• 제목/요약/키워드: FALL

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폐경 후 여성의 낙상예방행위 예측모형 (A Predictive Model of Fall Prevention Behaviors in Postmenopausal Women)

  • 장현정;안숙희
    • 대한간호학회지
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    • 제44권5호
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    • pp.525-533
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    • 2014
  • Purpose: This study was done to propose and test a predictive model that would explain and predict fall prevention behaviors in postmenopausal women. The health belief model was the theoretical basis to aid development of a nursing intervention fall prevention program. Methods: Data for 421 postmenopausal women were selected from an original data set using a survey design. The structural equation model was tested for 3 constructs: modifying factors, expectation factors, and threat factors. Expectation factors were measured as relative perceived benefit (perceived benefit minus perceived barrier), self-efficacy, and health motivation; threat factors, as perceived susceptibility (fear of falling) and perceived severity (avoiding activity for fear of falling); and modifying factors: level of education and knowledge about fall prevention. Data were analyzed using SPSS Windows and AMOS program. Results: Mean age was 55.7 years (range 45-64), and 19.7% had experienced a fall within the past year. Fall prevention behaviors were explained by expectation and threat factors indicating significant direct effects. Mediating effect of health beliefs was significant in the relationship between modifying factors and fall prevention behaviors. The proposed model explained 33% of the variance. Conclusion: Results indicate that fall prevention education should include knowledge, expectation, and threat factors based on health belief model.

수직형 풍동을 응용한 고공강하 시뮬레이터의 설계에 대한 연구 (A Study on the Design of Free-Fall Simulator using concept of Vertical Wind Tunnel)

  • 최상길;조진수
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2000년도 추계학술대회논문집B
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    • pp.447-452
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    • 2000
  • In this study, the design of Free-Fall Simulator was carried out using concept of vertical wind tunnel. Free-Fall Simulator is not an experimental equipment but a training equipment. Therefore Free-Fall Simulator needs a large training section compared with test section of wind tunnel and has critical limit of height. These limits bring about the difficulty of design for a return passage. Due to small area ratio, the downstream flow of training section with high speed is not decelerated adequately to the fan section. High-speed flow leads to great losses in the small area ratio diffuser and corner. So design of diffusers and corners located between training section and fan section has a great effect on the Free-Fall Simulator performance. This study used an estimation method of subsonic wind tunnel performance. It considered each section of Free-Fall Simulator as an independent section. Therefore loss of one section didn't affect loss of other sections. Because losses of corner with vane and $1^{st}$ diffuser are most parts of overall Free-Fall Simulator, this study focused on the design of these sections.

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노인전문병원 간호사의 낙상에 관한 지식 및 태도, 낙상 예방활동에 관한 연구 (Knowledge, Attitude and Prevention Activities related to fall among of Geriatric Hospital Nurse)

  • 유광수
    • 한국보건간호학회지
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    • 제31권3호
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    • pp.436-450
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    • 2017
  • Purpose: The purpose of this study is designed to identity the extent of geriatric hospital nurse's knowledge attitude and fall prevention activities toward falls, thereby identifying the relationship between them. Methods: Knowledge of the falls targeting 350 people who work in the nurse elderly hospital, located at J city, attitudes about fall prevention activity data were collected for nurses working in the geriatric hospital. The collected data were analyzed with descriptive statistics, t-test, one-way ANOVA, Scheff's test, correlation coefficients. Results: Attitude and prevention activities of fall showed that there is a correlation. Showed that age was a significant effect on falls prevention activities age 45 years and olde and attitude. The higher the fall prevention activities were found to be low. Conclusion: In relationship between knowledge, attitudes and prevention activities regarding falls, knowledge about falls had no correlation with attitude and prevention activities and a correlation was found between attitudes and prevention activity regarding falls. Accordingly, it is required to implement training program to improve nurse's attitude to falls, and repetitive fall prevention training and education is expected to contribute to increasing the practice of fall prevention activity.

노인요양원 치매노인의 성별에 따른 낙상경험 요인 비교 (Comparison of risk factors for and experiences with falls according to sex among older adults with dementia in long-term care)

  • 정은숙
    • 가정∙방문간호학회지
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    • 제24권1호
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    • pp.34-43
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    • 2017
  • Purpose: The purpose of this study was to provide basic data to develop a Fall Prevention Education Program by comparing and analyzing fall experiences and the factors that influence elderly people with dementia suffering falls. Methods: The participants were 302 patients with dementia aged 60 years or older with nursing records of hospitalization in three nursing homes located in a metropolitan area. The SPSS/Win 21.0 package was used to analyze the collected data. A logistic regression analysis was performed to identify the influence factors related to fall experiences. Results: For men, fall experiences were more frequent given the following factors: overweight; high fall risk tendency; aged 90 and above; married; dementia duration period of 5 to 9 years; and taking medication for dementia. For women, the factors included age range of 80 to 89; overweight; obese; both low and high fall risk tendency; separation by death; and having spent less than 1 year in nursing homes. Conclusion: We anticipate positive results in fall prevention education programs for the elderly with dementia if the results of this study are used as basic data, and interventions are customized to consider the sex and the relevant influence factors as to fall experiences.

성인 편마비환자의 외적 되먹임 체중부하훈련이 낙상예방에 미치는 효과 (The Effect of External-feedback Weight-bearing Training Protecting a Fall in Hemiplegic Patients)

  • 나영현;구봉오;노민희;안소윤
    • 대한물리의학회지
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    • 제2권2호
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    • pp.143-150
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    • 2007
  • Purpose : This article was a quasi-experimental study that applies to external -feedback weight-bearing training among hemiplegic patients with a stoke. Methods : It examined whether position sense and balance can improve fall efficacy and prevent a fall. The subject of study was divided in two; Experimental group had 18 people and control group had 16 people. It took 8 weeks to finish training. Experimental group provides external-feedback weight-bearing training for ten minutes after neurological treatment for 20 minutes and control group provides nerves treatment for 30 minutes. To find the effect of a fall assessed position sense, balance and fall efficacy of the lower limbs before the fact, after 4 weeks and 8 weeks. Results : According to the conclusions, external-feedback weight-bearing training to prevent a fall was more effective intervention in experimental group than in control group. Conclusion : This study suggests that external-feedback weight-bearing training is a intervention to prevent the fall of hemiplegic patients with a stroke effectively.

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3축 가속도 센서 낙상 감지 시스템을 위한 낙상 특징 파라미터 추출 (Extraction of Fall-Feature Parameters for Fall Detection System Using 3-Axial Acceleration Sensor Data)

  • 임동하;박철호;유윤섭
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2013년도 추계학술대회
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    • pp.393-395
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    • 2013
  • 현대 사회에는 의학기술의 발전과 생활수준 향상 등으로 고령자들이 증가하고 있다. 고령자들의 낙상은 심한 경우 사망에 까지 이를 수 있는 상당히 큰 위협이 된다. 이러한 문제점을 해결하기 위해 낙상을 감지하는 여러 가지 알고리즘과 하드웨어 시스템의 필요성이 증가 하고 있으며 국내외에서 낙상 감지 시스템의 연구 결과가 발표 되고 있다. 본 논문에서는 3축 가속도 센서를 이용한 낙상 감지 시스템을 소개한다. 낙상 감지 시스템은 3축 가속도 센서 데이터로부터 몇 가지의 파라미터를 계산하여 낙상을 판별한다. 제안된 시스템을 이용하여 최대 98.3%의 sensitivity와 94.7%의 specificity 결과 값을 얻었다.

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낙상예방운동프로그램이 재가노인의 신체구성요소, 활동체력 및 허약수준에 미치는 효과 (Effects of a Fall Prevention Exercise Program on Body Composition, Muscle Strength and Balance, and Frailty in Community-Dwelling Elderly)

  • 김선희;김용순;송미숙
    • 가정∙방문간호학회지
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    • 제17권2호
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    • pp.95-103
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    • 2010
  • Purpose: To examine the effects of a fall prevention exercise program on the community-dwelling elderly. Methods: The nonequivalent control group pretest-posttest design involved 16. subjects in the experimental group and 17 in the control group. The experimental group received the fall prevention exercise program for 50 minutes, three times each week for 12 weeks. Results: After program participation, the experimental group of subjects showed significantly higher lower limb strength higher endurance, and higher balance than the control group of subjects. The danger of being injured in a fall was also significantly lower in the experimental group. However, there were no significant differences in body constituent factors, agility, and flexibility between the two groups after the intervention. Conclusion: The 12 week fall prevention exercise program was effective in increasing lower limb muscular strength, endurance, balance, and body strength, and in decreasing the danger status of fall injuries. These results suggest that this fall prevention exercise program could be utilized as an effective nursing intervention modality in elderly persons.

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간호사의 병원낙상 예방활동에 영향을 미치는 요인 (Factors Associated with Nurses' Activities for Hospital Fall Prevention)

  • 이인경;최자윤
    • 재활간호학회지
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    • 제16권1호
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    • pp.55-62
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    • 2013
  • Purpose: The purpose of this study was to identify the factors affected with nurses' prevention activity against hospital fall. Methods: The data were collected from 325 nurses at C University Hospital in G City by using the structured questionnaires from February 21, 2011 to March 12, 2011. The data were analyzed by stepwise multiple regression. Results: The main factor associated with prevention activity against hospital fall was the attitude towards hospital fall (${\beta}$=.26, p<.001), the next one was the educational level (${\beta}$=.16, p=.002), and the last one was the frequency of fall prevention education (${\beta}$=.14, p=.009). The all factors could explain 11.1% of the variance in the nurses' prevention activities against hospital fall. Conclusion: Hospital managers need to make hospital culture to enhance the nurse's positive attitude about hospital fall prevention. In addition, educators need to develop educational programs including hospital fall prevention through academic curriculum and continuing education.

인체의 생리적 반응과 의복 기후, 주관적 감각에 미친 계절의 영향 (The Effects of Season on Physiological Responses of Human Body, Clothing Microclimate, and Subjective Sensations)

  • 김양원
    • 대한가정학회지
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    • 제30권4호
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    • pp.15-26
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    • 1992
  • To investigate the seasonal effects on physiological responses of human body, clothing micro-climate, and subjective sensation, selected the cloths the most frequently dressed by men in spring and fall, and completed wearing trials in the climatic chamber. The results are as follows: 1. Rectal temp. ranged 36.8-37.1$^{\circ}C$ in either spring or fall, and no seasonal effect was found. 2. In skin temp., there was no seasonal effect in forehead, abdomen, and forearm. Skin temp. of chest was higher in spring than in fall. On the contrary, reverse was true in high and leg. Average skin temp. ranged 32.2-33.2$^{\circ}C$ in spring and 32.9-34.$0^{\circ}C$ in fall. 3. Average total sweat rate of spring, 79.4g/hr, was smaller than that of fall, 110.9g/hr. 4. Clothing temp. ranged 28.1-32.8$^{\circ}C$ in spring and 27.6-31.$0^{\circ}C$ in fall. Clothing humidity ranged 36.9-48.9% in spring and 38.2-51.1% in fall. Therefore, clothing microclimate was higher during fall than during spring. As results, skin temp. of the body core except chest did not show seasonal variation, but there was obvious seasonal variation in skin temp. of the extremities. Therefore, seasonal variation should be take into consideration in the experiments related to the cloth. In addition, standard for each season and the degree of work performance should be re-established in clothing micro-climate.

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직업손상과 관련된 추락환자의 중증도에 영향을 미치는 요인 (Influencing factors of the severity of occupational fall injury)

  • 주정미;탁양주
    • 한국응급구조학회지
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    • 제20권2호
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    • pp.113-125
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    • 2016
  • Purpose: The purpose of this study was to investigate factors influencing severity of occupational fall injury. Methods: A self-reported questionnaire was completed by 105 patients sustaining occupational fall injury between July 2010 and January 2013. The study instruments were developed by the National Traumatic Occupational Fatalities and National Electronic Injury Surveillance System. The questionnaire consisted of general characteristics of the subjects (30 items), workplace characteristics (12 items) and disaster characteristic (13 items). Results: Demographic factors, except age, did not affect the severity of injury. Injured patients aged 50-59 years tended to have more severe injuries than those aged 39 years. Type of transport vehicles, conditions, and the circumstances of the fall influenced injury severity. Patients transported by 119 ambulance suffered more severe fall injuries than those who were not. Electrical workers did not receive safety education wihin a year. Critical height in severe injuries was > 6 meters. Conclusion: Occupational fall injuries were influenced by patient age, types of transport vehicles, fall height, size of workplace, and safety education experience.