. Institute of Medicine Committee to advise the public health service on clinical practice guidelines. Washington, DC: National Academies Press.
  5. Freiberger, E., Häberle, L., Spirduso, W. W., & Rixt Zijlstra, G. A. (2012). Long-term effects of three multicomponent exercise interventions on physical performance and fall-related psychological outcomes in community-dwelling older adults: A randomized controlled trial. Journal of the American Geriatrics Society, 60(3), 437-446. https://doi.org/10.1111/j.1532-5415.2011.03859.x
  6. Grahn Kronhed, A.-C., Hallberg, I., Ödkvist, L., & Möller, M. (2009). Effect of training on health-related quality of life, pain, and falls in osteoporotic women. Advances in Physiotherapy, 11(3), 154-165. https://doi.org/10.1080/14038190902896659
  7. Hartholt, K. A., van Beeck, E. F., Polinder, S., van der Velde, N., van Lieshout, E. M. M., Panneman, M. J. M., et al. (2011). Societal consequences of falls in the older population: Injuries, healthcare costs, and long-term reduced quality of life. Journal of Trauma, 71, 748-753. https://doi.org/10.1097/ta.0b013e3181f6f5e5
  8. Irvin, C. V., Denny-Brown, N., Bohl, A., Schurrer, J., Wysocki, A., Coughlin, R., et al. (2016). Money follows the person 2014 annual evaluation report. Retrieved December 13, 2017, from https://www.mathematica-mpr.com/our-publications-and-findings/publications/moneyfollows-the-person-2014-annual-evaluation-report
  9. Jeon, M. Y., Bark, E. S., Lee, E. G., Im, J. S., Jeong, B. S., & Choe, E. S. (2005). The effects of a Korean traditional dance movement program in elderly women. Journal of Korean Academy of Nursing, 35(7), 1268-1276. https://doi.org/10.4040/jkan.2005.35.7.1268
  10. Johnston, G., Crombie, I. K., Davies, H. T., Alder, E. M., & Millard, A. (2000). Reviewing audit: Barriers and facilitating factors for effective clinical audit. Quality in Health Care, 9(1), 23-36. https://doi.org/10.1136/qhc.9.1.23
  11. Kerr, G. K., Worringham, C. J., Cole, M. H., Lacherez, P. F., Wood, J. M., & Silburn, P. A. (2010). Predictors of future falls in Parkinson disease. Neurology, 75(2), 116-124. https://doi.org/10.1212/wnl.0b013e3181e7b688
  12. Kim, C. O., Lee, H. Y., Ho, S. H., Park, H. S., & Park, C. W. (2010). Effects of visiting prehabilitation program against functional decline in the frail elderly: A prospective randomized community trial. Journal of the Korean Gerontological Society, 30(4), 1293-1309.
  13. Kim, K. I., Jung, H. K., Kim, C. O., Kim, S. K., Cho, H. H., Kim, D. Y., et al. (2017). Evidence-based guidelines for fall prevention in Korea. Korean Journal of Internal Medicine, 32(1), 199-210. https://doi.org/10.3904/kjim.2016.218
  14. Lee, I. S., Chin, Y. R., Lee, D. O., Kim, Y. A., & Baek, K. A. (2001). Effect of rhythmic exercise program to elderly on risk factors of fall injury. Journal of Korean Academy of Community Health Nursing, 12(3), 600-608.
  15. Lim, J. Y., Jung, S. H., Kim, W. -S., & Paik, N. -J. (2012). Incidence and risk factors of poststroke falls after discharge from inpatient rehabilitation. PM and R, 4(12), 945-953. https://doi.org/10.1016/j.pmrj.2012.07.005
  16. Means, K. M., Rodell, D. E., & O'Sullivan, P. S. (2005). Balance, mobility, and falls among community-dwelling elderly persons: Effects of a rehabilitation exercise program. American Journal of Physical Medicine & Rehabilitation, 84(4), 238-250. https://doi.org/10.1097/01.phm.0000151944.22116.5a
  17. Nowalk, M. P., Prendergast, J. M., Bayles, C. M., D'Amico, F. J., & Colvin, G. C. (2001). A randomized trial of exercise programs among older individuals living in two long-term care facilities: The Falls FREE program. Journal of the American Geriatrics Society, 49(7), 859-865. https://doi.org/10.1046/j.1532-5415.2001.49174.x
  18. Son, Y. J. (2013). A systematic review and meta-analysis of the effects of exercise for fall prevention in the elderly. Unpublished master's thesis, Ajou University, Suwon.
  19. Stolze, H., Klebe, S., Zechlin, C., Baecker, C., Friege, L., & Deuschl, G. (2004). Falls in frequent neurological diseases. Journal of Neurology, 251(1), 79-84. https://doi.org/10.1007/s00415-004-0276-8
  20. The AGREE Next Steps Consortium. (2009). Appraisal of guidelines for research & evaluation II, 2nd Edition. The AGREE Research Trust, Ontario.
  21. Tinetti, M. E., Han, L., Lee, D. S. H., McAvay, G. J., Peduzzi, P., Gross, C. P., et al. (2014). Antihypertensive medications and serious fall injuries in a nationally representative sample of older adults. JAMA Internal Medicine, 174(4), 588-595. https://doi.org/10.1001/jamainternmed.2013.14764
  22. van Tulder, M. W., Tuut, M., Pennick, V., Bombardier, C., & Assendelft, W. J. (2004). Quality of primary care guidelines for acute low back pain. Spine, 29(17), E357-E362. https://doi.org/10.1097/01.brs.0000137056.64166.51
  23. World Health Organization [WHO]. (2008). WHO Global Report on Falls Prevention in Older Age: Ageing and life course, family and community health. Geneva: Author.
  24. Yang, Y. J. (2005). Health program for the elderly: Fall prevention exercise. Fall Symposium conducted at Korean Society for Health Promotion and Disease Prevention, Seoul, Korea.