• The Journal of the Korea Contents Association
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• v.15 no.5
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• pp.426-435
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• 2015

The aim of this study was to investigate the effects of an one-to-one fall prevention education on the falls and fall factors of adults who have had a stroke. 17 adults who have had a stroke were recruited and a total of four sessions of weekly one-to-one fall prevention educational program was developed considering the stroke population's cognitive abilities. Each sessions were composed of different fall-related subjects of introduction of fall, fall prevention exercise, fall prevention assistive device, and fall prevention environment modification. Dependent variables were the number of fall and fall danger in the recent month, balance ability, fear of falls, fall efficacy and depression. After four sessions of one-to-one fall prevention education, participants showed significantly positive changes in all dependent variables except for the balance ability(p<.05). An one-to-one fall prevention education to adults with stroke could decrease the number of fall and fall danger, fear of falls, depressive symptoms and fall efficacy. In order for the stroke adults to remain safely in their community and hospital, an one-to-one fall preventive education considering their cognitive level is needed.

• Journal of agricultural medicine and community health
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• v.38 no.4
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• pp.243-256
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• 2013

Objectives: This study was to investigate fear of falling and related factors in elderly living alone based on fall experience. Methods: Participants were 404 elderly women(faller=148, non-faller=256) over 65 years who were homebound living alone in Jeollanam-do Province. Face-to-face interviews were conducted using questionnaires from April $23^{th}$ to June $9^{th}$ 2013. The questionnaires consisted of demographic variables, fall experience, Fear of falling questionnaire(FOFQ), Falls Efficacy Scale(FES) and Center for Epidemiologic Studies Depression(CES-D). The collected data were analyzed using the SPSS version 14.0. Results: The fear of falling and the influential factors were different according to fall experience. Regression model for fear of falling in fallers significantly accounted for 46.1%(F=6.71, p<0.001); difficulty of performing activity, depression, fall-efficacy, static balance and assistive devices. Regression model for fear of falling in non-fallers significantly accounted for 55.2%(F=15.16, p<0.001); fall-efficacy, environmental hazards, difficulty of performing activity, risk of nutrition, housing type, dizziness and assistive devices. Conclusion: Results demonstrate that fall is an important health problem for elderly women living alone, and show fall experience for factors influencing fear of falling. These results could be used in the developing fall prevention programs.

• Journal of Convergence for Information Technology
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• v.11 no.11
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• pp.1-9
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• 2021

This study aimed to find out the factors influencing the fall of middle-aged women aged 40 to 64 and to use it as basic data for the development of a fall prevention program. The study was based on raw data from the 2019 Korea Community Health Survey. To establish the impact of fall experience of middle-aged women, descriptive statistics, chi-square test, and multiple logistic regression were used. Of the 43,917 people surveyed, 11.9% of middle-aged women said that they had experienced a fall. Falls were more common among women with increasing age or without a spouse. Those who experienced a lot of depression and perceived stress and were diagnosed with diabetes also had a higher fall experience. In the case of drinking, women who drank more than non-drinkers were more likely to fall. The results of this study can lead to a better understanding middle-aged women who have experienced falls, and they can be used as basic data for the development of related health programs.

• Journal of Convergence for Information Technology
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• v.12 no.3
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• pp.55-65
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• 2022

Elderly people with Parkinson's disease have higher rates of physical and mental risk factors for falls than non-Parkinson's disease elderly. The purpose of this study is to investigate this by using national data that includes the entire population of the elderly in Korea. As a secondary analysis study using data survey on the elderly by the Ministry of Health and Welfare in 2017, there were a total of 103 elderly people with Parkinson's disease, and a total of 96 subjects were analyzed excluding missing values. In the elderly with Parkinson's disease, the factor most influencing the fall was IADL, and IADL is related to motor control function. Decreased motor control limits physical movements essential for daily life, and even affects self-protective behavior in emergency situations, affecting falls. Based on the research results that IADL can affect falls, various exercise therapies for fall prevention interventions in the elderly with Parkinson's disease can be suggested.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.12
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• pp.6353-6363
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• 2013

This study examined the factors associated with recurrent falls among the community-dwelling elderly. The participants were 329 community-dwelling elderly. The data was collected from February 5, 2010 to February 14, 2010. Over the past 1 year, 14.3% of the 329 participants fall once, and 4.0% experienced recurrent falls. There was a significant difference among the non fallers, single faller and recurrent fallers with regard to the static balance(F=5.86, p=.003), dynamic balance(F=24.32, p<.001), risk of fall(F=9.94, p<.001) and compliance of prevention behavior related to falls(F=3.09, p=.047). The analysis results for the correlation between variables showed that the number of falls had a negative effect on the knee flexors muscular strength(r=-.15, p=.008), static balance(r=-.16, p=.004) and compliance of prevention behavior related to falls(r=-.12, p=.030) and a positive affect for the dynamic balance(r=.26, p<.001), depression(r=.13, p=.019) and risk of falls(r=.30, p<.001). The variables explained 36.0% of the variants in the occurrence of recurrent falls. Therefore, an effective recurrent fall prevention program should focus on multiple risk factor intervention.

• Physical Therapy Korea
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• v.21 no.2
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• pp.37-47
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• 2014

Falls are common after stroke and most frequently related to loss of balance while walking. Consequently, preventing falls is one of the goals of acute, rehabilitative, and chronic stroke care. The purpose of this study was to investigate the incidence and risk factors of falls and to determine how well the Falls Efficacy Scale (FES), Timed Up and Go test (TUG), and Berg Balance Scale (BBS) could distinguish between fallers and non-fallers among stroke patients during inpatient rehabilitation. One hundred and fifteen participants with at least 3 months post-stroke and able to walk at least 3 m with or without a mono cane participated in this study. Fifty-four (47%) participants reported falling, and 15 (27.8%) had a recurrent fall. Logistic regression analysis for predicting falls showed that left hemiplegia [odds ratio (OR)=4.68] and fear of falling (OR=5.99) were strong risk factors for falls. Fallers performed worse than non-fallers on the FES, TUG, and BBS (p<.05, p<.01, respectively). In the receiver operator characteristic curve analysis, the TUG demonstrated the best discriminating ability among the three assessment tools. The cut-off score was 22 seconds on the TUG for discriminating fallers from non-fallers (sensitivity=88.9%, specificity=45.9%) and 27 seconds for discriminating recurrent fallers from single fallers and non-fallers (sensitivity=71.4%, specificity=40.2%). Results suggest that there is a need for providing fall prevention and injury minimization programs for stroke patients who record over 22 seconds on the TUG.

• Journal of Korean Academy of Nursing
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• v.27 no.4
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• pp.820-830
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• 1997

Sleep is an essential component for health and the quality of life of individuals, and is affected by multiple factors. Thereby, sleep impairment is known to be frequent even in healthy subjects. The purpose of the study is to compare sleep patterns and related factors between healthy young and old adults and to identify aging effects upon sleep in a cross-sectional way. The survey questionnaire was developed by translation and modification of two well-known sleep questionnaires which were originally developed by Monroe(1967) and Ellis, et al. (1982). Discussion with experts and pilot study were completed to finalize the contents of the questionnaire that was used in this study. Results are as follows : 1. Sleep complaints were lower in older adults. 2. The most frequent variables that explain sleep satisfaction were feeling rested in the morning in the older adults and feeling rested and failing asleep within five minutes in the young adults. 3. Regarding sleep-disturbing factors, physical factors were more frequently reported in the older adults and environmental factors are reported more frequently in the young adults, and there was no difference related to the emotional factors between the two groups. 4. Young adults were practiced strategies for better sleep more often than the older adults, and they were mainly in-home activities just before sleep. 5. Sleep patterns which change with aging were as follows : going to bed and waking up earlier : not staying in the bed long after waking up ; getting harder to fall asleep ; frequent arousal after sleep onset ; getting harder to go back to sleep after arousal during night sleep. From the results of this study, it can be concluded that sleep and related factors of the young and the older adults are different. Also, sleep patterns change with aging and those changes seem to be negative for sleep in the elderly. Repeated studies are needed to establish more concrete information regarding sleep patterns. In addition, further research is needed to develop more reliable, valid, and feasible sleep measure tools, and to develop and evaluate nursing interventions.

• Journal of the Korea Convergence Society
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• v.9 no.9
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• pp.389-397
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• 2018

This study identified the knowledge, attitude and degree of prevention behaviors on falls of the elderly and analyzed the relationship among them as well as their effects on fall prevention behaviors. This study was targeted at 167 elderly attending senior welfare centers and data collected by interview was analyzed using SPSS 18.0 program. As a result of correlation analysis, positive relations were identified between knowledge and attitude on falls, as well as attitude and prevention behaviors on falls. Factors that had significant effect on fall prevention behaviors were gender and attitude and showed 21.1% of explanatory power (F=8.41, p<.001). The study further suggests intervention programs on fall prevention focusing on the improvement of attitude on falls for enhancing fall prevention behaviors of the elderly to be developed and applied based on the results of this study.

• Korean Journal of Adult Nursing
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• v.22 no.4
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• pp.430-437
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• 2010

Purpose: The purpose of this study was to investigate the balance confidence and balance ability among community-residing stroke patients. Methods: The sample for this study was a convenience sample obtained from patients who visited welfare centers for the disabled in three cities from October to December in 2009. The Activities-specific Balance Confidence Scale and Berg Balance Scale were used to measure confidence in task performance and balance ability. Results: The level of balance confidence and balance ability were low in these subjects. There was a significant relationship between balance confidence and balance ability (r=.424, p=.000). Subjects with less balance ability felt less balance confidence. Conclusion: Among community-residing stroke patients, falls are common. Falls prevention which may contribute to the incidence of fall and fall related injury should be part of stroke rehabilitation plan. Also, it is necessary that an intervention for falls prevention after stroke should take into account factors such as the balance confidence and balance ability.

• Health Policy and Management
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• v.29 no.2
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• pp.172-183
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• 2019

Background: Falls are the most frequent adverse events reported in hospitals. The aim of this study was to investigate the incidence rate and characteristics of falls in patients who used comprehensive nursing care service in National Health Insurance Service Ilsan Hospital. Methods: Incidence rate of falls was investigated in patients using comprehensive nursing care service, from July 2013 to Jun 2017 and compared with those not using this service. The characteristics and risk factors for falls, and fall-related injuries were obtained. Results: Among the 62,445 patients who used the comprehensive nursing care service for 4 years, total of 672 falls were reported. The incidence rate of falls per 1,000 patients-day was 1.15. The percentage of fall-related injuries was 26.9% and that of major injury was 2.2%. Although the incidence rate of all falls was slightly higher in patients using comprehensive nursing care service than those not using this service, falls-related injuries were not correlated with the implementation of this service. Conclusion: The falls could be more frequently detected and reported in comprehensive nursing care service, but there was no difference in fall-related injuries.