• 대한간호학회지
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• 제45권4호
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• pp.469-482
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• 2015

Purpose: The purpose of this study was to identify which nursing interventions are the most effective in fall prevention for hospitalized patients. Methods: From 3,675 papers searched, 34 were selected for inclusion in the meta-analysis. Number of fallers, falls, falls per 1,000 hospital-days, and injurious falls, fall protection activity, knowledge related to falls, and self-efficacy about falls were evaluated as outcome variables. Data were analyzed using the Comprehensive Meta Analysis (CMA) 2.2 Version program and the effect sizes were shown as the Odd Ratio (OR) and Hedges's g. Results: Overall effect size of nursing interventions for fall prevention was OR=0.64 (95% CI: 0.57~0.73, p <.05) and Hedges's g= - 0.24. The effect sizes (OR) of each intervention ranged from 0.34 to 0.93, and the most effective nursing intervention was the education & environment intervention (OR=0.34, 95% CI: 0.28~0.42, p<.001), followed by education intervention (OR=0.57, 95% CI: 0.50~0.67, p=.001). Subgroup analyses showed that multifaceted interventions (OR=0.76, 95% CI: 0.73~0.79, p<.001) were more effective than unifactorial interventions, and that activities for prevention of falls (OR=0.08, 95% CI: 0.05~0.15, p<.001) showed the largest effect size among outcome variables. Conclusion: Falls in hospitalized patients can be effectively prevented using the nursing interventions identified in this study. These findings provide scientific evidence for developing and using effective nursing interventions to improve the safety of hospitalized patients.

• 대한간호학회지
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• 제36권2호
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• pp.341-352
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• 2006

Purpose: This study was conducted to develop & to determine the effect of an tailored falls prevention exercise for older adults. Method: Subjects consisted of 59 older adults (experimental group : 29, control group : 30) living at nursing homes. Experimental group participated in tailored falls prevention exercise for 16 weeks(3 times a week, 50 min every session). Data were collected before the exercise, 16 weeks & 24 weeks after the beginning of exercise. Results: 1) the experimental group significantly improved the muscle strength of hip extensor & flexor, knee extensor & flexor, ankle dorsiflexor, & plantar flexor compared to the control group. 2) the experimental group significantly decreased the mean time for 10 times chair stand. 3) the experimental group significantly increased the standing time on one leg and the number of heel raise for 30 seconds compared to the control group. In addition more older adults in the experimental group completed the tandem stance & semi-tandem stance for 10 seconds than the control group. 4) The experimental group significantly decreased the mean time of 6m walk and the fall frequency compared to the control group. Conclusions: This results suggest that tailored falls prevention exercise for older adults can improve muscle strength, static & dynamic balance and decrease the fall frequency of older adults.

• International Journal of Internet, Broadcasting and Communication
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• 제13권1호
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• pp.37-46
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• 2021

Recently, social technologies have been created to solve problems from businesses for the establishment of generational solidarity ecosystem in terms of employment, residential space, network and social capital, age, cognitive and environmental aspects. This is senior-friendly healthcare business system aimed at meeting the senior needs for health life to enjoy active consumption culture life even after retirement, becoming a catalyst for minimizing generational conflicts, preventing the cognitive and physical deterioration of seniority in the areas of life healthcare, fitness and well-aging, and expanding into systems necessary for seniority self-reliance. We would like to draw up the development and requirements of the concept of the service platform for the study of collective characteristics for generation solidarity with senior class and the establishment of a customized senior health life system for generation solidarity. This system is characterized by a platform that can prevent the decline of seniors' cognitive and physical functions and enhance emotional stability. It is significant in providing feedback on the risk perception index, fall index, and prevention training index information to the child through the analysis and extraction of the senior health index for risk perception, fall probability, and fall prevention.

• Physical Therapy Rehabilitation Science
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• 제7권4호
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• pp.197-203
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• 2018

Objective: Independent walking is the most essential prerequisite to maintain quality of life in older persons. The purpose of this review was to investigate the effect of fall prevention strategies on fall risk for type 2 diabetes mellitus (T2DM) within community-dwelling older adults aged 65 and over. Design: A systematic review and meta-analysis. Methods: PubMed and three other databases were searched up to October 31st, 2018 and randomized controlled trials (RCTs) evaluating fall prevention strategies for fall risk in persons who were 65 years of age or above with T2DM were included. The review extracted the following information from each study selected: first author's surname, published year, country, study population, type of intervention, intensity of intervention, comparison, measurement variables, additional therapy, summary of results, and mean and standard deviation from selected studies. Results: This review selected fourteen RCTs with 460 older adults with diabetes mellitus. Of the 14 studies, the types of intervention used to improve the risk of falls were strengthening (5), aerobic exercises (2), multimodal exercises (4), one virtual reality exercise (1), whole body vibration with balance exercise (1), and Tai Chi exercise (1). Seven RCTs were eligible for the meta-analysis. Therapeutic interventions were more effective than the control group for the Timed Up-and-Go test (-1.11; 95% CI, -1.82 to -0.41) and the 6-minute Walk Test (-1.89; 95% CI, -8.33 to 4.54). Conclusions: The results of the review suggest that interventions to prevent fall risk in older adults with T2DM should focus on strengthening, balance, aerobic, and multimodal exercises.

• 한국노년학
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• 제40권2호
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• pp.311-323
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• 2020

노인은 낙상의 위험이 높고, 낙상은 심각한 손상을 유발함으로써 재원기간과 치료비용을 상승시켜 환자 가족뿐만 아니라 국가 경제에도 부담을 초래한다. 따라서 낙상 예방 활동은 간호사와 간호조무사 업무의 중요한 부분을 차지한다. 본 연구는 요양병원에서 근무하는 간호사와 간호조무사가 직면하는 낙상 예방 활동의 방해요인에 관한 사실적 맥락을 파악하기 위해 수행되었다. 36명의 요양병원 간호사 및 간호조무사를 대상으로 초점면담을 실시하였으며, Elo & Kyngäs의 귀납적 내용분석 방법에 의거하여 면담자료를 분석하였다. 환자 요인, 환경 요인, 개인 요인의 총 3개의 카테고리가 도출되었으며, 환자 요인에는 '저하된 인지 기능'이, 환경 요인에는 '인력지원의 부족'과 '낙상 위험을 고려하지 않은 입원환자 배정'이 개인 요인에는 '무력감'과 '비난에 대한 불안' 등이 포함되었다. 환자의 건강결과를 향상시키고 사회적 비용을 줄여나가기 위해 낙상 예방 활동을 증진하기 위해서는 요양병원의 간호 인력을 점차적으로 늘리고, 낙상위험에 따른 병실 배정 체계 마련, 간호 인력의 교육 및 지원 시스템을 보완할 필요성이 있다.

• 재활간호학회지
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• 제7권1호
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• pp.48-57
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• 2004

Introduction : The purposes of this study was to examine physical function and psychological status in the elderly caused by a fall. Method : The study was designed as a descriptive survey. Its subjects consisted of the 299 elderly over 65 years. Collected data were analyzed by the SPSS 10.0 program package. Results : The result of this study are as follows : 1) The score for ADL was significantly lower in the fall group. 2) Grip strength was significantly lower in the fall group. 3) Lapse of the motion sitting and standing was significantly longer in the fall group. 4) One-leg-standing time with the eyes open and closed was significantly shorter in the fall group. 5) Return time of 3m walk was significantly longer in the fall group. 6) The score for dizziness was significantly higher in the fall group. 7) The score for fear for a fall and depression were significantly higher in the fall group. 8) The score for falls efficacy was significantly lower in the fall group. Conclusion: ADL, muscle strength, balance, dizziness, fear for a fall, falls efficacy and depression turned out to be closely related to the fall of the elderly. Therefore, it would be required to develop and applicate the fall prevention program regarding these above risk factors.

• 한국콘텐츠학회논문지
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• 제10권3호
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• pp.232-240
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• 2010

지역사회 여성노인에게 적용한 작업치료가 균형 능력에 미치는 영향을 규명하여 노인들의 낙상 예방을 위한 작업치료의 효용성을 알아보고자 하였다. 자립보행이 가능하고 균형에 영향을 주는 약물 복용을 하지 않는 65세 이상 여성 노인들을 대상으로 실험군 13명, 대조군 13명으로 분류하여 낙상 예방을 위한 교육과 운동을 병행한 6주 간의 작업치료프로그램을 적용하였다. 균형 능력 평가는 Berg 균형척도와 Tetrax 낙상지수가 사용되었다. 실험 결과, 실험군의 Berg 균형척도는 6주간의 프로그램 적용을 통하여 48.38에서 50.69로 유의한 수준의 변화를 나타내었으며(p=.017). 실험군의 Tetrax 낙상지수 또한 6주간의 프로그램 적용을 통하여 46.77에서 35.54으로 유의한 수준의 변화를 나타내었다(p=.000).대조군의 Berg 균형척도와 Tetrax 낙상지수는 모두에서 유의한 수준의 변화를 보이지 않았다. 본 연구의 결과로 볼 때 낙상예방 교육과 운동을 병행한 낙상예방 작업치료 프로그램의 6주 간의 적용이 노인의 균형 능력증진에 효과적이라는 것을 알았으며, 추후 낙상 예방 교육의 효과만을 다룬 연구들이 시행되어야 할 것이다.

• 근관절건강학회지
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• 제19권2호
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• pp.131-141
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• 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.

• 한국콘텐츠학회논문지
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• 제19권11호
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• pp.190-200
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• 2019

본 연구는 종합병원 간호 간병통합서비스 병동 간호사의 노인 낙상에 대한 지식과 태도, 낙상예방 자기효능감에 대한 낙상예방교육프로그램의 적용효과를 파악하고자 시도된 비동등성 대조군 전후 시차설계에 의한 유사실험연구이다. 연구대상자는 S시 소재 D종합병원 간호·간병통합서비스 병동에 근무하는 간호사로 실험군, 대조군 각 20명씩 40명을 대상으로 하였으며, 예비교육 프로그램은 타당도 검증을 거쳐 낙상예방교육프로그램을 개발하였다. 자료수집은 2017년 3월부터 5월까지였으며, 수집된 자료는 SPSS/WIN 21.0 프로그램을 사용하여 분석하였다. 연구결과 실험군은 대조군보다 지식(F=189.03, p<.001), 태도(F=761.74, p=.003), 낙상예방 자기효능감(F=188.50, p=.002) 점수가 유의하게 높았다. 결과적으로 낙상예방교육프로그램은 간호·간병통합서비스 병동에 근무하는 간호사의 노인 낙상에 대한 지식, 태도, 낙상예방 자기효능감을 향상한 효과적인 중재로 검증되었다. 따라서 간호·간병통합서비스병동 임상실무 현장에서 간호사의 낙상예방행위를 증가시키기 위한 체계적인 교육중재를 제공할 필요가 있다.

• 한국응용과학기술학회지
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• 제40권2호
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• pp.290-300
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• 2023

본 연구는 노인들의 낙상 위험 기전을 이해하고 필라테스 재활 운동 원리가 노인들의 균형 능력과 자세 안정화에 긍정적 효과를 기대할 수 있는지 선행 연구 자료를 고찰하였고, 재활 필라테스 운동의 낙상 예방 효과에 대한 문헌적 기초자료를 제시하는데 연구의 목적이 있다. 이에 다음과 같은 결론을 제시하고자 한다. 첫째, 재활 필라테스 운동은 척추와 골반의 안정화를 위한 신체 중심부의 강화 운동이 가능하고, 신경근을 촉진시켜 균형과 관절 안정화에 효과가 있다. 둘째, 노화에 따른 고유수용기 감각 저하와 근골격계 퇴행 질환은 균형 능력 상실과 자세 유지의 불안정성을 높여 운동 기능 수행의 어려움과 보행 장애로 낙상 손상 위험을 높이게 된다. 셋째, 재활 필라테스 운동은 노인들의 코어 근력 향상으로 균형과 반응시간 운동 기능 향상을 기대할 수 있으며, 낙상 예방에 관여되는 신체 불균형 개선과 움직임 안정성에 긍정적 영향을 미쳐 낙상 위험률 감소에 기여할 가능성을 제시할 수 있다. 결론적으로 재활 필라테스가 노인운동 프로그램으로서 신체의 근력 향상, 균형 감각 향상, 코어의 안정화 효과를 나타내 근골격계 퇴행에 따른 낙상 손상의 위험 요인을 감소시키고, 노인성 만성질환에 따른 심각한 활동 장애를 예방할 수 있음을 고찰하였다.