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중년 여성의 신체정신적 건강, 건강행태가 낙상에 미치는 영향

Effects of physical & mental health and health behaviors on falls in middle-aged women

  • 이금주 (강릉영동대학교 간호학과) ;
  • 송지영 (고려대학교 간호대학)
  • Lee, Kyem-Ju (Department of Nursing, Gangneung Yeongdong University) ;
  • Song, Ji-Young (Division College of Nursing, Korea University)
  • 투고 : 2021.08.16
  • 심사 : 2021.11.20
  • 발행 : 2021.11.28

초록

본 연구는 만 40세-64세의 중년 여성의 낙상에 영향을 주는 요인을 알아보고 낙상 예방 프로그램 개발에 기초자료로 활용하기 위하여 시도되었다. 연구방법은 2019년도 지역사회건강조사 자료를 이용하여 43,917명 중년 여성을 연구대상으로 낙상, 신체 건강, 정신건강 및 건강행태를 조사하였다. 대상자의 낙상에 영향을 미치는 요인을 알아보기 위하여 descriptive statistics, chi-square test, multiple logistic regression을 하였다. 연구 결과 중년 여성의 낙상 경험은 11.9%로 보고되었고 연령이 증가할수록, 배우자가 없는 여성에서 낙상을 많이 경험하였다. 높은 우울감과 지각된 스트레스, 당뇨병을 진단받은 경우, 폭음하는 여성에서 낙상 경험이 높게 나타났다. 중년 여성의 낙상을 감소시키기 위해서 본 연구에서 밝혀진 변수를 고려하여 다양한 간호 중재의 근거자료로 적용될 수 있을 것이다.

This study aimed to find out the factors influencing the fall of middle-aged women aged 40 to 64 and to use it as basic data for the development of a fall prevention program. The study was based on raw data from the 2019 Korea Community Health Survey. To establish the impact of fall experience of middle-aged women, descriptive statistics, chi-square test, and multiple logistic regression were used. Of the 43,917 people surveyed, 11.9% of middle-aged women said that they had experienced a fall. Falls were more common among women with increasing age or without a spouse. Those who experienced a lot of depression and perceived stress and were diagnosed with diabetes also had a higher fall experience. In the case of drinking, women who drank more than non-drinkers were more likely to fall. The results of this study can lead to a better understanding middle-aged women who have experienced falls, and they can be used as basic data for the development of related health programs.

키워드

참고문헌

  1. World Health Organization. (2007). WHO global report on falls prevention in older age. Retrieved March 20, 2021, (Online). https://www.who.int/ageing/publications/Falls_prevention7March.pdf?ua=1
  2. Y. S. Park, M. Y. Kim, S. W. Park & O. J. Lee. (2019). Identify the Type of Exercise to Prevent Falls for Healthy Elderly Life. Journal of the Korea Entertainment Industry Association, 13(7), 361-373. DOI : 10.21184/jkeia.2019.10.13.7.361
  3. N. E. Kim. (2021). Trends in Falls in Korea from 2000 to 2017-Focusing on comparison with OECD member countries. Unpublished master's thesis. Ewha Womans University, Seoul.
  4. K. M. Sibley, J. Voth, S. E. Munce, S. E. Straus & S. B. Jaglal. (2014). Chronic disease and falls in community-dwelling Canadians over 65 years old : a population-based study exploring associations with number and pattern of chronic conditions. BMC Geriatrics, 14(22), 1-12. DOI : 10.1186/1471-2318-14-22
  5. E. S. YUN. (2020). Analysis of Relationship Between Physical Function and Number of Fall among Community-dwelling Elderly. Korean Association For Learner-Centered Curriculum And Instruction, 20(24), 397-410. DOI : 10.22251/jlcci.2020.20.24.397
  6. M. J. Kim. (2017). Factors Associated with Falls in the Elderly: Based on 2014 the Korean Elderly Survey. The Journal of the Korea Contents Association, 17(6), 479-489. DOI : 10.5392/JKCA.2017.17.06.479
  7. H. O. Park & H. K. Kang. (2020). A Literature Review for Fall-Prevention Nursing Program Development based on the Fall Information of a Rehabilitation Hospital. Journal of Convergence for Information Technology, 10(8), 99-107. DOI : 10.22156/CS4SMB.2020.10.08.099
  8. A. M. White, L. R. Tooth & G. M. E. E. Peeters. (2018). Fall Risk Factors in Mid-Age Women: The Australian Longitudinal Study on Women's Health. American Journal of Preventive Medicine, 54(1), 51-63. DOI : 10.1016/j.amepre.2017.10.009
  9. Y. O. Kang & R. Y. Song. (2015). Validation of Fall Risk Assessment Scales among Hospitalized Patients in South Korea using Retrospective Data Analysis. Korean Journal of Adult Nursing, 27(1), 29-38. DOI : 10.7475/kjan.2015.27.1.29
  10. Ministry of Health and Welfare (MOHW). (2018). 2017 Korean National Survey on Older Adults. Retrieved March 25, 2021, (Online). https://meta.narastat.kr/metasvc/index.do?confmNo=117071&inputYear=2014
  11. J. H. Yeom. (2015). The effect of falling on the mortality of elderly Koreans. Korean Journal of Gerontological Social Welfare. 68, 389-408. DOI : 10.21194/kjgsw..68.201506.389
  12. M. D. Denkinger, A. Lukas, T. Nikolaus & K. Hauer. (2015). Factors associated with fear of falling and associated activity restriction in community-dwelling older adults: A systematic review. The American Journal of Geriatric Psychiatry, 23(1), 72-86. DOI : 10.1016/j.jagp.2014.03.002
  13. M. G. Lee, J. E. Lee & C. K. Kang. (2013). Effects of sports climbing club activity on physical fitness, falling injury-related variables, and cardiovascular function in middle-aged women. Korean journal of sports science, 22(3), 1235-1247.
  14. S. Y. Bang & Y. S. Do. (2020). Health-related Quality of Life of Physical and Mental Health in Middle aged Women. Journal of the Korea Academia-Industrial cooperation Society, 21(6), 161-169. DOI : 10.5762/KAIS.2020.21.6.161
  15. J. C. Nitz & C. N. L. Low. (2018). Falling is not just for older women: support for pre-emptive prevention intervention before 60. Climacteric, 11(6), 461-466. DOI : 10.1080/13697130802398517
  16. J. H. Lee & H. S. Kim. (2014). Fall Risk related Factors in Postmenopausal Women. Korean Journal of Adult Nursing, 26(5), 533-542. DOI : 10.7475/kjan.2014.26.5.533
  17. K. S. Jang & R. Y. Song. (2015). A Structural Equation Model of Fall Prevention Behavior among Community-dwelling Older Adults with Osteoarthritis. Korean Journal of Adult Nursing, 27(6), 684-694. DOI : 10.7475/kjan.2015.27.6.684
  18. K. E. Courtney & J. Polich. (2009). Binge drinking in young adults: Data, definitions, and determinants. Psychological Bulletin, 135(1), 142-156. DOI : 10.1037/a0014414
  19. J. Kheokao, S. Yingrengreung, P. Tana & A. Sunapan. (2018). Drinking Behaviors and Health Problems among Enlisted Soldiers in Thailand. Asian Journal for Public Opinion Research, 5(3), 192-203. DOI : 10.15206/AJPOR.2018.5.3.192
  20. Korea Disease Control and Prevention Agency. (2020). 2019 Community health survey. Retrieved March 25, 2021. (Online). https://chs.kdca.go.kr/chs/rawDta/rawDtaProvdMain.do
  21. N. J. Park & Y. S. Shin. (2019). Predictors of Accidental Falls in the Community-dwelling Elderly by Age. Journal of Korean Academy of Community Health Nursing, 30(2), 141-149. DOI : 10.12799/jkachn.2019.30.2.141
  22. S. H. Ahn, Y. M. Kim, N. M. Chun & S. H. Lee. (2012). Incidence of Osteoporosis and Falls and Predictors of Fracture Risk in Postmenopausal Women. Korean Journal of Women Health Nursing, 18(4), 237-247. DOI : 10.4069/kjwhn.2012.18.4.237
  23. H. S. Park, R. Chang & K. Y. Park. (2008). Comparative Study on Fall Related Characteristics between Single and Recurrent Falls in Community-Dwelling Older Women. Korean Journal of Adult Nursing, 20(6), 905-916.
  24. K. W. Paek & S. J. Lee. (2019). Relationship between body mass index and falls in middle-aged adults. Korean Journal of Health Education and Promotion, 36(1), 1-13. DOI : 10.14367/kjhep.2019.36.1.1
  25. Y. I. Kim. (2016). Factor Related with Fall by the Aged population. Unpublished master's thesis. In-Je University, Busan.
  26. E. S. Lee & H. C. Cho. (2019). The Relationship Between Self-rated Health and Alcohol Drinking Status, Binge Drinking Frequency, and at-Risk Drinking in Korean Adults by Age Group. Korean Public Health Research, 45(2), 69-82. https://doi.org/10.22900/KPHR.2019.45.2.006
  27. B. Taylor, H. M. Irvin, F. Kanteres, R. Room, G. Borges, C. Cherpitel, et al. (2010). The more you drink, the harder you fall: A systematic review and meta-analysis of how acute alcohol consumption and injury or collision risk increase together. Drug and Alcohol Dependence, 110, 108-116. DOI : 10.1016/j.drugalcdep.2010.02.011
  28. E. A. Amy, C. Dominic, F. Peta, L. Deborah & B. Julie. (2020). Alcohol-related risk from pre-loading and heavy episodic drinking (HED) among a cohort of young Australian women: a cross-sectional analysis. Australian and New Zealand Journal of Public Health, 44(5), 382-389. DOI : 10.1111/1753-6405.13018