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A Convergence Study on the Effects of Knowledge and Attitude Related to Falls on Fall Preventive Behaviors in the Elderly - Based on Case Study of Seniors Welfare Center

노인의 낙상지식 및 태도가 낙상예방행위에 미치는 영향에 대한 융합연구 -복지관 이용 사례중심으로

  • Received : 2018.06.05
  • Accepted : 2018.09.20
  • Published : 2018.09.28

Abstract

This study identified the knowledge, attitude and degree of prevention behaviors on falls of the elderly and analyzed the relationship among them as well as their effects on fall prevention behaviors. This study was targeted at 167 elderly attending senior welfare centers and data collected by interview was analyzed using SPSS 18.0 program. As a result of correlation analysis, positive relations were identified between knowledge and attitude on falls, as well as attitude and prevention behaviors on falls. Factors that had significant effect on fall prevention behaviors were gender and attitude and showed 21.1% of explanatory power (F=8.41, p<.001). The study further suggests intervention programs on fall prevention focusing on the improvement of attitude on falls for enhancing fall prevention behaviors of the elderly to be developed and applied based on the results of this study.

본 연구는 노인의 낙상지식, 태도와 예방행위 정도를 확인하고, 이들 간의 관계와 낙상예방행위에 미치는 영향을 분석하는 것이다. 대상자는 복지관 이용 노인 167명이고, 일대일 면담을 통해 자료를 수집하였다. 수집된 자료는 SPSS 18.0을 이용하여 분석하였다. 분석결과 낙상지식과 낙상태도(r=0.28, p<.001), 낙상태도와 낙상예방행위(r=0.45, p<.001)간에 유의한 정적 상관관계가 있었다. 낙상예방행위에 유의한 영향을 미치는 요인으로 성별(${\beta}=-0.17$, p=.019)과 낙상태도(${\beta}=0.41$, p<.001)가 확인되었고, 설명력은 21.1%이었다(F=8.41, p<.001). 본 연구결과에 기초하여 노인 낙상예방행위 향상을 위해 낙상태도 개선에 초점을 둔 낙상예방중재 프로그램 개발 및 적용이 필요하다.

Keywords

References

  1. Statistics Korea. (2017). Elderly people Statistics. http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA002&vw_cd=MT_TM1_TITLE&list_id=101_A0502&seqNo=&lang_mode=ko&language=kor&obj_var_id= &itm_id=&conn_path=MT_TM1_TITLE
  2. K. I. Lee & J. H. Lee. (2017). The Impacts Daily Stress, Ego Resilience, and Quality of Life of the Elderly in Long-term Care Institutions. Journal of the Korea Convergence Society, 8(6), 325-336. https://doi.org/10.15207/JKCS.2017.8.6.325
  3. P. Kannus, H. Sievanen, M. Palvanen, T.Jarvinen & J. Parkkari. (2005). Prevention of falls and consequent injuries in elderly people. The Lancet, 366(9500), 1885-1893. https://doi.org/10.1016/S0140-6736(05)67604-0
  4. Patrick McCarthy. (2016). RECOIL OFFGRID Magazine. https://www.offgridweb.com/survival/falling-injuries-fatality-rates/
  5. M. S. Lee. (2007). Manan community health survey analysis. Anyang: Manan-gu Elderly Health Center.
  6. M. Vassallo, R. Vignaraja, J. C. Sharma, R. Briggs & S. Allen. (2005). The relationship of 15falls to injury among hospital inpatients. The international Journal on Clinical Practice, 59(1), 17-20. https://doi.org/10.1111/j.1368-504X.2005.00482.x
  7. D. H. Im, Y. B. Ji & G. M. Kim. (2018). A Analysis on Extracting Vulnerables and Policy Suggestion by Analyzing Fall Death Characteristics. Journal of Korea society of Hazard Mitigation, 18(1), 171-178.
  8. R. Ruchinskas. (2003). Clinical prediction of falls in the elderly. American Geriatric Society, 82(4), 273-278.
  9. S. L. Park & T. W. Kim. (2000). Poverty and income distribution. Health and Welfare Forum, 41, 17-25.
  10. I. S. Hyeon, M. H. Park, K. M. Park & N. Kim. (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
  11. S. Y. Hwang & S. J. Shin. (2013). Predictors of fall Prevention Behaviors in Elderly Inpatients. Korean Journal of Health Promotion, 13(2), 76-85.
  12. K. R. Shin, J. S. Kim & S. J. Shin. (2004). The effect safety accident prevention program on safety accident related Knowledge, attitude and activity of low-income elderly women. Journal of the Gerontological Society, 24(4), 53-67.
  13. S. W. Lee. (2015). Effects of Positive Attitude of Laughter Recreation Convergence Education on Psychological Happiness. Journal of the Korea Convergence Society, 6(3), 37-49. https://doi.org/10.15207/JKCS.2015.6.3.037
  14. S. O. Kim, H. S. Oh & M. S. Mee. (2016). A Study on the Nursing Students' Knowledge, Attitudes and Behavior towards the Elderly. Journal Korean Academic Society Nursing Education, 22(2), 163-170. https://doi.org/10.5977/jkasne.2016.22.2.163
  15. Y. O. Kang & R. Y. Song. (2018). Effects of Fall Prevention Education Program on Attitudes, Prevention Behaviors, and Satisfaction among Elderly Inpatients. Korean Journal of Adult Nursing, 30(1), 49-59. https://doi.org/10.7475/kjan.2018.30.1.49
  16. I. Y. Yoo & J. H. Choi. (2007). Experience of Falls and Predictors of Fall in the Elderly at Senior Citizens' Centers. Journal of Korean Academy of Community Health Nursing, 18(1), 14-22.
  17. J. Y. Hur & H. J. Kim. (2009). Relationship of Risk Factors, Knowledge and Attitude to Falls in Elderly Inpatients. Journal Korean Gerontological Nursing Society, 11(1), 38-50.
  18. M. Y. Jeon & S. H. Yang. (2013). Risk Factors for Recurrent Falls Among Community-dwelling Elderly in Rural Areas. Journal of the Korea Academia-Industrial cooperation Society, 14(12), 6353-6363. https://doi.org/10.5762/KAIS.2013.14.12.6353
  19. C. H. Joo & O. N. Kim. (2018). The Study on the Analysis and Development Direction of the Elderly Welfare Center Programs by Region Characteristics. The Korea Contents Association, 18(1), 370-379.
  20. I. Y. Yoo & J. W. Choi. (2007). Experience of Falls and Predictors of Falls in the Elderly at Senior Citizens' Centers. Journal of Korean Academy of Community Health Nursing, 18(1), 14-22.
  21. C. G. Kim & M. J. Suh. (2002). An analysis of fall incidence rate and its related factors of fall in inpatients. Journal of Korean Society of Quality Assurance in Health Care, 9(2), 210-228.
  22. K. S. Jang. (2014). A Model for Fall Prevention Behavior of Arthritis Elderly Living in the Community. PhD. dissertation. Chungnam University, Daejeon.
  23. M. S. Kwon. (2010). Relations among Knowledge, Fear and Efficacy of Fall in the Community Dwelling Elderly. Journal of Korean Academy of Community Health Nursing, 21(2), 139-147. https://doi.org/10.12799/jkachn.2010.21.2.139
  24. M. J. Moon. (2018). The relationship between Self-efficacy for exercise, instrumental activity of daily living, fall knowledge, and fear of falling. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities and Sociology, 8(2), 887-900.
  25. M. Y. Kim. (2008). Fall-related Knowledge and Prevention Behavior among Hospitalized Elderly Inpatients. Master's thesis. Keimyung University, Daegu.
  26. S. H. Kim & J. M. Seo. (2017). Geriatric Hospital Nurses' Knowledge, Attitude toward Falls, and Fall Prevention Activities. Journal Korean Gerontological Nursing Society, 19(19), 81-91. https://doi.org/10.17079/jkgn.2017.19.2.81
  27. Y. M. Seo, M. S. Kang, & M. Y. Jeon. (2016). Predictive Factors on Level of Physical Activity in the Community Dwelling Elderly. Journal of the Korea Convergence Society, 7(6), 151-160. https://doi.org/10.15207/JKCS.2016.7.6.151
  28. I. K. Lee & J. Y. Choi. (2013). Factors associated with nurses' activities for hospital fall prevention. The Korean Journal of Rehabilitation Nursing, 16(1), 55-62. https://doi.org/10.7587/kjrehn.2013.55
  29. J. W. Park & H. R. Yoo. (2006). Fear of, ADL and Physical Functioning among Senior Citizens. The Korean Journal of Rehabilitation Nursing, 9(2), 117-125.
  30. Y. H. Kim, K. H. Yang & K. S. Park. (2013). Fall Experience and Risk Factors Falls among the Community-dwelling Elderly. Journal of Muscle and Joint Health, 20(2), 91-101. https://doi.org/10.5953/JMJH.2013.20.2.91
  31. Y. J. Bae. (2017). Relationship Between Older Adults' Fear of Falling and Satisfaction of Life: Case Study of Seniors Welfare Center. The Korean Journal of Sport, 15(4), 511-518.
  32. K. C. Lim, K. J. June & J. L. Yoon. (2009). The Comparison of Health Status, Functional Status, and Home Environment Hazards in Terms of the Fear of Falling in Community-dwelling Older Adults. Journal of the Gerontological Society, 29(4), 1577-1589.