• 한국전문물리치료학회지
• /
• 제18권3호
• /
• pp.38-48
• /
• 2011

The aim of the study was to identify which fall-prevention program offered in community settings in Korea is the most effective in strengthening muscles. Muscle weakness is one of the major risk factors causing falls among the elderly. Randomized controlled trials and clinical controlled trials published between 1996 and February 2011 were included in this study. Seventeen of the 69 identified studies met the study's criteria and were included in this meta-analysis. The overall effect size of the program was .822 (95% confidence interval= .717~.927). The general strengthening exercise (1.608), dance sports training (1.538), Thera-band exercise for lower extremities (1.517), Seniorobic exercise (1.146), gait training (.959), balance training (.909), gradual resistive exercise (.888), and multifactorial fall prevention (.842) programs all show positive effects on muscle strengthening. Subgroup analyses found that more relative effects are seen in programs offered to the more elderly. In this study, the effect of increasing muscle strength on the prevention of falls can only be indirectly suggested; there are few available studies that report the frequency or history of falls in Korea. Further studies are needed to examine the direct effect of fall prevention exercise programs among the elderly.

• 근관절건강학회지
• /
• 제19권2호
• /
• pp.131-141
• /
• 2012

Purpose: The purpose of this study was to test the change of study variables (knowledge, efficacy, and fatigue) related to using orthosis and fear of falling in fracture patients wearing the leg orthosis after fall prevention education in terms of educational method and frequency. Methods: Participants were 87 fracture patients wearing the leg orthosis. Experimental I group (n=30) and experimental II group (n=27) received the fall prevention education once and three times respectively with leaflets. Experimental III group (n=30) received video training once. Results: The level of the subjects' knowledge was significantly increased in experimental I and II groups rather than in experimental III group. In case of experimental I and experimental II group, fear of falling was decreased when compared to experimental III group. However, there were no significant changes in efficacy and fatigue related to using orthosis among three groups. Conclusion: The fall prevention education using leaflets was more effective than video training method. Only one education with leaflets was effective enough. Therefore, it is recommended that the education with leaflets or pamphlets should be developed systematically according to the characteristics of fracture patients wearing the leg orthosis.

• 대한간호학회지
• /
• 제44권6호
• /
• pp.697-707
• /
• 2014

Purpose: The purposes of this study was to develop a comprehensive community-based fall prevention program and to test the effects of the program on the muscle strength, postural balance and fall efficacy for elderly people. Methods: The design of this study was a nonequivalent control group pretest-posttest design. There were 28 participants in the experimental group and 29 in the control group. The program consisted of balance exercises, elastic resistance exercises and prevention education. The program was provided five times a week for 8 weeks and each session lasted 90 minutes. Data were analyzed using ${\chi}^2$-test, independent t-test and paired t-test using the SPSS program. Results: Muscle strength of the lower extremities, postural balance and fall efficacy scores significantly improved in the experimental group compared to the control group. Conclusion: These results suggest that this program can improve lower extremity muscle strength, postural balance and fall efficacy in elders. Therefore, this program is recommended for use in fall prevention programs for elders living in the community.

• 대한간호학회지
• /
• 제52권3호
• /
• pp.341-358
• /
• 2022

Purpose: This study examined the effects of a person-centered fall prevention program for older adults with dementia in long-term care hospitals. Methods: A nonequivalent control group pretest-posttest design was used. The study sample included 42 older adults with dementia (experimental group: 21, control group: 21) and 42 caregivers (experimental group: 21, control group: 21). The program comprised 48 sessions held over 12 weeks and included exercise intervention with resistance and balance, dance walking (45~60 min, three times/week), cognitive and emotional intervention (35~50 min, once per week), and person-centered fall prevention education (10 min, once per week). The program for caregivers consisted of six educational sessions (i.e., fall prevention competency enhancement and person-centered care strategy education, 80 min, once per week) for six weeks. Data were collected before participation and 12 weeks after program completion from February 18 to May 12, 2019. Data analysis was conducted using the chi-square test, t-test, and Mann-Whitney U test with SPSS/WIN 21.0. Results: The experimental group of older adults with dementia showed significant improvement in physical and cognitive functions, and a decrease in depression, and behavioral and psychological symptoms, when compared with the control group. caregivers in the experimental group exhibited significant improvement in fall-related knowledge and person-centered care of older adults with dementia compared to the control group. Conclusion: The study findings indicate that this program was effective as a nursing intervention for fall prevention among older adults with dementia in long-term care hospitals.

• 가정∙방문간호학회지
• /
• 제24권1호
• /
• pp.34-43
• /
• 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.

• 대한간호학회지
• /
• 제41권2호
• /
• pp.165-174
• /
• 2011

Purpose: This study was done to identify effects of a fall prevention program on physical fitness and psychological functions in community dwelling elders. Methods: A quasi-experimental study was carried out with a nonequivalent control group pre & post-test design. The program, which included exercises and education, consisted of a 12-week group program and an 8-week self-management program using a health calendar. An experimental group (32) and a control group (21) participated. Results: There were significant differences in SPPB (t=-3.92, p<.001), TUG test (t=4.94, p<.001), standing with right leg (t= -3.60, p=.001), standing with left leg (t=-3.74, p<.001), front and rear maximum step length test (t=-4.34, p<.001), right-left maximum step length test (t=-2.65, p=.011), and fall efficacy (t=-2.42, p=.019). Fall efficacy, fear of falling and depression showed significant differences following the 12-week exercise program and 8-week self-management program in the experimental group. Conclusion: Study findings indicate that the fall prevention program is an effective nursing intervention to enhance physical fitness and psychological functions for elders. Using a health calendar, the self-management program was more effective for psychological functions compared to only the group program. Therefore, health providers should develop diversified fall prevention programs which include motivation plans to encourage clients in participating.

• 대한간호학회지
• /
• 제49권2호
• /
• pp.203-214
• /
• 2019

Purpose: The purpose of this study to develop a fringed fall prevention program based on King's goal attainment theory and education. This study is applied to the personal, interpersonal, and social systems of fall high-risk patients to test its effects. Methods: This study was a nonequivalent control group pre- and post-test design. There were 52 fall high-risk patients in the experimental group and 45 in the control group. The experimental group received six sessions, with the group sessions lasting 60 minutes and the individual sessions lasting 20~30 minutes. Data were analyzed using descriptive statistics, an ${\chi}^2-test$, a paired sample t-test, and a Wilcoxon signed-ranks test utilizing IBM SPSS software. Results: For the 3-month intervention period, the fall prevention program was found to be particularly effective for patients in the experimental group (from 3.38 to 1.69 per 1000 patient days; p=.044), as opposed to the control group (from 1.94 to 1.49 per 1000 patient days; p=.300). For the 6-month follow up period, the fall prevention program was again found to be effective for patients in the experimental group (from 3.26 to 0.76 per 1000 patient days; p=.049) compared to the control group (from 1.98 to 1.01 per 1000 patient days; p=.368). Conclusion: These results indicate that the fringed fall prevention program is very effective in reducing falls, not only during the intervention period, but also after the intervention period has ended. We can therefore recommend this program for use concerning fall high-risk patients in long-term care hospitals.

• 한국콘텐츠학회논문지
• /
• 제15권2호
• /
• pp.333-343
• /
• 2015

본 연구는 요양병원 간병사의 낙상예방인지도에 미치는 영향요인을 파악하기 위한 서술적 조사연구이다. 자료수집기간은 2014년 7월 1일부터 8월 31일까지였다. D광역시와 N시에 소재하는 7개 요양병원의 간병사를 대상으로 편의 표집 하였다. 수집된 자료 215부 중 200부를 분석에 이용하였다. 연구결과 첫째, 요양병원 간병사의 학력, 요양보호사 자격증 유무, 근무경력과 낙상관련 교육시간에 따른 낙상예방인지도에서 유의한 차이가 있었다. 둘째, 낙상예방건강신념 중 지각된유익성, 지각된장애성, 지각된민감성과 낙상예방효능감은 낙상예방인지도와 유의한 양의 상관관계가 있었다. 셋째, 요양병원 간병사에게 영향을 주는 개인적 특성을 통제한 상태에서 위계적 회귀분석한 결과, 정적영향요인은 지각된유익성, 낙상예방효능감, 지각된민감성, 부적영향요인은 근무경력으로 나타났으며, 이들 변수의 낙상예상인지도에 대한 설명력은 31.7%였다. 이러한 결과로 요양병원 간병사의 낙상예방인지도를 증가시키기 위해 간병사의 근무경력에 따른 낙상예방효능감과 건강신념 중 지각된 유익성과 지각된 민감성을 높일 수 있는 프로그램을 적극 모색해야할 것이다.

• 한국지형학회지
• /
• 제25권1호
• /
• pp.97-113
• /
• 2018

Low-frequency geological natural disaster events such as Pohang earthquake have been occurred. As a results, there's a growing recognition on the importance of education and training for low frequency geological disasters in Korea. In spite of many years of scientific researches on volcanic disaster prevention and preparedness on Baekdusan volcano, the results do not provide the proper scenario for the training for volcanic ash event. Fall 3D volcanic ash diffusion model was run based on wind field data for the last five year, assuming Aso Mountain's explosion with volcanic explosion index 5 for seventy two hours. The management criteria values for proper actions in the previous studies were applied to make a scenario for thirteen groups of the disaster response teams such as train transportation, water supply, electrical facilities and human health. The models on the relationship between education and training for disaster prevention and response were suggested to fulfill the scientific and practical training at local level.

• 대한간호학회지
• /
• 제43권5호
• /
• pp.613-625
• /
• 2013

Purpose: This study was conducted to determine the effects of a fall prevention program on falls, physical function, psychological function, and home environmental safety in frail elders living at home in rural communities. Methods: The design of this study was a nonequivalent control group pre posttest design. The study was conducted from July to November, 2012 with 30 participants in the experimental group and 30 in the control group. Participants were registered at the public health center of E County. The prevention program on falls consisted of laughter therapy, exercise, foot care and education. The program was provided once a week for 8 weeks and each session lasted 80 minutes. Results: The risk score for falls and depression in the experimental group decreased significantly compared with scores for the control group. Compliance with prevention behavior related to falls, knowledge score on falls, safety scores of home environment, physical balance, muscle strength of lower extremities, and self-efficacy for fall prevention significantly increased in the experimental group compared with the control group. Conclusion: These results suggest that the prevention program on falls is effective for the prevention of falls in frail elders living at home.