• Title/Summary/Keyword: 낙상요인

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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)

  • Hyeon, Il-Seon;Park, Kyong Min
    • Journal of the Korea Convergence Society
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    • v.9 no.9
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    • pp.389-397
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    • 2018
  • 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.

Effects of One-to-one Fall Prevention Education on Decrease in Falls of Adults with Stroke (뇌졸중 성인의 낙상 감소를 위한 1대 1 낙상 예방 교육의 효과)

  • Kim, Hee;Jung, Min-Ye
    • The Journal of the Korea Contents Association
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    • v.15 no.5
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    • pp.426-435
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    • 2015
  • The aim of this study was to investigate the effects of an one-to-one fall prevention education on the falls and fall factors of adults who have had a stroke. 17 adults who have had a stroke were recruited and a total of four sessions of weekly one-to-one fall prevention educational program was developed considering the stroke population's cognitive abilities. Each sessions were composed of different fall-related subjects of introduction of fall, fall prevention exercise, fall prevention assistive device, and fall prevention environment modification. Dependent variables were the number of fall and fall danger in the recent month, balance ability, fear of falls, fall efficacy and depression. After four sessions of one-to-one fall prevention education, participants showed significantly positive changes in all dependent variables except for the balance ability(p<.05). An one-to-one fall prevention education to adults with stroke could decrease the number of fall and fall danger, fear of falls, depressive symptoms and fall efficacy. In order for the stroke adults to remain safely in their community and hospital, an one-to-one fall preventive education considering their cognitive level is needed.

Factors Associated with Falls in the Elderly : Based on 2014 the Korean Elderly Survey (노인의 낙상에 영향을 미치는 요인 : 2014년 노인실태조사를 중심으로)

  • Kim, Minju
    • The Journal of the Korea Contents Association
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    • v.17 no.6
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    • pp.479-489
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    • 2017
  • 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.

The Effects of the Urinary Incontinence and Quality of Sleep on Fall Efficacy of the Community Dwelling Elderly (지역사회 노인의 요실금과 수면의 질이 낙상 효능감에 미치는 영향)

  • Yun, Eun-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.4
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    • pp.2142-2149
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    • 2014
  • This study was to find out urinary incontinence, quality of sleep and efficacy of fall in the community dwelling elderly and to investigate how the factors were connected to one another. Data were collected between January 3rd and 30th, 2013 from 112 elderly people who aged 65 or older. They agreed to participate in this study sampled among elders assistants in a way of responding to the questionnaire after being read. The study scales were composed of demographic characteristics, urinary incontinence, quality of sleep and efficacy of fall. A total of 45(40.2%) subjects were reported fall experienced. The results showed a positive correlation with urinary incontinence, quality of sleep and efficacy of fall. Multiple linear regression analysis revealed that predictor of efficacy of fall was quality of sleep. A combination of the urinary incontinence and quality of sleep accounted for 9.6% of the efficacy of fall.

Effects of a Health Diary Program on Fall-Related Outcomes in Low-Income Elderly Women with Osteoarthritis (건강다이어리 프로그램이 저소득 관절염 여성노인의 낙상관련 심리적 변수에 미치는 효과)

  • Lee, Myung-Suk
    • Journal of agricultural medicine and community health
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    • v.36 no.3
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    • pp.167-178
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    • 2011
  • Purpose: This study was done to identify the effects of a health diary program on fall related outcomes the low-income elderly women. Methods: The study was carried out with a nonequivalent control group with pretest-posttest design. The study was composed of two groups, each made up of 24 subjects: experimental group and control group. The subjects were low-income women aged over 65 years with osteoarthritis and both the experimental and control groups were made up of subjects with the same age profiles. The independent variable was the health diary program, and the dependent variables were fall related outcomes (fear of falling, fall-efficacy, knowledge of fall) difficulty of performing activity, and mood state. The health diary program was performed for 50 minutes each session and twice a week for 8 weeks. Data were collected before the health diary program 10 weeks after the beginning of the program. Results: The experimental group showed significant differences in knowledge of fall, fear of falling, and mood state compared to the control group. However there was no significant differences in difficulty of performing activity and fall efficacy. Conclusion: The results of this study may be used as part of an education to prevent falls for low-income elderly women with osteoarthritis.

Relation of the Physical Performance and Fear of Falls of the Elderly (노인의 신체기능과 낙상두려움과의 관계)

  • Yun, Eun-Suk;An, Jisook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.10
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    • pp.6242-6249
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    • 2014
  • The aim of this study was to determine the physical performance and fear of falls in the community dwelling elderly and to investigate how the factors were connected to one another. The data was collected between January 3rd and March 30th, 2014 from 460 elderly people, aged 65 or older, who agreed to participate in this study. The data was sampled among the elders' assistants as a way of responding to the questionnaire after being read. The study scales were composed of the demographic characteristics, physical function and fear of falls. A total of 139 (30.2%) subjects had experienced a fall. The results showed a positive correlation with the chair rise, standing on the leg, pick up a penny from floor, timed up and go test, and fear of falls. Multiple linear regression analysis showed that a predictor of the fear of falls were chair rise and timed up and go test. A combination of physical performance accounted for 16.9% of the fear of fall. Based on the findings of this study, it is useful to more effectively develop fall prevention and intervention programs in a future study.

Comparative Study on Physical Fitness and Fall Efficacy of Rural and Urban Female Elderly Participants in Continuous Rhythmic Exercise (지속적인 리듬운동에 참여하는 농촌과 도시 거주 노인 여성들의 체력 및 낙상효능감의 비교 연구)

  • Somi, Yun;Eunjin, Hwang
    • Advanced Industrial SCIence
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    • v.1 no.2
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    • pp.17-23
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    • 2022
  • The purpose of this study is to analyze the health factors of the elderly according to the region by analyzing the physical fitness and fall efficacy of the female elderly living in rural and urban areas. The subjects of this study consisted of 98 female elderly people living in rural and urban areas who exercise health and cheerleading at least twice a week at the regional center(REG; n=46, 77.53±6.37 yrs, 151.81±5.26 cm, 60.00±9.42 kg, UEG; n=53, 73.57±2.70 yrs, 154.07±3.52 cm, 57.37±2.06 kg). Physical strength was measured for muscular endurance, cardiopulmonary endurance, and flexibility. Falling efficacy was measured using 10 items of Fall Efficacy Scale developed by Tinetti et al. Significant differences in flexibility and fall efficacy were found in urban older adults (p<.01, p<.05). There was no significant difference in muscular endurance and cardiac endurance (p>.05). In the future, studies to improve the imbalance of health factors of the elderly in the region should be continuously conducted.

Fall Experience and Risk Factors for Falls among the Community-dwelling Elderly (지역사회 재가노인의 낙상경험과 낙상위험요인)

  • Kim, Young Hee;Yang, Kyung Hee;Park, Kum Sook
    • Journal of muscle and joint health
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    • v.20 no.2
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    • pp.91-101
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    • 2013
  • Purpose: The purpose of this study was to investigate the experience of falls and identify risk factors associated with falls. Methods: The participants were 233 community-dwelling elderly people in two cities. Data were collected by interviewing the elderly with structured questionnaires from May to June, 2012. For data analysis, descriptive statistics and multiple logistic regression were performed using SPSS version 17.0. Results: Age, educational level, living arrangement, health status, the use of assistive devices, the number of medication, hypertension, arthralgia, dizziness, fall efficacy, fear of falling, activity of daily living, and quality of life were significant associated with fall experience. Through multiple logistic regression analysis, arthralgia, dizziness, fall efficacy, and fear of falling were identified as significant predictors of falls. Conclusion: It is important to identify the risk factors for falls among the elderly living in community. Fall prevention interventions should be multifactorial, especially for the elderly who were identified as the high risk group.

Fall-Related Injury and Balance of the Elderly (노인의 낙상과 균형)

  • Kim On-Ju;Kim Tae-Sook;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.10 no.2
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    • pp.161-171
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    • 1998
  • Balance can be defined as the ability to maintain the body's center of gravity within the base of support with minimal sway. Falls occur frequently in the elderly persons by the physiological change and dysfunction with age. Injuries resulting from falls include soft tissue damage and fractures of the radius, humerus, and femoral neck other consequences of falls include decreased mobility, reduced confidence, long lies (which can give rise to hypothermia, dehydration and pneumonia), and death Risk factors for falls have beau classified as intrinsic (those related to the individual) and extrinsic(those associated with environmental features), Intrinsic factors include decreased strength, visual deficits, vestibular dysfunction, and decreased vibratory sensation in the feet. Improvement of the balance related to the increased probability for fells in the elderly persons and is important for fall preventions and improvement of the living quality ef the elderly persons

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Identifying Characteristics of Fall Episodes and Fall-related Risks of Hospitalized Patients (일 종합병원 입원 환자의 낙상 실태 및 위험 요인 분석)

  • Kang, Young Ok;Song, Rhayun
    • Journal of muscle and joint health
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    • v.22 no.3
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    • pp.149-159
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    • 2015
  • Purpose: This study aimed to identify falls and related risks of hospitalized patients in order to provide an baseline data to develop effective nursing intervention programs for fall prevention. Methods: The data on 120 patients who experienced falls from 2010 to 2013 during their hospitalization were collected from the patient' electronic medical records of an university hospital. Data were analyzed with descriptive statistics using SPSS/WIN 20.0. Results: Over 60% of the patients who experienced falls during their hospitalization was 65 years or older, and most of them had hypertension. Majority of the subjects needed help to perform daily activities (64%) and complained of general weakness (49.2%). Prior to the falls, the patients were taking average 2.52 medications to treat hypertension. The Fall accident was mostly frequently occurred in their hospital room (59.2%), or in bed (44.2%). The patients aged 70 years and older were significantly less alert than younger group, and taking more cardiovascular medications. Most fall risk factors were not significantly different for age, gender, and department category. Conclusion: The study findings suggest the need to emphasize the nurses to be more actively aware of fall risk factors and to provide aggressive interventions for preventing falls in hospitalized patients.