• Title/Summary/Keyword: Fall-related Factors

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Effects of Long Term Care Hospital Care-givers' Fall Prevention Self Efficacy and Fall Prevention Health Belief on Fall Prevention Awareness (요양병원 간병사의 낙상예방효능감과 낙상예방건강신념이 낙상예방인지도에 미치는 영향)

  • Jung, Ji-Young;Park, Yoon-Ji;Jung, Gye Hyun
    • The Journal of the Korea Contents Association
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    • v.15 no.2
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    • pp.333-343
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    • 2015
  • The purpose of this study is to investigate the factors that affect the fall prevention awareness of care-givers working at long-term care hospitals. A convenience sampling method was used to select care-givers who worked at 7 different long term care hospitals which were located in D city and N city. Data were collected from July 2014 to August 2014. 200 data were used for analysis out of 215 data which were collected. The hierarchical regression analysis reveals the following results: Firstly, the effects of care-givers' education level, certificate status, period of work experience and fall-related learning hours on their fall prevention awareness level were statistically significant. Secondly, among fall prevention health beliefs, perceived benefit, perceived disability, perceived sensitivity and self-efficacy were positively related to the level of fall prevention awareness. Thirdly, while such factors as perceived benefit, perceived sensitivity and self-efficacy showed positive effects on the fall prevention awareness, the period of work experience had negative effects. The regression model shows the power of explanation of 31.7 percents. In conclusion, the study suggests a fine-tuned program to improve care-givers' fall prevention awareness in a way of promoting fall prevention self-efficacy, perceived benefits and perceived sensitivity while considering the care-givers' period of work experience.

Comparative Study on Fall Related Characteristics between Single and Recurrent Falls in Community-Dwelling Older Women (재가 여성노인에서 1회 낙상군과 반복낙상군의 낙상관련 특성 비교연구)

  • Park, Hyoung-Sook;Chang, Rang;Park, Kyung-Yeon
    • Korean Journal of Adult Nursing
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    • v.20 no.6
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    • pp.905-916
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    • 2008
  • Purpose: The purpose of this study was to identify the influencing factors on the single and recurrent falls in community-dwelling older women. Methods: Seventy eight volunteers aged over 65 were included in the study. The participants experienced at least one fall within the past one year. Data were measured on each participant from May 2007 to September 2007, collected using structured researcher-administered sheets and measuring their physical strengths and analyzed by descriptive statistics, t-test, chi-square test, Mann-Whitney U test and logistic regression analysis. Results: The prevalence of recurrent falls were 53.8%. The level of education(Z = -2.455, p = .014) and the presence of spouse($x^2$ = 4.843, p = .044) showed significant differences between the single-fall group and the recurrent-fall group in the study. Significantly predicting factor on the recurrent falls was the level of education and the variable explained 20.1% of variants in the occurrence of recurrent falls. Conclusion: Although a variety of factors affected the single fall in the elderly women, the level of education and the presence of spouse proved to be the significant factors in their recurrent falls. These factors proven to be significant as the result of this should be reflected in the development of effective programs for preventing the elderly from recurrent falls.

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A Study on the Fear of Fall and Fall Efficacy in the Elderly (노인의 낙상두려움, 낙상태도 및 낙상효능감에 관한 연구)

  • Hyeon, Il-Seon
    • Journal of Industrial Convergence
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    • v.16 no.3
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    • pp.1-7
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    • 2018
  • This study is a descriptive research study for examining the general characteristics and health-related characteristics of the elderly in a local community, investigating factors for the fear of fall and identifying the relationship between the fear of fall, attitude to fall and fall efficacy. The subject of this study was 140 senior citizens who are using a community center in D city. The collected data was analyzed with the SPSS/WIN 21.0 program. The result of the study showed there was a significant difference in the fear of fall according to gender, person living together, subjective health condition, pain and unsafe gait. There was a significant negative correlation between the fear of fall and fall fear and fall efficacy. However, fall fear and fall efficacy were positive correlated. This study aims to provide necessary preliminary data for developing fall prevention program that can improve the fear of fall, attitude to fall and fall efficay based on the results of this study.

Factors associated with healthcare utilization for infant falls in South Korea: a cross-sectional online survey

  • Soo-Yeon Han;Cho Hee Kim
    • Child Health Nursing Research
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    • v.29 no.4
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    • pp.252-259
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    • 2023
  • Purpose: Falls are a common cause of unintentional injuries in infants. This study was conducted to examine the patterns of healthcare utilization following infant falls in South Korea. Methods: This cross-sectional descriptive study utilized an online survey designed to gather information regarding the general characteristics of parents and infants, fall-related variables, and healthcare use. Results: The most serious falls identified by parents occurred at an average infant age of 6.97 months. Most fall incidents took place indoors (95.7%), and many occurred under the supervision of caregivers (68.0%). Following the fall, 36.4% of the participants used healthcare services. Logistic regression analysis revealed that healthcare use following an infant fall was significantly associated with being a firstborn child (odds ratio [OR]=5.32, 95% confidence interval [CI], 2.19-15.28) and falling from a caregiver's arms (OR=4.22; 95% CI, 1.45-13.68). Conclusion: To prevent and decrease the frequency of infant falls, improvements are needed in both the domestic environment and parenting approaches.

A Study on the Classification Criteria Between Urban and Rural Area (도시와 농촌 지역 구분 기준 연구)

  • Kang, Dae-Koo
    • Journal of Agricultural Extension & Community Development
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    • v.16 no.3
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    • pp.557-586
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    • 2009
  • The objective is to find the classification criteria between urban and rural, and to classify the urban and rural area all the country in Korea. For the research objectives, reviews of related literature and statistical yearbooks were used for finding criteria and analysing data. Through reviewing the literature, some indicators were selected in views of rurality and urbanity, and gathered the data from statistical yearbooks. And factor analysis was used to find first and second factor for classifying region. Six factors as a city surrounding(36%), non-farmer household population ratio(28.1%), cultivated acreage(12.48%), agricultural production surrounding (12.40%), the farm family number change(5.58%) and household number rise and fall(5.54%) were finding. And rurality factors were cultivated acreage, agricultural production surrounding, the farm family number change and household number rise and fall, and urbanity factors were city surrounding and non-farmer household population ratio. Based on the first and second factor loaded amount, four type regional classification was followed.

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Water Physiology of Panax ginseng III. Soil moisture, physiological disorder, diseases, insects and quality (인삼의 수분생리 III. 토양수분, 생리장해, 병해충과 품질)

  • Park, Hoon
    • Journal of Ginseng Research
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    • v.6 no.2
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    • pp.168-203
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    • 1982
  • Effects of soil moisture on growth of Panax ginseng, of various factors on soil moisture, and of moisture on nutrition, quality, physiological disorder, diseases and insect damage were reviewed. Optimum soil moisture was 32% of field capacity with sand during seed dehiscence, and 55-65% for plant growth in the fields. Optimum soil moisture content for growth was higher for aerial part than for root and higher for width than for length. Soil factors for high yield in ginseng fields appeared to be organic matter, silt, clay, agreggation, and porosity that contributed more to water holding capacity than rain fall did, and to drainage. Most practices for field preparation aimed to control soil moisture rather than nutrients and pathogens. Light intensity was a primary factor affecting soil moisture content through evaporation. Straw mulching was best for the increase of soil moisture especially in rear side of bed. Translocation to aerial part was inhibited by water stress in order of Mg, p, Ca, N an Mn while accelerated in order of Fe, Zn and K. Most physiological disorders(leaf yellowing, early leaf fall, papery leaf spot, root reddening, root scab, root cracking, root dormancy) and quality factors were mainly related to water stress. Most critical diseases were due to stress, excess and variation of soil water, and heavy rain fall. The role of water should be studied in multidiciplinary, especially in physiology and pathology.

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Prevalence and Associated Factors of Falls in the Elderly Community (지역사회 재가 노인의 낙상에 영향을 미치는 요인)

  • Paek, Kyung-Won;Song, Hyun-Jong;Jung, Yoon-Seok;Moon, Hae-Won;Cho, Joon-Pil
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.1
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    • pp.47-54
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    • 2001
  • Objectives : To analyze factors associated with elderly falls in a community dwelling, a comparatively important, but somewhat neglected, health mailer. Methods : Data came from personal interview surveys using a questionnaire of 552 people aged 65 or older living in a community. Socioeconomic, and health related characteristics were investigated as independent variables and experiences of falling in the previous year as the dependent variable. Results : 118(21.4%) of the elderly subjects experienced a fall in the previous year. 24 subjects experienced more than two falls, accounting for 20.3% of the elderly fall victims studied. Factors affecting the falls were families living together, level of daily activity, heart disease, and aconuresis;, therefore an elderly person who lives alone, lives independently, has heart disease, or suffers urinary incontinence had a demonstrated increased chance of failing. Conclusion : Groups at risk for luting included elderly persons living alone, living independently, suffering heart disease, or experiencing urinary incontinence. When an elderly fall prevention program is developed and implemented, these results should be considered.

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Fall-Related Injury and Balance of the Elderly (노인의 낙상과 균형)

  • Kim On-Ju;Kim Tae-Sook;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.10 no.2
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    • pp.161-171
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    • 1998
  • Balance can be defined as the ability to maintain the body's center of gravity within the base of support with minimal sway. Falls occur frequently in the elderly persons by the physiological change and dysfunction with age. Injuries resulting from falls include soft tissue damage and fractures of the radius, humerus, and femoral neck other consequences of falls include decreased mobility, reduced confidence, long lies (which can give rise to hypothermia, dehydration and pneumonia), and death Risk factors for falls have beau classified as intrinsic (those related to the individual) and extrinsic(those associated with environmental features), Intrinsic factors include decreased strength, visual deficits, vestibular dysfunction, and decreased vibratory sensation in the feet. Improvement of the balance related to the increased probability for fells in the elderly persons and is important for fall preventions and improvement of the living quality ef the elderly persons

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A Study on the Elderly Patients Hospitalized by the Fracture from the Fall (낙상 사고에 의한 골절로 입원한 노인 환자에 대한 조사 연구)

  • 전미양;정현철;최명애
    • Journal of Korean Academy of Nursing
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    • v.31 no.3
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    • pp.443-453
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    • 2001
  • Purpose: To identify age, gender, medication, seasons and place of fall, and areas of the fractures from the fall among the hospitalized elderly patients in order to provide the basic data for future fall prevention program for the elderly. Methods: This study was conducted for 106 elderly patients admitted into a university hospital by fractures from the fall during the period from January 1, 1999 to December 31, 1999. Data on the age, gender, medication, season and place of the fall, areas of the fracture were collected based on their medical records. Result: The age range of the subjects were from 60 to 96 years old. The subjects were aged between 60-69 years old 49(46.2%), between 70-79 years old 31(29.2%), between 80-89 years old 24(22.6%), and over 90 years old 2(1.9%). Male patients comprised was 34(28.3%), while female patients comprised 76(71.7%). The fall occurred in Winter most frequently 34(32%). The place of the fall included room 81(76.4%), streets 13(12.3%), bathroom 6(5.7%), stair 4(3.8%), and mountain 2(1.9%). Twenty-two subjects (20.8%) had medication regularly, while 84 subjects (79.2%) had no medication. The areas of the fracture from the fall included upper extremities 20(18.9%) and lower extremities 86(81.1%). Radius fracture (7.5%) was the area where the fracture occurred most frequently in upper extremities and femur fracture (52.8%) was the area where the fracture occurred most frequently in lower extremities. A significant difference was found in the fracture area by age, season and place of the fall (p<.05). No significant difference was found in the fracture area by gender and medication. In all age groups, seasons and places of the fall, occurrence of fracture in lower extremity was significantly higher than that in upper extremity.

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Effect of Rhythmic Exercise Program to Elderly on Risk Factors of Fall Injury (노인을 대상으로 한 율동 운동 프로그램 실시 효과: 낙상 위험 요인과 관련하여)

  • Lee, In-Sook;Chin, Young-Ran;Lee, Dong-Ok;Kim, Yun-A;Baek, Kyeng-Ae
    • Research in Community and Public Health Nursing
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    • v.12 no.3
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    • pp.600-608
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    • 2001
  • Accidents are the fourth-leading causal factor of death among the elderly, and fall is a major type of accident (53.17%). Many cases of falls in the elderly result in delayed discovery and loss of quality of life. As the number of the elderly grows, falls will be a more important health problem. Most previous research on falls investigated prevalence. mortality, and the related factors. There are many studies proving the effect of rhythmic movements. But few researches considered linking risk factors of fall with rhythmic movements. Purpose: We want to show the changes after performing rhythmic movement program, in risk factors of falls and mobility such as flexibility, balance, muscle power and persistency in the elderly, in order to provide basic information needed for the development of fall injury prevention program for the elderly. Method: The design of this study is quasi-experimental, the equivalent control group, pretest-posttest. The subjects consist of 124 people who lived in Do-Bong-Qu. Seoul, agreed to participate in this study, and were able to follow this rhythmic movement program. About 93 % of them are from 65 to 84 years (Mean${\pm}$sd: $73.7{\pm}5.7$): 64% are female. The rhythmic movement program was designed. and performed by two community health nurses working in the Do-Bong-Gu Public Health Center, regularly twice a week from May, 4 to December, 17. in 10 senior citizens' community centers. Risk factors of fall were measured with RAFS- II (Risk Assessment for Falls Scale II) by asking about each item: mobility was measured by observing their specific movements asked by investigators. Results: 1. After performing the program during 7 months, risk factors score of falls were decreased significantly (paired-t = 4.77. p<0.01). 2. After performing the program during 7 months, flexibility (paired-t = 2.26. p=0.03) and mobility were improved (paired-t = 4.98. p<0.01). but muscle power and persistency did not change (paired-t = 0.33. p=0.74). Overall, mobility affecting the occurrence of falls was improved significantly (paired-t = 5.15. p<0.01). Conclusions: A regular rhythmic movement program can be helpful in preventing falls in the elderly. Further. we can develop a fall injury prevention program using rhythmic movement.

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