• Korean Journal of Adult Nursing
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• v.27 no.6
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• pp.684-694
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• 2015

Purpose: The purpose of this study was to explain fall prevention behaviors of community-dwelling elderly with osteoarthritis based on the Health Belief Model. Methods: A total of 200 older adults with osteoarthritis residing in community was recruited from July 10 to August 30, 2013. The direct and indirect effects of perceived fall risk, perceived benefits and barriers, and self efficacy of fall prevention were examined on fall prevention behaviors. Data were collected with structured questionnaires and analyzed using SPSS/WIN 20.0 and AMOS 20.0 program. Results: The hypothetical model was a good fit for the data based on the model fit indices. Among socio-demographic variables, age and fall knowledge showed significant direct effects on fall prevention behaviors. The constructed model explained 34.2% of the variance of fall prevention behaviors, including perceived fall risk and efficacy of fall prevention behaviors as significant predictors. Conclusion: The findings revealed the need to develop an effective nursing intervention to promote fall prevention behaviors of community-dwelling elderly with osteoarthritis by focusing on perceived fall risk and efficacy of fall prevention behaviors. Knowledge about fall can also be increased by an age-based education program.

• 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.

• Journal of the Korean Society of Safety
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• v.16 no.2
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• pp.85-90
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• 2001

In construction industries, the problem areas in safety are different to those of manufacturing. For instance, construction safety efforts must strongly emphasize fall prevention, whereas caught-in/ between incidents and electrical shocks are common in manufacturing. This paper reports an analysis of fall incidents that lead to fatalities in 1999 and in 2000. It also provides a safety plan for fall prevention by analyzing the origins of fall incidents by their trades and locations of concern. The findings of this study are expected to contribute toward reducing fall incidents in construction industry.

• Journal of muscle and joint health
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• v.20 no.2
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• pp.102-111
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• 2013

Purpose: This study was conducted to examine the effects of a fall prevention education on the fall-related knowledge, prevention activity of the elderly hospitalized in internal medicine department. Methods: A nonequivalent control group pretest-posttest design was used for this study. A total of 44 patients of the elderly hospitalized in internal medicine department were randomly divided into the experimental group (n=22) and the control group (n=22). The experimental group received about an half hour, fall prevention education at the admission day, 3days and 5days after admission, while the control group received the usual care. The outcome variables were measured before and after fall prevention education. Data were analyzed with $x^2$-test and t-test by using SPSS 12. Results: The experimental group showed significant improvement in fall-related knowledge and prevention activity. Conclusion: The fall prevention education was effective in increasing fall-related knowledge and prevention activity of the elderly hospitalized in internal medicine department. For reducing fall events, it is important to educate the elderly hospitalized about fall-related knowledge and prevention activity related to fall.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.21 no.3
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• pp.264-274
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• 2014

Purpose: This study was done to determine inpatient fall rates in an acute hospital setting and to explore risk factors and characteristics across clinical departments. Methods: The medical records and standardized fall reports of 416 patients admitted between January 1 and December 31, 2012 were reviewed. Descriptive statistics and statistical tests were used, including: t-test, ${\chi}^2$-test, ANOVA. Results: The total fall rate per 1,000 inpatient days was 0.49. Fall rate, fall risk factors and characteristics such as age, type of fallers and mean MFS (Morse Fall Scale) differed significantly among clinical departments. Conclusions: The analysis results show that the fall rates, fall risk factors and characteristics of acute hospital inpatient falls varied significantly across clinical departments. The findings of this study suggest that hospitals should consider differences in fall related characteristics across clinical departments when implementation fall prevention strategies and interventions.

• Journal of Korean Academy of Nursing Administration
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• v.19 no.3
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• pp.394-403
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• 2013

Purpose: The purpose of this study was to identify self-leadership and attitude to patient falls and fall prevention behavior in nurses. Methods: The participants were 178 nurses from two general hospitals in Seoul. Data were collected from March 20 to May 10, 2012 using structured questionnaires which included a Self-leadership scale, Fall attitude scale, and Fall prevention scale. Data were analyzed using descriptive statistics, Pearson correlation and Hierarchial multiple regression with the SPSS/WIN 20.0 program. Results: The mean score for nurses' self-leadership was 3.48 (5 point scale). The average reported fall attitude was 3.59 (5 point scale) and fall prevention behavior was 3.26 (4 point scale). Self-leadership had a 18% explanatory power in fall attitude and a 5% explanatory power in fall prevention behavior. The factors which influenced fall prevention behavior were nurses' fall attitude (${\beta}$=.21, p=.009), fall prevention education (${\beta}$=.20, p=.007) and self-leadership (${\beta}$=.16, p=.047). All of the factors together had a 13.1% explanatory power. Conclusion: The results of this study suggest that provision of regularly fall prevention education to nurses is required and should include a program to activate their positive attitude and self-leadership in order to improve fall prevention behavior in nurses.

• 제어로봇시스템학회:학술대회논문집
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• 2005.06a
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• pp.2451-2454
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• 2005

In recent years, the importance of the characterization of fall for a fracture prevention system keeps increasing since fracture from a fall can lead to serious health problems. Fall is one of the major sources which increase morbidity in elderly people. In terms of the cost and the influence to the quality of life, the most serious injury with hip fractures is caused by falls. The traditional methods in characterizing fall patterns have been mainly by the epidemiological surveys. With surveys, the exact data of fall patterns can not been acquired. In this paper, we measured and analyzed with the parameters related to fall pattern such as velocities and accelerations during the motion of falls using 3D motion capture program. We acquired the parameters of the fall pattern of intentional and unexpected fall. The result showed that the variation of velocity and acceleration during fall was very important in characterizing fall pattern, which of vital importance for the development of a fracture prevention system and for the safety of the elderly.

• 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.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.25 no.4
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• pp.269-281
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• 2018

Purpose: The purpose of this study was to build a model to predict the fall prevention behavior of nurses in small and medium sized hospitals. Methods: Participants were 382 nurses from 13 hospitals who responded to the structured self-reported questionnaire. The research model was based on previous study of fall prevention, theory of planned behavior, and the health belief model. Results: The modified model generally showed higher levels than recommended level of model fit indices and acceptable explanation. Of 17 hypothetical paths, 14 were supported. Predicting variables explained 51.6% of fall prevention behavior. The fall prevention behavior of nurses showed a direct influence of fall prevention expectations, fall prevent threats, perceived behavioral control for fall prevention, and intention to prevent falls and an indirect of influence of patient safety culture, attitude toward fall prevention, and the subjective norm. Conclusion: Findings show a need to identify a range of barrier factors to increase the benefits of fall prevention behavior and enhance the perceived control of fall prevention so that nurses will be able to promote fall prevention behavior in hospitals. Also, it is critical to increase awareness of patient safety culture among nurses.

• Journal of the Korean Society for Precision Engineering
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• v.28 no.11
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• pp.1330-1338
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• 2011

Social activities of the elderly have been increasing as our society progresses toward an aging society. As their activities increase, so does the occurrence of falls that could lead to fractures. Falls are serious health hazards to the elderly. Therefore, development of a device that can detect fall accidents and prevent fracture is essential. In this study, we developed a portable fall detection system for the fracture prevention system of the elderly. The device is intended to detect a fall and activate a second device such as an air bag deployment system that can prevent fracture. The fall detection device contains a 3-axis acceleration sensor and two 2-axis tilt sensors. We measured acceleration and tilt angle of body during fall and activities of daily(ADL) living using the fall detection device that is attached on the subjects'. Moving mattress which is actuated by a pneumatic system was used in fall experiments and it could provide forced falls. Sensor data during fall and ADL were sent to computer and filtered with low-pass filter. The developed fall detection device was successful in detecting a fall about 0.1 second before a severe impact to occur and detecting the direction of the fall to provide enough time and information for the fracture preventive device to be activated. The fall detection device was also able to differentiate fall from ADL such as walking, sitting down, standing up, lying down, and running.