• 제목/요약/키워드: Experience of falls

검색결과 116건 처리시간 0.021초

기능적 과제훈련이 낙상경험노인의 일상생활수행능력에 미치는 영향: 단일대상연구 (The Effects of Functional Task Training on Activities of Daily Living in the Fall Experienced Elderly)

  • 우지희;박혜연;김종배
    • 재활치료과학
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    • 제5권1호
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    • pp.43-54
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    • 2016
  • 목적 : 본 연구는 낙상 후 회복에 대한 개입으로 기능적 과제훈련이 포함된 작업치료적 중재가 낙상경험노인의 일상 생활수행능력에 어떠한 영향을 미쳤는지 알아보고자 한다. 연구방법 : 본 연구는 지역사회에 거주하는 낙상경험노인 1명을 대상으로 하였으며, 반전설계에 동시 중재 교차설계를 더한 것이다. 총 실험회기는 18회로 기초선 A와 A'는 주 3회 2주간 걸쳐 6회, 중재과정 B는 2가지 중재가 동일한 날 점진적 저항근력운동의 낙상중재프로그램 1회, 점진적 저항근력운동에 기능적 과제훈련이 더해진 낙상중재 프로그램 1회가 오전, 오후 교대로 적용하여 주 3회씩 4주간 총 12회 진행하였다. 기초선 6회기, 중재 매 회기 마다 버그균형척도(Berg-Balance Scale), 과제수정척도(Task Modification Scale), 한국어판 낙상 효능감(Korean versioin Fall Efficiency Scale)을 측정하였고 실험 전, 후에 대상자의 일상생활수행능력을 비교하기 위해 캐나다 작업수행평가(Canadian Occupational Performance Measurement)와 가정 내 일상생활활동평가(Assessment of Home-Based Activities)로 측정하였다. 결과 : 중재 전, 후에 일상생활수행능력은 수행도보다 만족도에서 향상되었고, 가정 내 일상생활활동의 독립성과 안전성 영역에서 점수가 더 향상됨을 보였다. 점진적 저항근력운동만 중재했을 때보다 점진적 저항근력운동에 기능적 과제훈련이 더해진 중재 후 낙상효능감과, 버그균형점수에서 통계적으로 더 큰 변화를 보였다. 결론 : 본 연구는 낙상을 경험한 노인을 대상으로 한 작업치료 중재의 근거를 제시하는데 의의가 있다.

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

  • 이현숙;김매자
    • 대한간호
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    • 제36권5호
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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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노년전기 여성의 악력 수준에 따른 낙상 두려움의 영향 요인 (Factors Influencing Fear of Falling among Women in the Early Phase of Old Age by Assessing Level of Hand Grip Strength)

  • 노준희;임은주
    • 가정간호학회지
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    • 제25권1호
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    • pp.96-104
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    • 2018
  • Purpose: This study compared factors related to fear of falling among women in the early phase of old age based on hand grip strength. Methods: Researchers obtained data of 1,071 women who had participated in the 4th Korean Longitudinal Study of Aging. Data were analyzed using multiple regression analysis. Results: In both groups, fear of falling was positively correlated with falling experience within two years, osteoarthritis-related leg pain, depression, and instrumental daily life abilities; however, self-rated health was negatively correlated. In the low hand grip strength group, self-rated health, osteoarthritis-related leg pain, and hand grip strength accounted for 21.3% of the variance regarding fear of falling. In the normal hand grip strength group, age, self-rated health, fall experience within two years, osteoarthritis-related leg pain, and depression significantly accounted for 16.6% of the variance regarding fear of falling. Conclusion: In applying interventions to prevent falling in women in the early phase of old age, health care workers must verify if women have low hand grip strength and determine whether to focus on fitness improvement through exercise interventions or consider psychological interventions for depression.

건설현장에 접목한 가상체험·실물체험 안전교육의 효과성 연구 (A Study on the Effectiveness of Virtual and Real Experience Type Safety Education at Construction Sites)

  • 조춘환
    • 한국건설안전학회 논문집
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    • 제6권1호
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    • pp.1-6
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    • 2024
  • 본연구는 건설근로자 대상으로 실시되는 안전교육을 가상체험과 실물체험식 안전교육으로 진행되면 교육에 오락적, 일탈적, 심미적 요소가 더해진 학습효과로 건설업 안전사고는 현저히 감소함을 분석하였다. 연구결과 체험교육에 대한 판별타당도 분석에서는 C.R=0.925327>0.7로 충족되었고, AVE= 0.716226>0.5로 수렴되어 신뢰도가 높음을 알 수 있었다. 근로자의 행동 의도에 대한 MC 시뮬레이션 분석과 베이지안 구조방정식에서 근로자 행동변화는 여러 가지 요인으로 달라질 수 있지만, 교육의 정도에 따라 행동이 변화됨을 알 수 있었고, 의도된 안전에 대한 확률밀도분포 분석결과 실물체험의 경험이 낮을수록 안전행동 보다 불안전 행동이 높고, 사고 위험이 증가함으로 체험식 안전교육이 근로자 행동변화와 건설 안전문화 개선에 실질적인 효과가 검증되었다. 후속 연구에서도 체험교육 이수 근로자에 대한 2~3년 추적관리 연구를 기대한다.

지역별 제조업 고용변화에 대한 자동화와 세계화의 영향 (Estimating the Impact of Automation and Globalization on Manufacturing Employment using Regional Labor Market Analysis)

  • 조성철
    • 한국경제지리학회지
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    • 제22권3호
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    • pp.274-290
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    • 2019
  • 본 연구는 2010년부터 2015년까지 시군구별 제조업 고용변화에 대한 자동화와 세계화의 영향을 추정하였다. 분석 결과, 후발산업국가로의 수입침투에 취약하게 노출된 업종구조를 가진 지역일수록 제조업 고용이 빠르게 감소하였다. 또 단순반복적인 루틴직무에 특화된 지역일수록 제조업 고용의 감소가 빠르게 진행되었는데, 이 같은 루틴직무의 소멸은 지역산업의 로봇규모가 증가할수록 더욱 가파르게 진행되었다. 이 같은 결과는 금융위기 이후 제조업 고용이 빠르게 증가했음에도, 국지적으로는 산업도시들의 고용위기가 심화되었던 국내 제조업 고용의 추이를 이해하는 데 실증적인 단서를 제공한다. 동시에, 세계화와 자동화의 맥락에서 향후 우리나라 산업도시들의 대응방향에 대한 정책적 함의를 담고 있다.

디지털아트 특성에 의한 공간소통 표현방법에 관한 연구 (A study on the communication expression of space for characteristics of digital art)

  • 옥창수;신홍경
    • 한국실내디자인학회:학술대회논문집
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    • 한국실내디자인학회 2003년도 춘계학술발표대회 논문집
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    • pp.192-195
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    • 2003
  • Digital art brought about first in 19s6s by Laposky Ben and became a area of new art. Also, digital art gives new possibility to systematize concept and actions in whole art and to invent some media which can carry the sense experience with space. However, reason that has often cynical meaning is appearing in preconception which technology falls off humanity. Because of digital technology, space production can become dreary, so it is necessary to sensuous production that connects digital with space which contains meaning of interior space. The purpose of this study is to find out spare which can be communicated from viewpoint of interaction through spatial substitution and characteristics of various expression production which have been involved newly in digital art area.

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Comparison of Balance and Fall Efficacy of Virtual Reality Program in Elderly Women with Fall Experience

  • Park, Seong-Doo;Kim, Jin-Young;Yu, Seong-Hun;Yang, Kyung-Hee;Song, Hyun-Seung
    • The Journal of Korean Physical Therapy
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    • 제26권6호
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    • pp.430-435
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    • 2014
  • Purpose: The objective of this study was a virtual reality-based balance training program effective for improvement in physical function, examined the balance ability and fall efficacy of elderly women with experienced falls, intending to examine the program's usefulness as an exercise program to prevent the recurrence of a fall. Methods: The participants were 30 elderly women aged 65 or older who met the conditions. The participants were randomly assigned to either a balance training group (BT) or a virtual reality-based balance training group (VT) and received the training three times per week, 30 minutes per day, for six weeks. To measure static balance, the Tetrax Portable Multiple System (Tetrax Ltd, Israel) were used. To measure dynamic balance, the Berg Balance Scale (BBS) and functional reach test (FRT) was used, and regarding fall efficacy, the Korean Fall Efficacy Scale (K-FES) was used. Results: Tetrax significantly improved after the intervention in both the BT group and the VT group (p<0.05). The comparison between the two groups was not significantly. BBS and FRT result significantly improved after the intervention in both the BT and VT groups (p<0.001), while K-FES was significantly ameliorated in the VT group only (p<.05). Comparing the groups, there were more significant changes in the BBS (p<0.05) and FRT (p<0.01) result of the VT group than the BT group. Conclusion: A virtual reality-based balance training program is considered to be usable as an exercise program to prevent recurrence of falls in elderly women.

포커스 그룹 인터뷰를 이용한 환자안전전담자의 환자 및 보호자 대상 환자 안전 교육 경험 분석 (Experiences in Patient Safety Education of Patient Safety Officer Using Focus Group Interview)

  • 김윤숙;김문숙;황지인;김혜란;김현아;김효선;천자혜;곽미정
    • 한국의료질향상학회지
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    • 제25권2호
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    • pp.2-15
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    • 2019
  • Purpose: The purpose of this study is to provide basic data for the development of the most appropriate and effective educational materials for patients and their caregivers through the educational experiences of patient safety officer. Methods: This study is a qualitative analysis that involves using the focus group interview to understand the patient safety education experience of the patient safety officer. Results: The patient safety education experience of the patient safety officer is divided into four topics: (1) patient safety education content (2) patient safety education method (3) patient safety education status (4) activation and improvement of patient safety education. Additionally, the study incorporated twelve subtopics: (a) falls (b) speak up (c) patient safety campaign (d) patient safety rounding and a one on one training (e) education through medical staff (f) education using broadcast, video, post, among others (g) a lot of education in patient (h) patients not interested in patient safety education (i) patient safety education is less effective (j) human and medical expenses support (k) provision of standardized educational materials (l) patient safety culture for patient participation. Conclusions: This study indicate that education for patients and the caregivers should be inclusive and protective of stakeholders from the risks involved in patient safety events. The experience of patient safety officer is necessary for patient safety education for both patients and the caregivers since it is the source of basic data for the future development of patient safety education.

Nonfatal injuries in Korean children and adolescents, 2007-2018

  • Yeon, Gyu Min;Hong, Yoo Rha;Kong, Seom Gim
    • Clinical and Experimental Pediatrics
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    • 제65권4호
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    • pp.194-200
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    • 2022
  • Background: Injury is the leading cause of death or disability in children and adolescents. Rates of deaths from injuries have recently declined, but studies of the occurrence of nonfatal injuries are lacking. Purpose: This study aimed to investigate nonfatal injuries in children and adolescents younger than 20 years based on data from the Korean National Health and Nutrition Survey, 2007-2018. Methods: A questionnaire survey was conducted to determine whether children and adolescents had experienced an injury requiring a hospital visit in the previous year. We investigated each injury's risk factors and characteristics. Results: Of a total of 21,598 children and adolescents, 1,748 (weighted percentage, 8.1%) experienced one or more injuries in the previous year. There was no yearly difference in the proportion of injuries experienced. Among the male subjects, 10.0% had an injury experience; among the female participants, 6.1% had an injury experience (P<0.001). The highest rate was 9.0% in children aged 1-4 years. In multivariate logistic regression analysis, male sex; having an urban residence; having restricted activity due to visual, hearing, or developmental impairment; and attention deficit/hyperactivity disorder were significant risk factors for injury experience. The characteristics of up to 3 injuries per patient were investigated, and 1,951 injuries were analyzed. Falls and slips accounted for 34.9%, collisions for 34.1%, and motor vehicle accidents for 11.3% of the total injuries. Ninety-six percent of injuries were unintentional, 20% caused school absences, and 10% required hospitalization. Conclusion: Among Korean children and adolescents, 8.1% experienced injuries at least once a year with no significant differences in incidence over the past 12 years. Greater attention and effort to prevent injuries are needed.

Factors associated with the injury severity of falls from a similar height and features of the injury site in Korea: a retrospective study

  • Dae Hyun Kim;Jae-Hyug Woo;Yang Bin Jeon;Jin-Seong Cho;Jae Ho Jang;Jea Yeon Choi;Woo Sung Choi
    • Journal of Trauma and Injury
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    • 제36권3호
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    • pp.187-195
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    • 2023
  • Purpose: This study aimed to determine the risk factors associated with the severity of fall-related injuries among patients who suffered a fall from similar heights and analyze differences in injury sites according to intentionality and injury severity. Methods: The Emergency Department-based Injury In-depth Surveillance (EDIIS) data collected between 2019 and 2020 were used in this retrospective study. Patients with fall-related injuries who fell from a height of ≥6 and <9 m were included. Patients were categorized into the severe and mild/moderate groups according to their excessive mortality ratio-adjusted Injury Severity Score (EMRISS) and the intention and non-intention groups. Injury-related and outcome-related factors were compared between the groups. Results: In total, 33,046 patients sustained fall-related injuries. Among them, 543 were enrolled for analysis. A total of 256 and 287 patients were included in the severe and mild/moderate groups, respectively, and 93 and 450 patients were included in the intention and non-intention groups, respectively. The median age was 50 years (range, 39-60 years) and 45 years (range, 27-56 years) in the severe and mild/moderate groups, respectively (P<0.001). In multivariable analysis, higher height (odds ratio [OR] 1.638; 95% confidence interval [Cl], 1.279-2.098) and accompanying foot injury (OR, 0.466; 95% CI, 0.263-0.828) were independently associated with injury severity (EMR-ISS ≥25) and intentionality of fall (OR, 0.722; 95% CI, 0.418-1.248) was not associated with injury severity. The incidence of forearm injuries was four (4.3%) and 58 cases (12.9%, P=0.018) and that of foot injuries was 20 (21.5%) and 54 cases (12.0%, P=0.015) in the intention versus non-intention groups, respectively. Conclusions: Among patients who fell from a similar height, age, and fall height were associated with severe fall-related injuries. Intentionality was not related to injury severity, and patients with foot injury were less likely to experience serious injuries. Injuries in the lower and upper extremities were more common in intentional and unintentional falls, respectively.