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http://dx.doi.org/10.14370/jewnr.2021.27.1.61

Fear of Falling, Falls Efficacy and Fall Prevention Behaviors according to the Fall Experience among Older Adults in Outpatient Settings  

Uhm, In Ae (Hanyang University)
Hwang, Seon Young (School of Nursing, Hanyang University)
Publication Information
Journal of East-West Nursing Research / v.27, no.1, 2021 , pp. 61-69 More about this Journal
Abstract
Purpose: This study aims to determine the association between fear of falling, falls efficacy, and fall prevention behaviors in older adults in outpatient and identify the factors affecting fall prevention behaviors. Methods: This was a descriptive study. A total of 137 older adults aged 60 or older with more than one disease in an outpatients setting were recruited from a university hospital in Seoul. Data were collected from March 11 through April 8, 2016. Results: The experience of a fall was significantly associated with age (t=-2.71, p=.008), gender (𝛘2=14.32, p<.001), education (𝛘2=6.05, p=.049), income (𝛘2=9.93, p=.019), physical activity status (𝛘2=16.84, p<.001), and the number of diseases (t=-2.89, p=.004). Fall experience was not significantly associated with marital status (𝛘2=3.79, p=.285). Multiple regression analysis revealed that the most influential factor of fall prevention behaviors was the fear of falls (β=-.37, p<.001), followed by the number of diseases (β=-.20, p=.013). Conclusion: It is necessary to provide preventive fall education with older adults in outpatients settings considering the fear level of falling and the numbers of accompanying diseases.
Keywords
Fall; Older adults; Fear; Efficacy; Prevention behavior;
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1 Yun ES. Fall prediction model for community-dwelling elders based on gender. Journal of Korean Academy of Nursing. 2012;42(6):810-8. https://doi.org/10.4040/jkan.2012.42.6.810   DOI
2 Yeom JH. The effect of falling on the mortality of elderly Koreans. Korean Journal of Gerontological Social Welfare. 2015;68:389-408.   DOI
3 Denkinger MD, Lukas A, Nikolaus T, Hauer K. Factors associated with fear of falling and associated activity restriction in community-dwelling older adults: A systematic review. The American Journal of Geriatric Psychiatry. 2015;23(1):72-86. https://doi.org/10.1016/j.jagp.2014.03.002   DOI
4 Tak YR, An JY. Risk factors for recurrent falls among home-dwelling elderly in Korea. The Korean Society of Living Environmental System. 2011;18(3):291-300.
5 Jeon MY, Yang SH. Risk factors for recurrent falls among community-dwelling elderly in rural areas. Journal of the Korea Academia-Industrial Cooperation Society. 2013;14(12):6353-63. https://doi.org/10.5762/KAIS.2013.14.12.6353   DOI
6 Statistics Korea. 2019 elderly people statistics [Internet]. Daejeon: Statistics Korea; 2019 [cited 2020 April 27]. Available from: https://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&bSeq=&aSeq=377701
7 Kang KS, Yang J. A study on the fear of falling, activity of daily living and quality of life for the elderly. Journal of the Korea Academia-Industrial Cooperation Society. 2017;18(7):193-9. https://doi.org/10.5762/KAIS.2017.18.7.193   DOI
8 Kim MJ. Factors associated with falls in the elderly: Based on 2014 the Korean elderly survey. Journal of The Korea Contents Association. 2017;17(6):479-89. https://doi.org/10.5392/JKCA.2017.17.06.479   DOI
9 Burns ER, Stevens JA, Lee R. The direct costs of fatal and non-fatal falls among older adults-United States. Journal of Safety Research. 2016;58:99-103. https://doi.org/10.1016/j.jsr.2016.05.001   DOI
10 Kim YH, Yang KH, Park KS. Fall experience and risk factors for falls among the community-dwelling elderly. Journal of Muscle and Joint Health. 2013;20(2):91-101. https://doi.org/10.5953/JMJH.2013.20.2.91   DOI
11 Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. Journal of Gerontology. 1990;45(6):239-43. https://doi.org/10.1093/geronj/45.6.P239   DOI
12 Hur YJ, Kang YH. The comparison of fall-efficacy and perceived health status according to the fall experience in the community-dwelling elderly women. The Korean Journal of Women's Health. 2018;19(1):19-32.
13 Jang SN, Cho SI, Ou SW, Lee ES, Baik HW. The validity and reliability of Korean fall efficacy scale (FES) and activities-specific balance confidence Scale (ABC). Journal of the Korean Geriatrics Society. 2003;7(4):255-68.
14 Roh HW, Lee DE, Lee Y, Son SJ, Hong CH. Gender differences in the effect of depression and cognitive impairment on risk of falls among community-dwelling older adults. Journal of Affective Disorders. 2021; 282:504-10. https://doi.org/10.1016/j.jad.2020.12.170   DOI
15 Kim YH. Relations among fall efficacy, perception of fall risk and fall prevention behavior in the frail elderly at home. Journal of the Korea Academia-Industrial cooperation Society. 2013;14(7):3383-9. https://doi.org/10.5762/KAIS.2013.14.7.3383   DOI
16 Agudelo-Botero M, Giraldo-Rodriguez L, Murillo-Gonzalez JC, Mino-Leon D, Cruz-Arenas E. Factors associated with occasional and recurrent falls in Mexican community-dwelling older people. PLoS One. 2018;13(2): e0192926. https://doi.org/10.1371/journal.pone.0192926   DOI
17 Hyeon IS, Park MH, Park KM, Kim CN. The effects of a fall prevention program on the low-income elderly at risk of falls. Journal of Korean Academy Community Health Nursing. 2010;21(2):200-9. https://doi.org/10.12799/jkachn.2010.21.2.200   DOI
18 Kang YO, Song RY. Effects of fall prevention education program on attitudes, prevention behaviors, and satisfaction among elderly inpatients. Korean Journal of Adult Nursing. 2018;30(1):49-59. https://doi.org/10.7475/kjan.2018.30.1.49   DOI
19 Lachman ME, Howland J, Tennstedt S, Jette A, Assmann S, Peterson EW. Fear of falling and activity restriction: The survey of activities and fear of falling in the elderly(SAFE). The Journals of Gerontology Series B. 1998;53(1):43-50. https://doi.org/10.1093/geronb/53B.1.P43   DOI
20 Song KY, Moon JS, Kand SS, Choi JH. The survey of activities and fear of falling in the community dwelling elderly. Journal of Korean Public Health Nursing. 2001;15(2):324-33.
21 Gu MO, Kang YS, Kim SY, Kim ES, Kim EH. Younger and more energetic, Seoul: Hyunmoonsa; 2002.
22 Kim M. A study on the fear of falling, ADL and quality of life for the elderly at home [master's thesis]. Seoul: Hanyang University; 2013. p. 1-72.
23 Hwang SY, Shin SJ. Predictors of fall prevention behaviors in elderly inpatients. Korean Journal of Health Promotion. 2013;13(2):76-85.
24 Lee SY, Choi YA, Kim MJ. Relationship between self-efficacy and life satisfaction among the elderly in the welfare center. Journal of Korean Leisure Sciences. 2020;11(2):1-10. https://doi.org/10.37408/kjls.2020.11.2.1   DOI
25 Hong SO, Kim BA, Bae JY, Oh JA, Cho MI, Kim SJ, et al. Epidemiologic characteristics of injured elderly inpatients in Korea: The results of the Korea national hospital discharge survey. 2004-2013. Public Health Weekly Report. 2017;10(5):103-9.
26 Jeon MJ, Jeon HS, Yi CH, Cynn HS. Comparison of elderly fallers and elderly non-fallers: Balancing ability, depression, and quality of life. Physical Therapy Korea. 2014;21(3):45-54. https://doi.org/10.12674/ptk.2014.21.3.045   DOI
27 National Law Information Center. National Pension Law [Internet]. Sejong, Korea: National Law Information Center; 2016 [cited 2021 February 14]. Available from: https://www.law.go.kr/LSW/lsInfoP.do?efYd=20210101&lsiSeq=224817#0000
28 Hyeon IS, Park KM. 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. Journal of the Korea Convergence Society. 2018;9(9):389-97. https://doi.org/10.15207/JKCS.2018.9.9.389   DOI
29 Jang KS, Song RA structural equation model of fall prevention behavior among community-dwelling older adults with osteoarthritis. Korean Journal of Adult Nursing. 2015;27(6):684-94. https://doi.org/10.7475/kjan.2015.27.6.684   DOI
30 Kressing RW, Wolf SL, Sattin RW, O'Grady M, Greenspan A, Curns A, et al. Associations of demographic, functional, and behavioral characteristics with activity-related fear of falling among older adults transitioning to frailty. Journal of the American Geriatrics Society. 2011;49(11):1456-62. https://doi.org/10.1046/j.1532-5415.2001.4911237.x   DOI