The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
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Factors Associated with Falls in the Elderly : Based on 2014 the Korean Elderly Survey

노인의 낙상에 영향을 미치는 요인 : 2014년 노인실태조사를 중심으로

  • Received : 2017.02.17
  • Accepted : 2017.05.09
  • Published : 2017.06.28
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Abstract

The purpose of this study was to identify factors associated with falls among older adults. This cross-sectional study used the data of 10,272 older adults who participating in the Korean Elderly survey, including demographic and health related characteristics. The data were analyzed with complex samples in SPSS ver. 23.0. The results of multiple logistic regression analysis showed that age (OR=1.262, 95%CI 1.111-1.433), education (OR=0.846, 95%CI 0.764-0.937), subjective health status (OR=1.172, 95% CI 1.041-1.320; OR=1.422, 95%CI 1.289-1.570), number of chronic illness (OR=1.438, 95%CI 1.050-1.968), number of medications (OR=0.798, 95%CI 0.659-0.967), muscle strength of low extremities (OR=1.260, 95%CI 1.101-1.441), and fear of falling (OR=3.576, 95%CI 3.166-4.039; OR=14.236, 95%CI 12.637-16.038)were significantly associated with fall accidents in the elderly. Thus, it is necessary to develop fall prevention program to reduce fear of falling and improve health status in the elderly.

본 연구는 2014년 노인실태조사를 이용하여 노인의 낙상에 영향을 미치는 요인을 파악하기 위해 실시된 서술적 조사연구이다. 연구대상자는 2014년 노인실태조사에 참여한 노인 중 주요 변수에 결측치가 없는 10,272명의 노인이다. 인구사회학적 특성, 건강관련 특성(주관적 건강상태, 만성질환 수, 복용 중인 약물의 수, 운동 일수, 시력 이상, 근력 상태, ADL, IADL, 인지기능, 낙상에 대한 두려움)을 조사하였다. 수집된 자료는 SPSS ver. 23.0의 복합표본분석을 이용하여 분석하였다. 노인의 낙상은 인구사회학적 특성, 건강 관련 특성에 따라 차이가 있었다(p<.001). 다중로지스틱회귀분석 결과, 연령(OR=1.262, 95%CI 1.111-1.433), 교육수준(OR=0.846, 95%CI 0.764-0.937), 주관적 건강상태(OR=1.172, 95% CI 1.041-1.320; OR=1.422, 95%CI 1.289-1.570), 만성질환 수(OR=1.438, 95%CI 1.050-1.968), 복용 중인 약물의 수(OR=0.798, 95%CI 0.659-0.967), 하지근력상태(OR=1.260, 95%CI 1.101-1.441) 및 낙상에 대한 두려움(OR=3.576, 95%CI 3.166-4.039; OR=14.236, 95%CI 12.637-16.038)이 노인의 낙상에 영향을 미치는 주요 요인으로 확인되었다(p<.05). 따라서 다양한 대상자의 특성을 고려한 낙상 예방 프로그램을 개발하여 집중적인 관리가 필요하다.

Keywords

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