• 제목/요약/키워드: The Fall

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The Effects of Fall Health Belief and Knowledge of Fall on the Prevention of Fall in the Elderly: Mediating and Moderating Effects of Fall Fear

  • Jang, Insun;Park, Seungmi;Kim, Yeon Sook
    • 근관절건강학회지
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    • 제26권2호
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    • pp.63-71
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    • 2019
  • Purpose: This descriptive study investigated the mediating and moderating effects of fear of fall on the relationships between health belief on fall, fall-related knowledge and fall prevention behaviors among older adults Methods: We enrolled 229 older adults residing in a senior citizen hall and community welfare center, and investigated their health belief on fall, fall-related knowledge, fall prevention behavior, and fear of fall. Descriptive statistics, ANOVA and t-test were used to analyze differences in variables. Pearson correlation and multiple regression were used to investigate mediating and moderating effects of the fear of fall on the relationships between health belief on fall, fall-related knowledge, and fall prevention behaviors. Results: The fear of fall significantly mediated the health belief on fall and fall prevention behaviors, but there was no significant mediation between knowledge of fall and fall prevention behaviors. The fear of fall did not have a moderating effect on the relationships between health belief on fall, knowledge of fall, and fall prevention behaviors. Conclusion: It is important to investigate and implement health belief on fall and fear of fall among older adults to improve their fall prevention behaviors.

건설현장의 추락위험개소 산출System에 관한 연구-건축공사 중심으로 (A Study on the Evaluation System Construction of Fall Risk Section to Fall)

  • 강용탁
    • 건설안전기술
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    • 통권36호
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    • pp.73-81
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    • 2006
  • Construction fall accidents have been investigated by many researchers. Construction workers are prone to fall when elevations of the construction site is high. And falls are the most fatal accidents: it can be directly linked to the death. Construction fall accidents might be reduced by predetermining several areas which are highly probable to have fall accidents and by controlling such areas until the completion of the building construction. In this paper, a fall prevention system is suggested which can identify the areas where the focus on fall protection is perhaps most needed from the process characteristics. Main methodologies for this research are summarized as follows: 1. A data base on elements and types of falls is constructed from the data analysis of last 10 years fall accidents history. 2. Guideline is derived by identifying the highly probable areas of fall accidents with respect to the specific construction process. 3. Developed system is verified by applying the system to construction sites. 4. Finally a fall prevention system is suggested by utilizing the fall accidents data.

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노인요양원 요양보호사의 낙상관련지식과 낙상예방돌봄행위 (Fall-related Knowledge and Caring Behaviors for Fall Prevention among Care Workers in Nursing Home)

  • 김미선;은영
    • 근관절건강학회지
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    • 제21권1호
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    • pp.11-18
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    • 2014
  • Purpose: The purpose of this study was to understand care workers' fall-related knowledge and caring behaviors for fall prevention in nursing home. Methods: This study was a descriptive survey study. Data have been collected from 125 care workers in 5 nursing homes. Data were analyzed using frequency, t-test, one-way analysis of variance (ANOVA), and Pearson correlation coefficients. Results: 1) The average percentage of correct answers for care workers' fall-related knowledge was 72.2%. There were significant differences in fall-related knowledge by age, experiences of re-education about care for fall injuries, and experiences to transfer fall patients to another hospital. 2) The average level of care workers' caring behaviors for fall prevention was 3.81 points out of 4. There were significant differences by experiences of education about care for fall injuries in nursing home and concern of fall injury prevention. 3) There was a significant correlation between fall-related knowledge and caring behaviors for fall prevention (r=.320, p<.001). Conclusion: The level of fall-related knowledge is positively correlated to the level of caring behaviors for fall prevention. Therefore, nurses should prepare education programs to increase care workers' fall-related knowledge and caring behaviors for fall prevention.

요양병원 요양보호사의 치매노인에 대한 낙상 지식, 낙상예방 자기효능감이 낙상예방행위 및 낙상관리행위에 미치는 영향 (The Influence of Fall-Related Knowledge and Fall Prevention Self-Efficacy of Care-Givers Working in Long-term Care Hospitals with Older Adults with Dementia on Fall Prevention Behaviors and Fall Management Behaviors)

  • 임정옥;구미옥
    • 보건의료산업학회지
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    • 제12권4호
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    • pp.155-172
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    • 2018
  • Objectives: The purpose of this study was to investigate the influence of fall-related knowledge and fall prevention self-efficacy of care-givers working in long-term care hospitals on fall prevention behaviors and fall management behaviors for older adults with dementia. Methods: Participants were 125 care-givers working in long-term care hospitals. Data were collected with structured questionnaires from August 7 to 14, 2018. Data were analyzed by t-test, ANOVA, $Scheff{\dot{e}}$ test, Pearson's correlation coefficients, and multiple regression analysis using SPSS 18.0. Results: Fall prevention self-efficacy influence fall prevention behaviors(${\beta}=.55$, p<.001), while fall-related knowledge impacted fall management behaviors(${\beta}=.43$, p<.001). Conclusions: The results suggest that an education program for fall prevention of older adults with dementia in long-term care hospitals should focus on improving the fall-related knowledge and fall prevention self-efficacy of care-givers to increase both the fall prevention behaviors and fall management behaviors of care-givers.

재가 노인의 낙상 경험 유무에 따른 신체적 기능과 정서 상태 (Physical Function and Psychological Status in the Elderly those who Experienced a Fall or not)

  • 장정미;강현숙
    • 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.

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낙상 재현을 위한 보행자 생체 정보 기반의 낙상 유도 시스템 개발 (Development of Fall Inducement System based on Pedestrian Biological Data for Fall Reproduction)

  • 이종일;한종부;구재완;이석재;손동섭;서갑호
    • 로봇학회논문지
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    • 제15권3호
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    • pp.286-292
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    • 2020
  • This paper is about a fall inducement system for guiding like a real fall. Reliable fall data can be used as an essential element in developing effective fall protection devices. We can get this data if the induced fall is very realistic. The proposed system analyzes gait characteristics and determines when to fall based on the pedestrian's biometric data. To estimate the fall inducement time, an active estimation algorithm was proposed using different biometric values for each pedestrian. The proposed algorithm is designed to response actively to the ratio of gait cycle and a stance period. To verify this system, an experimental environment was implemented using a multi-rail treadmill equipped with a ground reaction force measurement device. An experiment was conducted to induce falls to pedestrians using a fall inducement system. By comparing the experimental scene to the video of the actual fall, it has been confirmed that the proposed system can induce a reliable fall.

입원한 노인환자의 낙상위험도, 낙상두려움 및 사회적 지지가 낙상예방행위에 미치는 영향 (Influence of Fall Risk, Fear of Falling, and Social Support on Fall Prevention Behaviors among Older Inpatients)

  • 유가람;양남영
    • 가정∙방문간호학회지
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    • 제30권1호
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    • pp.96-104
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    • 2023
  • Purpose: This study aimed to investigate the influence of fall risk, fear of falling, and social support on older inpatients' fall prevention behaviors. Methods: The participants were 105 older inpatients. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis using the SPSS program. Results: The mean fall risk, fear of falling, social support, and all prevention behaviors were 58.05±28.27, 2.47±0.67, 3.58±0.63, and 2.93±0.48, respectively. There were significant differences in fall prevention behaviors by sex, and fall related to education experience. Fall prevention behaviors were associated with fall risk, and fear of falling. The factors influencing the fall prevention behaviors of the older inpatients were sex, fall related to educational experience, fall risk, and fear of falling. It was found that 21% could explain fall prevention behaviors. Conclusion: The results indicate a need to develop a fall prevention education program, including intervention, to reduce the fear of falling among older inpatients.

노인의 낙상에 관한 고찰 (The Literature Review for Fall in the Elderly)

  • 김원옥
    • 재활간호학회지
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    • 제1권1호
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    • pp.43-50
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    • 1998
  • The literature review for fall in the elderly has been done for the better quality of life of increasing elderly people toward 21 st century. Because 30 to 50% of over sixty five years old persons have experiences of fall, five percent of the fallen have trauma such as bone fracture requiring hospitalization and three quarter of people who die as fall are over 65 year old, fall is important health problem of them. There are very little societal interest in and research related to fall. Therefore, among recent foreign and our literatures studying literature review of frequency of fall, risk factors and assessing method for tall, and the management of fall prevention program, I would like to find research direction. Conclusivelly, we should study extensively the survey of the elderly's fall and on the basis of it. developing fall prevention program, promote the elderly's health through fall prevention.

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기존 낙상위험 사정 도구의 낙상 과거력 변인 효과 (Predictive Effects of Previous Fall History on Accuracy of Fall Risk Assessment Tool in Acute Care Settings)

  • 박인숙
    • 기본간호학회지
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    • 제19권4호
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    • pp.444-452
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    • 2012
  • Purpose: To explore the usefulness of previous fall history as a triage variable for inpatients. Methods: Medical records of 21,382 patients, admitted to medical units of one tertiary hospital, were analyzed retrospectively. Inpatient falls were identified from the hospital's self-report system. Non-falls in 1,125 patients were selected by a stratified matching sampling with 125 patients with falls (0.59%). A comparative and predictive accuracy analysis was conducted to describe differences between the two groups with and without a history of falls. Logistic regression was used to measure the effect size of the fall history. Results: The fall history group showed higher prevalence by 9 fold than the non-fall history group. The relationships between falls and relevant variables which were significant in the non-fall history group, were not significant for the fall history group. Falls in the fall history group were 25 times more likely than in the non-fall group. Predictive accuracy of the risk assessment tool showed almost zero specificity in the fall history group. Conclusion: The presence of fall history, the fall prevalence, variables relevant to falls, and the accuracy of the risk tool were different, which support the usefulness of the fall history as a triage variable.

병원간호사의 낙상예방간호 수행 영향요인 (Factors influencing fall prevention nursing performance of hospital nurses)

  • 장경숙;김혜숙
    • 한국응급구조학회지
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    • 제20권3호
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    • pp.69-83
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    • 2016
  • Purpose: The purpose of this study was to explore the factors influencing evidence-based fall prevention nursing performance of hospital nurses. Methods: A self-reported questionnaire was completed by 344 nurses from three general hospitals from January 20 to March 10, 2013. The study instruments included general characteristics of the subjects, and awareness and performance of fall prevention. Data were analyzed by t test, ANOVA, Pearson's correlation, and multiple regression using SPSS v. 20.0. Results: There were statistically significant differences in awareness and performance according to age, marital status, clinical experiences, workplace, experience of fall prevention education, knowledge of fall prevention, compliance with fall prevention, attention level toward prevention, recognition level of potential falls, nurse responsibility for falls, importance of fall prevention, efforts level for fall prevention, and awareness score of falls prevention. There was a positive correlation among awareness and performance of fall prevention. Based on the multiple regression analysis, compliance with fall prevention, efforts level for fall prevention, and awareness score of falls prevention were significant predictors for performance of fall prevention. The explanation power of the model was 64.1%. Conclusion: The findings revealed the need to develop an effective nursing intervention to improve hospital nurses' performance for fall prevention.