• Title/Summary/Keyword: Elderly Walking Accident

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A Study on Fall Accident (1개 종합병원 환자의 낙상에 관한 조사)

  • Lee, Hyeon-Suk;Kim, Mae-Ja
    • The Korean Nurse
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    • v.36 no.5
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    • pp.45-62
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    • 1998
  • The study was conducted from November 1995 to May 1996 at the one general hospital in Seoul. The total subjects of this study were 412 patients who have the experience of fall accident, among them 31 was who have fallen during hospitalization and 381 was who visited emergency room and out patient clinic. The purposes of this study were to determine the characteristics, risk factors and results of fall accident and to suggest the nursing strategies for prevention of fall. Data were collected by reviewing the medical records and interviewing with the fallers and their family members. For data analysis, spss/pc+ program was utilized for descriptive statistics, adjusted standardized $X^2$-test. The results of this study were as follows: 1) Total subjects were 412 fallers, of which 245(59.5%) were men and 167(40.5%) were women. Age were 0-14 years 79(19.2%), 15-44 years 125(30.4%), 45-64 years 104(25.2%), over 65 years 104(25.2%). 2) There was significant association between age and the sexes ($X^2$=39.17, P=0.00). 3) There was significant association between age and history of falls ($X^2$=44.41. P= .00). And history of falls in the elderly was significantly associated with falls. 4) There was significant association with age and medical diagnosis ($X^2$=140.66, P= .00), chief medical diagnosis were hypertension(34), diabetis mellitus(22), arthritis(11), stroke(8), fracture(7), pulmonary tuberculosis(6), dementia(5) and cataract(5), 5) There was significant association between age and intrinsic factors: cognitive impairment, mobility impairment, insomnia, emotional problems, urinary difficulty, visual impairments, hearing impairments, use of drugs (sedatives , antihypertensive drugs, diuretics, antidepressants) (P < 0.05). But there was no significant association between age and dizziness ($X^2$=2.87, P=.41). 6) 15.3% of total fallers were drunken state when they were fallen. 7) Environmental factors of fall accident were unusual posture (50.9%), slips(35.2%), trips (9.5%) and collision(4.4%). 8) Most of falls occurred during the day time, peak frequencies of falls occurred from 1pm to 6pm and 7am to 12am. 9) The places of fall accident were roads(22.6%), house-stairs 06.7%), rooms, floors, kitchen (11.2%), the roof-top, veranda, windows(10.9%), hospital(7.5%), ice or snowy ways(5.8%), bathroom(4.9%), playground, park(4.9%), subway-stairs(4.4%) and public-bathrooms (2.2%). 10) Activities at the time of fall accident were walking(37.6%), turning around or reaching for something(20.9%), going up or down stairs09.2%), exereise, working07.4%), up or down from a bed(2.7%), using wheelchair or walking aids, standing up or down from a chair(2.2%) and standing still(2.2%). 11) Anatomical locations of injuries by falls were head, face, neck(31.3%), lower extremities (29.9%). upper extremities(20.6%), spine, thorax, abdomen or pelvic contents(l1.4%) and unspecified(2.9%). 12) Types of injures were fracture(47.6%), bruises03.8%), laceration (13.3%), sprains(9.0%), headache(6.6%), abrasions(2.9%), intracranial hemorrage(2.4%) and burns(0.5%). 13) 41.5% of the fallers were hospitalized and average of hospitalization was 22.3 days. 14) The six fallers(1.46%) died from fall injuries. The two fallers died from intracranial hemorrage and the four fallers died of secondary infection; pneumonia(2), sepsis(1) and cell lulitis(1). It is suggested that 1) Further study is needed with larger sample size to identify the fall risk factors. 2) After the fall accident, comprehensive nursing care and regular physical exercise should be emphasized for the elderly person. 3) Safety education and safety facilities of the public place and home is necessary for fall prevention.

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A Review of Falls in the Elderly and Exercise Intervention (지팡이의 형태가 뇌졸중 환자의 보행 시 근활성도에 미치는 영향)

  • Choi, Young-Won;Jeong, Dae-Geun;Han, Jin-Tae;Lee, Myung-Hee;Kweon, Oh-Hyun;Bae, Sung-Soo
    • Journal of the Korean Society of Physical Medicine
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    • v.2 no.2
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    • pp.125-134
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    • 2007
  • Purpose : This study is to determine effects of cane-shape which influenced on the change of muscle activation, gait component in hemiplegic patients caused by cerebrovascular accident. Methods : Twenty one stroke patients using T-shape cane(TCG) and twenty one stroke patients using I-shape cane(ICG) participated in this study. Surface electromyography(SEMG) of erector spinae, transvers abdominis, tibialis anterior, soleus of both side were measured during walking without cane and walking with cane. Results : The activation of tibialis anterior was significantly increased in affected side of ICG. The activation of tibialis anterior was significantly decreased in affected side of TCG. The activation of soleus was significantly increased in affected side of ICG. The activation of soleus was significantly decreased in affected side of TCG. The activation of erector spinae was significantly increased in nonaffected side of ICG and TCG. The activation of transvers abdominis was significantly increased in nonaffected side of ICG and TCG. Conclusion : From the finding of this study, it was suggested that I-shape cane increase weight bearing of affected side in hemiplegic patient. Therefore, I-shape cane can be applied to improve gait asymmetry of hemiplegic patients.

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Spatial clustering of pedestrian traffic accidents in Daegu (대구광역시 교통약자 보행자 교통사고 공간 군집 분석)

  • Hwang, Yeongeun;Park, Seonghee;Choi, Hwabeen;Yoon, Sanghoo
    • Journal of Digital Convergence
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    • v.20 no.3
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    • pp.75-83
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    • 2022
  • Korea, which has the highest pedestrian fatality rate among OECD countries, is making efforts to improve the safe walking environment by enacting laws focusing on pedestrian. Spatial clustering was conducted with scan statistics after examining the social network data related to traffic accidents for children and seniors. The word cloud was used to examine people's recognition Campaigns for children and literature survey for seniors were in main concern. Naedang and Yongsan are the regions with the highest relative risk of weak pedestrian for children and seniors. On the contrary, Bongmu and Beomeo are the lowest relative risk region. Naedang-dong and Yongsan-dong of Daegu Metropolitan City were identified as vulnerable areas for pedestrian safety due to the high risk of pedestrian accidents for children and the elderly. This means that the scan statistics are effective in searching for traffic accident risk areas.

Development of Pedestrian Safety Index - Focused on Gyeongnam Province - (보행자안전지수 개발 - 경남도를 중심으로 -)

  • Kim, Kyung Whan;Oh, Il Seong
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.31 no.4D
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    • pp.497-509
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    • 2011
  • Walking is basic and important means of transportation for human. Although recently safety for pedestrians relating to traffic safety is considered to be important, efforts and interest for pedestrian safety are very unsatisfactory. Thus, it is needed to develop a pedestrian safety index which could be used to plan pedestrian safety program and to reduce/prevent pedestrian accidents. In this study, the Pedestrian Safety Index about 10 cities in Gyeongnam Province was developed using 5 factors highly influencing on pedestrian safety, which are the five year average pedestrian accidents per 100,000 population, the year 2009 pedestrian accidents per 100,000 population, crosswalk signal obey rate, jaywalking rate, and the year 2009 pedestrian accidents for children under 14 years and the elderly over 65 years. The perfect score for the index is 100. As the score becomes nearer to 100, pedestrian safety becomes better. The pedestrin safeties of Changwon, Gimhae and Masan are good and those of Sachon and Tongyong are bad. Tongyong's low score at the index is due to high pedestrian accidents rate only and Sachon's low score is due to high pedestrian accidents rate and jaywalking. At the pedestrian safety index of 10 counties of Gyeongnam Province, the pedestran safeties of Hamyang and Hapchon are good and those of Haman, Hadong and Gosung are bad.