DOI QR코드

DOI QR Code

Comparison of risk factors for and experiences with falls according to sex among older adults with dementia in long-term care

노인요양원 치매노인의 성별에 따른 낙상경험 요인 비교

  • Received : 2016.12.12
  • Accepted : 2017.02.28
  • Published : 2017.04.30

Abstract

Purpose: The purpose of this study was to provide basic data to develop a Fall Prevention Education Program by comparing and analyzing fall experiences and the factors that influence elderly people with dementia suffering falls. Methods: The participants were 302 patients with dementia aged 60 years or older with nursing records of hospitalization in three nursing homes located in a metropolitan area. The SPSS/Win 21.0 package was used to analyze the collected data. A logistic regression analysis was performed to identify the influence factors related to fall experiences. Results: For men, fall experiences were more frequent given the following factors: overweight; high fall risk tendency; aged 90 and above; married; dementia duration period of 5 to 9 years; and taking medication for dementia. For women, the factors included age range of 80 to 89; overweight; obese; both low and high fall risk tendency; separation by death; and having spent less than 1 year in nursing homes. Conclusion: We anticipate positive results in fall prevention education programs for the elderly with dementia if the results of this study are used as basic data, and interventions are customized to consider the sex and the relevant influence factors as to fall experiences.

Keywords

References

  1. Alexander, N. B. (1996). Gait disorders in older adult. Journal of American Geriatric Society, 44(4), 434-445. https://doi.org/10.1111/j.1532-5415.1996.tb06417.x
  2. Chai, K. J. (2010). A literature review a program of intervention for prevention of falling in the patients with dementia. Journal of Society of Occupational Therapy for the Aged and Dementia, 4(2), 27-34.
  3. Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  4. Hendrich, A. L., Bender, P. S., & Nyhuis, A. (2003). Validation of the hendrich II fall risk model: A large concurrent case/control study of hospitalized patients. Applied Nursing Research, 16(2), 9-21. https://doi.org/10.1053/apnr.2003.016009
  5. Kang, Y. O., & Song, R. Y. (2015). Identifying characteristics of fall episodes and fall-related risks of hospitalized patients. Journal of Muscle Health, 22(3), 149-159. https://doi.org/10.5953/JMJH.2015.22.3.149
  6. Kim, M .K., Lee, M. S., & Song. H. J. (2008). An analysis of risk factors for falls in the elderly by gender. Korean Journal of Health Education and Promotion, 25(2), 1-18.
  7. Kim, S. J., & Lee, Y. M. (2014). Falls risk factors of elderly inpatients. Journal of the Korean Data Analysis Society, 16(4), 2191-2203.
  8. Kim, Y. S., & Choi. K. S (2013). Fall risk factors and fall risk assessment of inpatients. Korean Journal of Adult Nursing, 25(1), 74-82. https://doi.org/10.7475/kjan.2013.25.1.74
  9. Ko, H. E., Kim, J. W., Kim, H. D., Jang, Y. S., Chung, H. A. (2013). Construction validity of the MoCA-K to MMSE-K, LOTCA-G in the Community living Elderly. Journal of Korea Academia-Industrial Cooperation Society, 14(1), 312-320. https://doi.org/10.5762/KAIS.2013.14.1.312
  10. Lee, A. S., & Yoon, C. K. (2010). Risk factors of falls in hospital for the elderly. Journal of the Korean Data Analysis Society, 12(5), 2511-2523.
  11. Lim, E. S., Kim, D. S., & Kim, B. W. (2013), Comparisons of the falls and intrinsic fall risk factors according to gender in the elderly at transitional periods of life. Journal of the Korea Contents Association, 13(12), 276-290. https://doi.org/10.5392/JKCA.2013.13.12.276
  12. Lim, J. O. (2015). Circumstances risk factors and predictors of falls among dementia inpatients of a long-term care hospital. Unpublished master's thesis, Gyeongsang national university, Kyongnam.
  13. Lim, J. O., & Gu, M. O. (2016). Fall-related circumstances and fall risk factors among inpatients with dementia in long-term care hospital. Journal of the Korean Gerontological Nursing, 18(2), 72-83. https://doi.org/10.17079/jkgn.2016.18.2.72
  14. Lim, J. O, Park, W. B., Oh, M. K., Kang, E. K., & Paik, N. J. (2010). Falls in a proportional region population in korean elderly: incidence, consequences, and risk factors. Journal of the Korean Geriatric Society, 14(1), 8-17. https://doi.org/10.4235/jkgs.2010.14.1.8
  15. Ministry of Health & Welfare. The prevalence of dementia research in 2013[Internet]. Seoul.
  16. Morse, J., Morse, R., & Tylko, S. (1989). Development of scale to identify the fall-prone patient. Canadian Journal on Aging, 8(4), 366-377. https://doi.org/10.1017/S0714980800008576
  17. Murphy, S., & Trickle, D. L. (2001). Participation in daily living tasks among older with fear of falling. American Journal of Occupational Therapy, 55(3), 538-544. https://doi.org/10.5014/ajot.55.5.538
  18. Nam, Y. H., & Lee, M. S. (2014). Effect of fall risk factors on injury severity. Korean Public Health Research, 40(3), 81-91.
  19. National Health Insurance Review & Assessment Service. Elementary statistics he resources in 2013 [Internet]. Seoul.
  20. Rubenstein, L. Z. (2006). Fall in older people: epidemiology, risk factors and strategies for prevention. Age and Ageing, 35(S2), 37-41. https://doi.org/10.1093/ageing/afj018
  21. 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
  22. Sattin, R. W.(1992). Falls among older persons: A public health perspective. Annual Review of Public Health, 13, 489-508. https://doi.org/10.1146/annurev.pu.13.050192.002421
  23. Schoenfelder, D. P., & Rubenstein, L. M. (2004). An exercise program to improve failrelated outcomes in elderly nursing home residents. Applied Nursing Research, 17(1). 21-31. https://doi.org/10.1016/j.apnr.2003.10.008
  24. Schwendimann, R., DeGeest, S., & Milsen, K. (2006). Evaluation of the morse fall scale in hospitalized patients, Age and Ageing, 35(5), 311-313. https://doi.org/10.1093/ageing/afj066
  25. Shin, J. G. (2011). Prevalence and management of falls among elderly in a hospital. Unpublished master's thesis, Hanyang University, Seoul.
  26. Soriano, T. A., DeCherrie, L. V., & Thomas, D. C. (2007). Falls in the community-dwelling older adult: A review for primary-care providers. Clinical Intervention Aging, 2(4), 545-554.
  27. Yeom, J. H. (2015). The effect of falling on the mortality of elderly koreans. Korean Journal of Gerontological Social Welfare, 68, 389-408.
  28. Yeom, J. H., & Na, H. J. (2012). Risk factors of falls among korean elderly. Journal of the Korean Gerontological Society, 32(2), 577-592.
  29. Yim, E. S., Kim, D. S., & Kim, B. H. (2013). Comparisons of the Falls and Intrinsic Fall Risk Factors according to Gender in the elderly at Ttransitional Periods of Life. Journal of the Korea Contents Association, 13(12), 276-290. https://doi.org/10.5392/JKCA.2013.13.12.276
  30. Yun, E. S. (2012). Fall prediction model for community -dwelling elders based on gender. Journal of Korean Academy of Nursing, 42(6), 810-818. https://doi.org/10.4040/jkan.2012.42.6.810