• Title/Summary/Keyword: Fall-related Factors

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Hand Assessment for Women's Spring-Fall Dress Fabrics(Part 1) - Development for the Subjective Hand Evaluation Scale - (여성용 춘추복지의 태에 관한 연구(제1보) -태의 주관적 평가척도 개발을 중심으로-)

  • 홍경희;김재숙
    • Journal of the Korean Society of Clothing and Textiles
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    • v.18 no.3
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    • pp.327-338
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    • 1994
  • KES-F system is widely used in hand evaluation, however, it has encountered some challenges, such as the overlapping of primary hand value, lack of predictability in case of women's thin dress, difficulties in communication due to complexity of primary hand expression and cultural differences in subjective evaluation. Therefore, this study was intended 1) to find out the Korean primary hand expressions(factors) of the overall concept of fabric hand associated with women's spring- fall dress fabrics, 2) to develope the fabric hand attributes of those fabrics and 3) to show whether there are any differences between Korean textile experts and non-experts in terms of the concept of fabric hand descriptors of hand attributes. Data base of hand descriptors were collected by extensive interview 60 experts and 10 non - experts using 110 spring-fall dress fabrics. Finally, hand of selected fabrics was assessed by 205 experts and 265 non-experts using 7-point scale of 26 descriptors based on the data base. Subjective ratings were analyzed by common factor analysis with varimax rotation. It was found that Korean primary hand expression indicated rather simple property, hence, did not equate exactly with Japanese experssion(e.g. koshi, shinayakasa, etc.) which contains several material properties. There were differences in stretch IE resilience, especially liveliness, between the judgement of non- ex- pert than to experts. Surface- related category was more important to non-experts than to experts. Slight differences were found between both groups in terms of preferred descriptors. Important descriptors as a rating scale were suggested.

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Factors Influencing Fear of Falling among Women in the Early Phase of Old Age by Assessing Level of Hand Grip Strength (노년전기 여성의 악력 수준에 따른 낙상 두려움의 영향 요인)

  • Noh, Jun Hee;Lim, Eun Ju
    • Journal of Home Health Care Nursing
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    • v.25 no.1
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    • pp.96-104
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    • 2018
  • Purpose: This study compared factors related to fear of falling among women in the early phase of old age based on hand grip strength. Methods: Researchers obtained data of 1,071 women who had participated in the 4th Korean Longitudinal Study of Aging. Data were analyzed using multiple regression analysis. Results: In both groups, fear of falling was positively correlated with falling experience within two years, osteoarthritis-related leg pain, depression, and instrumental daily life abilities; however, self-rated health was negatively correlated. In the low hand grip strength group, self-rated health, osteoarthritis-related leg pain, and hand grip strength accounted for 21.3% of the variance regarding fear of falling. In the normal hand grip strength group, age, self-rated health, fall experience within two years, osteoarthritis-related leg pain, and depression significantly accounted for 16.6% of the variance regarding fear of falling. Conclusion: In applying interventions to prevent falling in women in the early phase of old age, health care workers must verify if women have low hand grip strength and determine whether to focus on fitness improvement through exercise interventions or consider psychological interventions for depression.

Comparison of Comprehensive Health Status and Health-related Quality of Life between Institutionalized Older Adults and Community Dwelling Older Adults (시설 노인과 재가 노인의 다면적 건강상태와 건강관련 삶의 질 비교)

  • Hyun, Hye-Jin;Chang, Ae-Kyung;Yu, Su-Jeong;Park, Yeon-Hwan
    • Research in Community and Public Health Nursing
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    • v.23 no.1
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    • pp.40-50
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    • 2012
  • Purpose: The aim of this study was to compare the factors of health-related quality of life in older adults according to the type of residency. Methods: A cross-sectional comparative study was conducted. The subjects were 114 institutionalized older adults and 99 community dwelling older adults. Data were collected through face-to-face interviews by nurses using structured questionnaires composed of SF-36 (ver.2) and CGA-SF. Results: The institutionalized older adults had more health problems and experienced lower quality of life compared to community dwelling older adults. Factors influencing health-related quality of life for institutionalized older adults were social support, educational level, and ADL, which explained about 25.7% of the total variance, while thoseof community dwelling older adults were IADL, experiencing fall, and weight loss, which had explanatory power of 31.8%. Conclusion: These results indicate that differentiated nursing strategies according to the type of residency are required to promote health-related quality of life for older adults.

Effect of Structure and Surface Characteristics of worsted Wool Fabrics on the Subjective Hand - Women's Spring -Fall Suit Fabrics - (소모직물의 구조적 특성 및 표면특성이 주관적 감각에 미치는 영향 -여성춘추용 수트 직물을 중심으로-)

  • 김동옥;최원경;김은애
    • Journal of the Korean Society of Clothing and Textiles
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    • v.26 no.2
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    • pp.355-363
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    • 2002
  • The purpose of this study was to investigate how the weave type, yarn twist fabric count and fiber content of the worsted fabrics affect the subjective sensation of the hand. Thirty worsted fabrics that were mainly used for the spring and fall ladies'suits at national brands were selected. Variables were such as four different kinds of weave types, plain, twill, satin and decorative; two levels of yarn twist, normal and high; various fabric counts; two different fiber contents, pure wool and Lycra contained. Image analysis and wavelet transform techniques were used to quantify the surface fiber, For surface characteristics, MIU, MMD and SMD were measured by KES-FB system. The Questionnaires with 23 adjectives were used for the subjective hand evaluation. Panels were So specialists of fashion or fabric designers and merchandizers. By Factor Analysis, six factors that represent the subjective hand were extracted. The relationship between these factors and structural variables were analyzed. Yarn twist was significantly related to the surface characteristics and resilience. Weave structure affected surface characteristics, volume/warm-cool feeling and resilience. Fabric counts showed relations with volume/warm-cool feeling and the fiber contents with volume/warm-cool feeling, resilience and elastic properties. MIU, MMD and SMD showed no relations with the surface fibers. Subjective sensation of surface characteristics was affected by SMD and surface fibers.

Factors Related to Subjective Health Status in Community-Dwelling Older Adults Living Alone on Low Income (지역사회 거주 저소득 독거노인의 주관적 건강상태 관련요인)

  • Yi, Yumi;Park, Yeon-Hwan
    • Journal of muscle and joint health
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    • v.29 no.3
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    • pp.205-217
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    • 2022
  • Purpose: This study aimed to investigate the factors affecting the subjective health status (SHS) of low-income older adults living alone. Methods: This is a cross-sectional correlational study using secondary data analysis. Sociodemographic and health-related characteristics were included in this analysis. The health-related characteristics were categorized into three domains: physical, characterized by the number of chronic diseases and fall-related factors, timed up and go, and grip strength; psychological, in terms of depression and loneliness; and social, in terms of social support. Data were analyzed using descriptive analysis, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis. Results: The mean SHS score was 2.46 out of five. Several factors influenced the SHS of low-income older adults living alone, including sex, age, level of education, monthly income, and the three domains. Four significant predictive factors of SHS in low-income older adults living alone were identified (42.5%): the number of chronic diseases, fear of falling, depression, and social support. Conclusion: SHS is a critical factor for older adults living alone on a low-income. Hence, evaluating SHS and developing interventions to improve it periodically is necessay. Such interventions should consider chronic disease management, screening and mediation for depression and fear of falling, and strengthening their social support systems.

Experience of Falls and Predictors of Falls in the Elderly at Senior Citizens' Centers (경로당 이용 노인의 낙상경험과 낙상 예측요인)

  • Yoo, In-Young;Choi, Jung-Hyun
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.14-22
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    • 2007
  • Purpose: The purpose of this study was to investigate the experience of falls, the fear of falling and fall efficacy and identify the predictors of falls in the elderly at senior citizens' centers. Method: The subjects of this study were 106 elders who used senior citizens' centers in Chungcheongbuk-do, Korea. Data were collected from May to June, 2006 through a survey using a structured questionnaire. Result: Of the elderly sampled, 35.8% experienced falls during the last 1 year. Of falls experienced by the elderly, 53% occurred indoors, 47% outdoors, 15.8% in the bathroom or toilet. In addition, 57.8% of the elderly had injuries on the hip and waist related with falls. The fear of falling was higher in those with experience in falls than in those without. Factors affecting the elders' falls were age (OR=1.113, 95% CI=1.012-1.224), the number of chronic disease (OR=2.342, 95% CI=1.365-4.019) and the fear of falling (OR=4.279, 95% CI=1.901-9.634). The predictor of the frequency of falls was fall efficacy ($R^2=24.9$). Conclusion: As a result, it is essential to develop fall prevention programs based on the fear of falling, fall efficacy, chronic diseases and medication state. And in senior citizens' centers, fall prevention safety education should be activated as a health promotion program.

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Risk Factors for Hip Fracture among the Elderly (노인들의 고관절골절 위험요인에 관한 환자-대조군 연구)

  • Kim, Yong-Kwon;Cho, Young-Ha
    • Journal of Korean Physical Therapy Science
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    • v.9 no.1
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    • pp.25-36
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    • 2002
  • Objectives: This study was conducted to find out risk factors related to elderly hip fracture, so that the result could provide basic data to establish prevention programs for hip fracture among the elderly. Methods: The data were collected from 199 cases hospitalized in 4 university hospitals in Pusan from January, 1996 to December, 1998, 193 healthy controls who visited elderly facilities in Pusan. The data were obtained from medical records and by using questionnaires through telephone contact or direct personal interview with the subjects or their family, and were analyzed for 2-test and multiple logistic regression. The risk factors were shown with odds ratios and their 95% confidence intervals. Results: In univariate analysis, the odds ratio of hip fracture risk was estimated to be 1.9 for the elderly aged 75 years as compare with those aging less than 65 years; 42 for those with job as compared with those without job; 3.3 for those with more than 6 children as compared with those with one or two children. For the variables related to physical characteristics, small height (p=0.015), light weight (p=0.000), and low BMI (p=0.014) were risk factors for elderly hip fracture. Sane variables related to health, such as previous history of illness (OR=3.3.), abnormal blood pressure (OR=1.6), previous fracture history (OR=22), lower limbs weakness (OR=12.1) and gait disturbance (OR=42.6), were significantly associated with the risk of hip fracture. In multiple logistic regression, risk factors for hip fracture were age, having job, lower limb weakness and previous history of illness. The adjusted odds ratios of hip fracture risk among the elderly were age (OR=1.1), having jobs (OR=11.7), weak lower limb (OR=10.8) and previous history of illnesses (OR=3.3), respectively. Conclusion: This study suggests that the plan for improving the daily living environment for the elderly systematically should be implemented to avoid the chances of fall, and that programs encouraging to practice regular exercise for physical activity and to promote health of the elderly should be developed.

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Factors Affecting Hospitalized Children's Falls - Using Data in the National Hospital Discharge In-depth Injury Survey (입원 아동의 낙상영향요인 -퇴원손상심층조사 자료를 이용하여-)

  • Lee, Jeong Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.510-516
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    • 2020
  • This study investigated the characteristics and factors affecting inpatient infants, children, and adolescents who experienced falling, using NHDIS data from 2008 through 2017, The study analyzed data of 116 patients who were under 18 and who experienced injuries (KSCD, S00-S99) by falling (KSCD, W00-W19). Frequency analysis, cross-tabulations, and multiple regression analysis were conducted, using SPSS 23. There were more boys than girls, and most of the falls occurred at the ages of over one to under six years old. Most of the children had respiratory diseases, and most had open wounds or bruises due to falling. Also, most of the falls were related to the bed. In the factor analysis, age (β=.318), the main diagnosis (β=.231), and injury (β=.169) except gender affected falling. This suggests that it is necessary to conduct fall prevention education for children, considering the developmental stage characteristics and age group. It is necessary to screen the risk group such as children with a disease with relatively less restriction of activities or with a hyperactive disorder, and to develop a related manual. Hopefully, the results will be used as the basic data for fall prevention education and creating a fall prevention manual according to the characteristics of children's developmental stage for patients who need hospitalization, their caregivers, and the relevant medical team.

Clinical Practice Guideline for Assessment and Prevention of Falls in Adult People (낙상위험요인 평가 및 낙상예방활동 임상진료지침)

  • Chun, Ja-Hae;Kim, Hyun-Ah;Kwak, Mi-Jeong;Kim, Hyuo-Sun;Park, Sun-Kyung;Kim, Moon-Sook;Choi, Ae-Lee;Hwang, Jee-In;Kim, Yoon-Sook
    • Quality Improvement in Health Care
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    • v.24 no.2
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    • pp.41-61
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    • 2018
  • Purpose: Falls are one of the most frequent health events in medical institutions, however, they can be predicted and prevented. The Quality Improvement Nurse Society clinical practice guideline Steering Committee developed the Clinical Practice Guideline for the assessment and prevention of falls in adult people. The purpose of this study was to assess the risk factors for falls in adults aged 19 years and older, to present an evidence for preventing falls, formulate a recommendations, and indicators for applying the recommendations. Methods: This clinical practice guideline was developed using a 23-step adaptation method according to the Handbook for clinical practice guideline developer (version 1.0) by National Evidence-based Healthcare Collaborating Agency. Evidence levels and recommendation ratings were established in accordance to SIGN 2011 (The Scottish Intercollegiate Guidelines Network). Results: The final 15 recommendations from four domains were derived from experts' advice; 1) assessment of risk factor for falls in adult 2) preventing falls and reducing the risks of falls or falls-related injury 3) management and reassessment after a person falls 4) leadership and culture. Conclusion: This clinical practice guideline can be used as a basis for evaluation and prevention of fall risk factors for adults, to formulate recommendations for fall risk assessment and fall prevention, and to present monitoring indicators for applying the recommendations.

Risk Factors for Positional Vertigo and the Impact of Vertigo on Daily Life: The Korean National Health and Nutrition Examination Survey

  • Park, Moo Kyun;Lee, Doh Young;Kim, Young Ho
    • Journal of Audiology & Otology
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    • v.23 no.1
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    • pp.8-14
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    • 2019
  • Background and Objectives: This study aimed to analyze risk factors for positional vertigo (PV) and the influence thereof on daily life and subjective quality-of-life (QoL). Subject and Methods: A cross-sectional study was conducted using data of the 2010 Korea National Health and Nutrition Examination Survey. The study population consisted of 1,274 individuals aged >40 years for whom complete dizziness-related data were available. Blood and urine tests were performed, and nutritional intake, QoL, and subjective health status were measured using a questionnaire. The associations between PV and blood/urine test data and nutritional intake were evaluated via multiple logistic regression analysis. Results: A history of PV within the previous year was reported by 98 individuals (7.7%). Advanced age and female gender were both significantly associated with such a history. Serum hemoglobin, creatinine, and triglyceride levels correlated significantly with a history of PV. Carotene, vitamin A, and vitamin B2 intakes were significantly lower in individuals with PV. Multivariate analysis revealed that only age was significantly associated with a history of PV (p=0.003). Although subjective health status score was not significantly lower in subjects with PV, subjective impairments in mobility, self-care, the performance of usual activities, and anxiety/depression were more prominent in individuals with PV. A fall history and limitations of activity were also significantly higher in individuals with PV (p<0.001 and p=0.003, respectively). Conclusions: Age was a risk factor for PV, which affected most QoL parameters, fall frequency, and the performance of normal activities.