• 제목/요약/키워드: Fall efficacy

검색결과 149건 처리시간 0.031초

폐경 후 여성의 낙상 두려움에 영향을 미치는 요인 (Factors Influencing Fear of Falling in Postmenopausal Women)

  • 안숙희;김현리;소희영;송라윤
    • 여성건강간호학회지
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    • 제15권4호
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    • pp.344-352
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    • 2009
  • Purpose: The study was to identify influencing factors on fear of falling in postmenopausal women. Methods: With a correlational survey design, 125 postmenopausal women were recruited at the D metropolitan city by a convenience sampling. Fracture risk status was assessed by bone mineral densities (BMD) at lumbar and femur with DEXA method. A structured study questionnaire was used to measure demographic variables, osteoporosis self-efficacy, and fear of falling. Results: Mean age of the subjects was 59 years old and duration since menopause was 9.55 years. Twenty six percent of the subjects belonged to osteoporotic group in fracture risk status. Mean score for fear of falling was 16.10 (SD=5.18) indicating low level, and osteoporosis self-efficacy for exercise and diet was 44.76 (SD=7.41), indicating mid-range level. Factors influencing the fear of falling was longer time since menopause ($\beta=.30$), lower score of osteoporosis self-efficacy for exercise ($\beta=-.26$), poor health perception status ($\beta=-.16$), and presence of chronic disease ($\beta=.16$), and the explained variance was 20%. Conclusion: Although the level of fear of falling was yet low in postmenopausal women, women who had lower self-efficacy of osteoporosis for exercise and poorer health perception felt greater fear of falling. Therefore, an educational program specific to improve osteoporosis self-efficacy and reduce the fear of falling is needed for improving postmenopausal women's psychosocial well-being.

다면적 낙상예방프로그램이 지역사회 거주 저소득층 노인의 신체·심리기능과 가정환경 위험요인에 미치는 효과 (Effects of a Multifactorial Fall Prevention Program on Physical·Psychological Function and Home Environmental Hazards in Community Dwelling Low-income Elderly)

  • 김소남
    • 한국노년학
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    • 제32권2호
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    • pp.377-395
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    • 2012
  • 본 연구는 열악한 생활환경과 신체적·심리적 기능의 저하로 인해 낙상 사고의 위험에 더 많이 노출되어 있는 저소득층 노인의 낙상을 예방하고 삶의 질을 향상시키고자 낙상에 영향을 미치는 위험 요인에 대한 문헌고찰과 선행연구 결과를 바탕으로 지역사회 거주 저소득층 노인을 위한 다면적 낙상예방프로그램(MFPP)을 개발하고, 개발된 다면적 낙상예방프로그램이 신체적·심리적·환경적 요인과 낙상횟수에 미치는 효과를 검정하였다. 본 연구의 프로그램은 저소득층 노인에게 신체기능 향상을 위한 근력강화운동, 낙상예방 효능감 증진을 통한 심리적 기능 강화를 위한 정서지지, 낙상예방과 운동행위에 대한 인지적 변화 유도를 위한 낙상예방교육, 안전한 가정환경 유지를 위한 가정환경관리로 구성된 프로그램을 주 1회 하루 70분~90분씩 총 8주 동안 제공하는 간호중재 프로그램으로 직접 대상자의 가정을 방문하여 각각의 다면적 요소들을 개별적으로 진행하였다. 프로그램의 효과를 검정하기 위해 S시 1개구 보건소에 등록된 지역사회 거주 저소득층 노인을 대상으로 실험군 24명, 대조군 24명을 선정하여 비동등성 대조군 전후설계의 유사실험 연구로 시도되었다. 자료수집기간은 2010년 6월부터 2010년 10월까지 진행되었으며, 수집된 자료는 실수와 백분율, Fisher's exact test, x2-test, t-test, repeated measures ANOVA, ANCOVA, Logistic regression을 이용하여 분석하였다. 연구결과, 실험군에서 낙상횟수가 감소하였으며, 균형감과 낙상예방효능감이 증진되었고, 가정환경위험요인이 감소하였다. 따라서 본 프로그램을 노인 간호 현장에서 활용한다면 저소득층 노인의 낙상예방에 매우 효과적인 결과를 얻을 수 있을 것이며 나아가 저소득층 노인의 신체적·심리적 건강증진을 통한 삶의 질 향상에 기여할 수 있을 것으로 사료된다.

노인의 인터넷 사용 실태, 자아효능감, 자아존중감에 관한 연구 (A Study of the Pattern of Elderly's Internet Usage, Self-efficacy, and Self-esteem)

  • 황은희;신수진;정덕유
    • 한국보건간호학회지
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    • 제25권1호
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    • pp.118-128
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    • 2011
  • Purpose: The purpose of this study was to investigate the patterns of internet usage, selfefficacy, and self-esteem of the elderly. Method: Study participants were 139 older than 60 years of age who had used internet and could access internet anytime at home. Data were collected from March to September, 2009 by using a structured questionnaire. The data were analyzed using PASW/WIN 18.0 program. Results: The meantime of internet use was 8.74 hours per week, frequently used web-site was 'Newspaper and magazine', and subjects mainly used internet 'not to fall behind the times'. The mean score of internet use capability was 2.42, among theses the score of 'Searching necessary information' was the highest. The internet use capability of the subjects was significantly different in terms of education level, spouse, economic status, and the length of use. The mean scores of self-efficacy and self-esteem were $28.22{\pm}4.42$ and $28.51{\pm}4.25$, respectively. Conclusions: These results suggest that the elderly people use internet not to fall behind the times but they have enough capability to use internet searching or e-mailing. Also, it is true that there are many influencing factors on internet use and capability of the elderly. Therefore, it is needed to investigate the internet use of the elderly more closely.

The Effect of Postural Balance and Fall Efficacy on Bilateral Visual Feedback Training with Visual Targets in Stroke Patients

  • No, Seung-Min;Hwang, Yoon-Tae;Son, Sung-Min
    • The Journal of Korean Physical Therapy
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    • 제34권2호
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    • pp.57-62
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    • 2022
  • Purpose: The purpose of this study was to determine the effects of bilateral visual feedback training with visual targets on the postural balance and fall efficacy of stroke patients with hemiparesis. Methods: A total of 24 stroke patients with hemiparesis were randomly assigned to either a bilateral visual feedback training (BVFT, n=8) group, unilateral visual feedback training (UVFT, n=8) group, or a control group (n=8). The BVFT and UVFT groups performed weight-bearing training on the bilateral (less-affected and affected side) or unilateral side (affected side) with visual feedback using visual targets. The control group performed squat training without visual feedback using visual targets. The training program was conducted in the form of 3 sets a day, 3 times a week, for 4 weeks. The participants were evaluated using the Berg balance scale (BBS), lateral reaching test (LRT), timed up and go test (TUG), and the activities-specific balance confidence scale (ABC). Results: In the intra-group comparison after the intervention, the BVFT group showed a significant difference in the BBS, TUG, affected and less-affected side LRT, and ABC (p<0.05). The UVFT group showed a significant difference in the BBS and ABC (p<0.05). In the inter-group comparison after the intervention, the BVFT group showed significant improvements in their BBS, affected side LRT, and TUG, when compared to the control group (p<0.05). Conclusion: These findings show that bilateral visual feedback training with visual targets during bilateral weight-bearing exercises can improve the postural balance function in stroke patients.

뇌졸중 및 뇌손상 환자를 위한 한국판 넘어짐효능감척도(Korean Version-Falls Efficacy Scale) 번안과 내용타당도 연구 (Translation and Content Validation of the Korean Version of the Falls Efficacy Scale for Stroke and Brain Injury Patients)

  • 김수진;김정아;황수진
    • PNF and Movement
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    • 제21권3호
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    • pp.387-401
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    • 2023
  • Purpose: The purpose of this study was to develop a Korean version of the Falls Efficacy Scale (K-FES), which is used to measure the fear of falling, that is conceptually equivalent to the original and culturally adaptable to the Korean population. Methods: A five-step translation and adaptation process was employed to create the K-FES, adhering to the established guidelines for cross-cultural rehabilitation outcome measures. The content validity was then evaluated by 22 rehabilitation professionals (15 males and 7 females) with an average clinical experience of 201 months at neurological rehabilitation centers. The content validity ratio and index were used as a basis for judgment. Results: The translation process identified inconsistencies with the terms "objects" and "telephone" in the original Falls Efficacy Scale, which were subsequently resolved in the final K-FES version. The content validity ratios for the original, second, and third versions of the K-FES ranged from -0.27-0.91, -0.27-0.91, and -0.27-0.91, respectively. Correspondingly, the content validity index values for the original, second, and third versions of the K-FES ranged from 0.77-1.00, 0.68-1.00, and 0.63-1.00, respectively. Conclusions: The K-FES was rigorously developed through translation, adaptation, and validation processes, making it a reliable tool for Korean stroke rehabilitation professionals. It is expected to be instrumental in clinical and research settings to assess postural stability and fall risk in patients with strokes and brain injuries.

Monetary Policy Transmission during Multiple Indicator Regime: A Case of India

  • SETHI, Madhvi;BABY, Saina;DAR, Vandita
    • The Journal of Asian Finance, Economics and Business
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    • 제6권3호
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    • pp.103-113
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    • 2019
  • The effectiveness of monetary policy critically depends upon how well the transmission mechanism functions, so that the desired impact on output and inflation is achieved. The purpose of this paper is to study the transmission mechanism of monetary policy by analyzing the impact on inflation and output during multiple indicator regime (1998-99 to 2014) in an emerging economy-India. The Inflation Targeting Regime is also briefly outlined alongwith the impact on output and inflation. Using quarterly data for the period 1997 to 2017, the paper uses weighted average call money market rate as a proxy for the policy rate and evaluates the strength of the interest rate channel. We use a conventional Structural vector auto regression (SVAR) methodology to evaluate the efficacy and show the impluse response functions. Our results find that changes in the policy rate impact output growth steeply with a lag of about two quarters and the impact on inflation is maximized after three quarters. The study concludes that the monetary policy in India has a significant impact on output and inflation in the short-to-medium-run. After the policy shock, the fall in the output growth rate is of greater magnitude than the fall in inflation.

저강도 복합운동프로그램이 여성노인의 일상생활체력과 낙상효능감에 미치는 영향 (Effect of a Low-Intensity Combined Exercise Program using Props on the Daily Living Fitness and Quality of Life of Elderly Women)

  • 이홍균;김은정
    • 대한물리의학회지
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    • 제19권1호
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    • pp.119-129
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    • 2024
  • PURPOSE: The purpose of this study was to examine the effectiveness of a low-intensity combined exercise program on daily physical fitness parameters such as balance, flexibility, muscle strength, and fear of falling of elderly women in the community. METHODS: This study assigned 30 elderly women randomly into two groups: The control and experimental groups. The control group (n = 15) underwent routine gait. The experimental group (n = 15) underwent the low-intensity combined exercise. The exercise program in this study comprising combined exercise, including balance, flexibility, muscle strength training, and the exercise program using props was conducted twice a week for 8 weeks. RESULTS: The average age of the control and experimental groups was 77.27 years and 78.33 years, respectively. There were significant differences in static balance (t = -4.167, p < .001), dynamic balance (t = 2.463, p < .001), (t = -3.870, p < .001), (t = -2.262, p < .001), (t = -5.732, p < .001), (t = -6.573, p < .001), and fear of falling (t = -5.129, p < .001). CONCLUSION: The results show that low-intensity combined exercise is an effective intervention that improves physical health fear of falling in older women. The combined exercise program was found to be more effective in terms of physical function and fall-related psychological function compared to the control group that only walked.

The Control Efficacy of Sodium Hypochlorite against Violet Root Rot Caused by Helicobasidium mompa in Apple

  • Lee, Sung-Hee;Shin, Hyunman;Lee, Hyok-In;Lee, Seonghee
    • The Plant Pathology Journal
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    • 제38권5호
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    • pp.513-521
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    • 2022
  • Our study was carried out to determine the control efficacy of sodium hypochlorite (NaOCl) for violet root rot caused by Helicobasidium mompa in apple. The experiment was conducted in the farm located at Chungbuk province in South Korea from 2014 to 2016. When infected apple trees were treated at least two or three times with 31.25 and 62.5 ml/l available chlorine content in NaOCl, it greatly increased the rooting of rootstock, and restored the tree crown density by 44.4-60.5%. In addition, the number of commercial fruit setting was increased by 54.3-64.5%, and the total starch content in shoots was significantly higher than other non-treated apple trees. However, the untreated disease control and thiophanate-methyl WP treated trees showed the symptom of dieback. Therefore, our results indicate that the drenching treatment of NaOCl with 31.25-62.5 ml/l available chlorine content more than two times from late fall to early spring could effectively control the violet root rot and recover tree vigor up to 60%.

Job Training and Safety Education for Modular Construction using Virtual Reality

  • Choi, Hyeongho;Chae, Jeonghyeun;Kang, Youngcheol
    • 한국건설관리학회논문집
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    • 제24권5호
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    • pp.63-72
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    • 2023
  • This study investigates the virtual reality (VR) simulation to train construction workers for modular construction. Recently, the construction industry has been experiencing a growing demand for modular construction due to a shortage of labors and an increasing social need for safety. While the demand for modular construction has been increasing, construction labors suffer a basic knowledge regarding modular construction. The users of the simulation, developed by Unity program and Oculus Quest 2, experience the removal of hazardous elements at the location whether the modular unit suspended by a crane is lowered, the lowering and assembly of units through crane operation, and the fall from the roof which is the most frequent accidents in modular construction. The simulation was tested by 15 subjects. The effectiveness of the education was measured through a survey on self-efficacy, perceived usefulness, usability, and presence. It was found that the VR training is suitable for educating on the modular construction activities and safety issues related to them. This study also found that perceived usefulness is the factor that has the greatest impact on self-efficacy. This study can contribute to resolving the labor education issues for the deployment of modular construction.

An AI-Based Prevention Program to Protect Youth from Cybergrooming

  • 김기정;리푸 후앙;조진희
    • 인터넷정보학회논문지
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    • 제24권5호
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    • pp.67-73
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    • 2023
  • The Digital Age calls for improvement of information literacy particularly among children and youth who are vulnerable to cybergrooming. Taking an interdisciplinary approach by leveraging our team's expertise including child and adolescent development, data analytics, and cybersecurity, this study proposes an interactive artificial intelligence (AI)-based preventive simulation program that raises youth knowledge and awareness about the risk of cybergrooming as well as increases resilient self-efficacy in their cybersecurity-relevant skills. The primary purpose of this project is to evaluate the effectiveness of the simulation program on preventing cybergrooming. More specifically, this study is designed to examine developmental changes in self-efficacy of cybersecurity-relevant skills among youth participants as a function of the preventive simulation program. Further, this study will identify risk and protective factors that explain interindividual differences in the ability of children and youth either to fall victim to advances from a cyber predator or to recognize and deter such threats. The preliminary data will help improve the effectiveness of the preventive simulation program as well as the methods of implementation to large groups of youth. The findings from the proposed study will contribute to making specific recommendations to parents, educators, practitioners, and policy makers for the prevention of cybergrooming.