• Title/Summary/Keyword: Perception of fall risk

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Fall Risk in the Community-dwelling Elderly who Received Home Care Services: Focused on Residential Environment and Perception of Fall Risk (방문간호를 받는 재가노인의 낙상위험)

  • Lee, Chong Mi;Cho, Bok-Hee
    • Journal of muscle and joint health
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    • v.21 no.1
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    • pp.36-45
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    • 2014
  • Purpose: The purpose of this study was to investigate the factors increasing fall risk in the residential environment risk and the perceived fall risk among the older adults who received home care services to provide information for developing a comprehensive falls intervention program. Methods: The subjects were 227 community-dwelling elderly aged 65 years and over who were taken care of by home-visiting nurses of the national health centers. The data were collected from July to August in 2012 using the Choi's residential environmental risk scale (2010) and the Hong's fall risk scale (2011). Results: Requires an assistive devices to walk, modified residential environment, health security, approval certificate of LTC, residential safety perception, residential environment risk, and perception of fall risk were statistically significant risk factors. A multiple logistic regression analysis showed that room & kitchen, physical perception, medication & ADL perception, floor-related environmental perception, and daily living tool-related perception were statistically significant predictors of fall. Conclusion: The results showed that the residential environment and the perceived fall risk were associated with fall experiences among the elderly. It is necessary to develope multifactorial intervention programs considering both environmental and perceived risk factors as well as physical risk factors to reduce and prevent falls among the elderly.

The Mediating Effect of Fall Risk Perception on the Relationship between Fracture Risk and Fall Prevention Behaviors in Women with Osteoporosis (골다공증 여성의 골절위험도와 낙상예방행위와의 관계에 미치는 낙상위험지각의 매개효과)

  • Lee, Eun Nam;Choi, Eun Jung;Jang, Moon Jung;Hwang, Hyun Ju
    • Journal of muscle and joint health
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    • v.22 no.2
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    • pp.130-137
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    • 2015
  • Purpose: This study aims to establish a theoretical framework for the fall prevention behavior improvement program by verifying the associations between fracture risk, fall risk perception, and fall prevention behaviors in women with osteoporosis. Methods: A survey was conducted in 122 women who were diagnosed as osteoporosis by having T-score of the femur bone density below -2.5 standard deviation from the bone density examination performed in 2 orthopedic clinics located in B metropolitan city between July 2014 and September 2014. The risk of fracture, level of fall risk perception, and fall prevention behaviors were measured. Results: Fall risk perception had a complete mediating effect on the relationship between the fracture risk and fall prevention behaviors in women with osteoporosis. Conclusion: The perception of fall risk is important to enhance fall prevention behaviors in women with osteoporosis, and the development of various education programs to improve awareness of fall risk is needed.

Relations among Fall Efficacy, Perception of Fall Risk and Fall Prevention Behavior in the Frail Elderly at Home (재가 허약노인의 낙상효능감, 낙상위험지각 및 낙상예방행위와의 관계)

  • Kim, Young-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.7
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    • pp.3383-3389
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    • 2013
  • The purpose of this study is to identify the relationship between falls efficacy, perception of fall risk and fall prevention behavior in frail elderly. The data was collected from 300 elderly through the questionnaire. 1)the mean score of fall efficacy was $34.3{\pm}11.5$, perception of fall risk was $34.3{\pm}11.5$, and fall prevention behavior was $17.7{\pm}2.75$. 2)Fall efficacy was significantly different according to falls experience(t=2.905, p<.05). Perception of fall risk was significantly different according to falls experience (t=2.704, p<.05) and Fall prevention behavior was significantly different according to falls experience (t=2.706, p<.05). 3) It showed the negative relation between fall efficacy and perception of fall risk. It showed the positive relation between falls efficacy and falls prevention behaviors, and falls prevention behaviors and perception of fall risk. According to this study, it showed relation between fall efficacy, perception of fall risk and falls prevention behaviors. Thus it is highly recommended to include reinforce of efficacy and perception of fall risk in an effective fall-prevention program.

Psychometric Properties of the Fall Risk Perception Questionnaire-Short Version for Inpatients in Acute Care Hospitals

  • Choi, Jeeeun;Lee, Sujin;Park, Eunjin;Ku, Sangha;Kim, Sunhwa;Yu, Wonhye;Jeong, Eunmi;Park, Sukhee;Park, Yusun;Kim, Hye Young;Kim, Sung Reul
    • Journal of Korean Academy of Nursing
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    • v.54 no.2
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    • pp.151-161
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    • 2024
  • Purpose: Patients' perception of fall risk is a promising new indicator for fall prevention. Therefore, a fall risk perception questionnaire that can be used rapidly and repeatedly in acute care settings is required. This study aimed to develop a short version of the fall risk perception questionnaire (Short-FRPQ) for inpatients. Methods: For the psychometric measurements, 246 inpatients were recruited from an acute care hospital. The construct (using confirmatory factor analysis and discriminant validity of each item), convergent, and known-group validities were tested to determine the validity of the Short-FRPQ. McDonald's omega coefficient was used to examine the internal consistency of reliability. Results: In the confirmatory factor analysis, the fit indices of the Short-FRPQ, comprising 14 items and three factors, appeared to be satisfactory. The Short-FRPQ had a significantly positive correlation with the original scale, the Korean Falls Efficacy Scale-International, and the Morse Fall Scale. The risk of falls group, assessed using the Morse Fall Scale, had a higher score on the Short-FRPQ. McDonald's omega coefficient was .90. Conclusion: The Short-FRPQ presents good reliability and validity. As patient participation is essential in fall interventions, evaluating the fall risk perception of inpatients quickly and repeatedly using scales of acceptable validity and reliability is necessary.

On the Physical Function Evaluation, Prevention Training, and Cognitive Ability Improvement through the Design of a Healthcare Independence Support System based on Emotional Satisfaction of Senior Users

  • Lee, Sang Min;Kim, Joo Uk;Kim, Young Min
    • International Journal of Internet, Broadcasting and Communication
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    • v.13 no.1
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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.

The Perception of Interior Design Factors Related to Risk of Falls among Elderly (실내디자인 요소와 낙상에 대한 노인들의 인지에 관한 연구)

  • 박희진
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2000.11b
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    • pp.131-136
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    • 2000
  • The purpose of this study is to identify the perceptual differences among independent elderly relative. to falls risk associated with specified environmental design factors. The sample consisted of 135 independent elderly who live in Ulsan. The data were collected by utilizing questionnaire which included demographic information, and environmental design assessments accompanied by line drawings. The data were analyzed by using SAS program. The major findings were as follows: (1) There were 35(25.9%) elderly experienced fall(s) within one year and about half of the fallers fell more than once. (2) The elderly perceived lighting is the most hazardous interior design factor related to increased risk of falls. (3) There was a significant difference among age groups on perception of lighting as interior design factors and the elderly perceived differently floor as interior design factors by their perceived health status.

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The Perception of Interior Design Factors Related to Risk of Falls among Elderly (실내디자인 요소와 낙상에 대한 노인들의 위험인지에 관한 연구)

  • 박희진
    • Korean Institute of Interior Design Journal
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    • no.25
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    • pp.130-134
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    • 2000
  • The purpose of this study is to identify the perceptual differences among independent elderly relative to falls risk associated with specified environmental design factors. The sample consisted of 135 independent elderly who live in Ulsan. The data were collected by utilizing questionnaire which included demographic information, and environmental design assessments accompanied by line drawings. The data were analyzed by using SAS program. The major findings were as follows: (1) There were 35(25.9%) elderly experienced fall(s) within one year and about half of the fallers fell more than once. (2) The elderly perceived lighting is the most hazardous interior design factor related to increased risk of falls. (3) There was a significant difference among age groups on perception of lighting factors and the elderly perceived floor factors differently by their perceived health status.

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A Study on the Relationships between Purchasing Behavior of Textile and Perceived Risk. (옷감 구매행동에 있어서 지각된 위험 (perceived Risk)의 역할에 관한 연구)

  • 남상우
    • Journal of the Korean Home Economics Association
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    • v.26 no.1
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    • pp.21-31
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    • 1988
  • The main problem of consumer behavior is choice since the outcome of me of a choice can only be known in the future, consumers are forced to deal with the risks of und\certainty. So, perception of risk is pivotal aspect of consumer behavior. This study was designed to investigate the relationships between purchasing behavior of textile and perceived risk. Data were obtained from 276 housewives. ANOVA, x2-test were employed to analyse the data. The result were : 1. general features of textile purchase behavior are as follows. Blend wools and pure wool products are prefered. Fall is the major season in purchasing textile. Wholesalers, department stores and agent stores are prefered. Purchasing decision making process independent upon not only textile itself but the practice value of the textile. Purchasing textile, married young women depend on outward shape of the textile, middle and old aged groups depend on the economic value of the textile and the credibility of the stores. 2. Perception of risk is relatively high in the preference of store, color/design, and psycological uncertainty. But the perceived risks is relatively low in brand, price and social credibility. 3. There is significant relationship between the recognition rate of risk and the sensitiveness of the consumer. In addition, there are strong relationship between the risk rate and the preference of shop, brand, and price. On the other hand, there are no significant relationship between the color, design, and sociopsyco-logical risk and demographic variables. 4. The perceived risk of consumer would be a key stone to grasp the consumer behavior. The product company needs to provide full information which could reduce the perceived risk of consumer. there attitude would help for the mutual interests. In the future research, we need to develop the precise methods for finding variables on the perceived risk during the process of making purchase intention.

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Remembering Disasters: the Resilience Approach

  • le Blanc, Antoine
    • The Journal of Art Theory & Practice
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    • no.14
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    • pp.217-245
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    • 2012
  • The aim of this paper is to show how the paradigm of disaster resilience may help reorienting urban planning policies in order to mitigate various types of risks, thanks to carefully thought action on heritage and conservation practices. Resilience is defined as the "capacity of a social system to proactively adapt to and recover from disturbances that are perceived within the system to fall outside the range of normal and expected disturbances." It relies greatly on risk perception and the memory of catastrophes. States, regions, municipalities, have been giving territorial materiality to collective memory for centuries, but this trend has considerably increased in the second half of the 20th century. This is particularly true regarding the memory of disasters: for example, important traces of catastrophes such as urban ruins have been preserved, because they were supposed to maintain some awareness and hence foster urban resilience - Berlin's Gedachtniskirche is a well-known example of this policy. Yet, in spite of preserved traces of catastrophes and various warnings and heritage policies, there are countless examples of risk mismanagement and urban tragedies. Using resilience as a guiding concept might change the results of these failed risk mitigation policies and irrelevant disaster memory processes. Indeed, the concept of resilience deals with the complexity of temporal and spatial scales, and with partly emotional and qualitative processes, so that this approach fits the issues of urban memory management. Resilience might help underlining the complexity and the subtlety of remembrance messages, and lead to alternative paths better adapted to the diversity of risks, places and actors. However, when it is given territorial materiality, memory is almost always symbolically and politically framed and interpreted; Vale and Campanella had already outlined this political aspect of remembrance and resilience as a discourse. Resilience and the territorialization of memory are not ideologically neutral, but urban risk mitigation may come at that price.

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Instrumental Activities of Daily Living, Leg Muscle Strength, Cognitive and Visual Function According to Demographic Variables and the Experience of Falling in Community Resident Elderly Koreans (지역사회 재가 노인의 인구학적 특성과 낙상경험에 따른 일상생활 수행능력, 하지근력, 인지기능 및 시각기능)

  • Sohng, Kyeong-Yae;Choi, Dong-Won
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.2
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    • pp.221-229
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    • 2007
  • Purpose: To investigate the instrumental activities of daily living (IADL), leg muscle strength, cognitive and visual functions according to the participants' demographic characters and experiences of falling in Korean elder who are residents in the community. Method: Data were collected from 351 participants aged 65 or more, who were ambulatory, A structured questionnaire and several physical function measurements were used to collect the data which were analyzed using the SAS program. Results: The participants' IADL scores were significantly different according to their age, educational level and living situation. The leg muscle strength of the elders were significantly different according to gender and age, and were also related the risk of falling. Cognitive scores were significantly different according to gender, age, education level and marital status. Visual acuity and depth perception were significantly different according to age, education level, and marital status. Conclusion: Demographic variables and experience of falling were identified as variables related to IADL, leg muscle strength, cognitive and visual function of elders. Further study with a larger and nation-wide sample is needed to identify the variables related to the physical and cognitive functions of elders.

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