• 문화기술의 융합
• /
• 제7권3호
• /
• pp.359-363
• /
• 2021

본 연구의 목적은 치료 정원을 이용한 원예작업치료가 노인의 낙상에 미치는 영향을 조사하는 것이다. 본 연구는 경기도 소재 P 요양원에서 2019년 4월부터 8월까지는 노인 시설 이용자 31명에게 적용됐다. 프로그램에 참여한 31명 중 무작위로 실험군 16명과 대조군 15명으로 선정하였다. 실험군 프로그램은 매주 4회는 낙상교육과 근력운동으로 구성된 낙상 프로그램과 매주 1회는 치유정원에서 원예작업프로그램을 총 15주 동안 시행하였고, 대조군은 매주 5회 30분씩 낙상교육을 총 15주 동안시행하였다. 실험군의 낙상 효능감은 프로그램 시행 전 평균이 29점에서 실시 후 평균이 34.50점으로 5.50점 증가 하였고, 통계적으로도 유의한 결과가 나왔다(p=0.000). 낙상프로그램만 진행한 대조군은 시행 전 평균 28.87점에서 실시 후 평균 32.50점으로 3.63이 증가 하였고, 통계적으로도 유의한 결과가 나왔다(p=0.000). 이 결과를 통해 치료정원을 활용한 원예프로그램은 낙상과 관련된 프로그램으로 가능성이 있다는 것을 확인할 수 있다. 앞으로 정원을 활용한 원예작업프로그램이 노인의 낙상 예방에 적용될 수 있도록 다양한 연구가 필요하다.

• 한국콘텐츠학회논문지
• /
• 제13권11호
• /
• pp.778-790
• /
• 2013

본 연구는 노인요양시설 노인에게 직접 돌봄을 제공하는 요양보호사가 시설노인의 낙상을 예방하고 낙상으로 인한 상해를 최소화하기 위해 노인요양시설의 요양보호사를 위한 낙상예방프로그램을 개발하였으며 낙상예방교육프로그램이 요양보호사의 낙상관련 지식, 낙상관련 부담감 및 낙상예방 돌봄행위에 미치는 효과를 검증하고자 하였다. 본 연구의 낙상예방교육프로그램은 4주 프로그램으로 주 1회 80분씩 총 4회 실시하였다. 프로그램 효과를 검증하기 위해 2012년 7월 16일부터 8월 31일까지 C지역의 A장기요양시설 요양보호사 실험군 24명, B장기요양시설 요양보호사 대조군 23명, 총 47명을 대상으로 프로그램 적용 전 후 사전 사후 조사를 실시하였다. 수집된 자료는 SPSS/Win 19.0 프로그램을 이용하여 실수와 백분율, 평균과 표준편차, ${\chi}^2$-test와 Fisher's exact probability test, independent t-test, ANCOVA로 분석하였다. 연구결과, 낙상예방교육프로그램을 받은 노인요양시설의 요양보호사는 교육을 받지 않은 요양보호사에 비해 낙상 예방교육프로그램 적용 후 낙상관련 부담감이 감소하였으며, 낙상관련 지식과 낙상예방 돌봄행위가 증가하였다. 따라서 본 연구에서 개발된 낙상예방교육프로그램은 노인요양시설 요양보호사의 낙상관련 지식과 낙상예방 돌봄행위를 증진하고 낙상관련 부담감을 완화하는 적절한 프로그램으로 노인노인요양시설 노인의 낙상예방을 위한 요양보호사의 교육자료로서 활용 가치가 있다 하겠다.

• 대한간호학회지
• /
• 제44권6호
• /
• pp.697-707
• /
• 2014

Purpose: The purposes of this study was to develop a comprehensive community-based fall prevention program and to test the effects of the program on the muscle strength, postural balance and fall efficacy for elderly people. Methods: The design of this study was a nonequivalent control group pretest-posttest design. There were 28 participants in the experimental group and 29 in the control group. The program consisted of balance exercises, elastic resistance exercises and prevention education. The program was provided five times a week for 8 weeks and each session lasted 90 minutes. Data were analyzed using ${\chi}^2$-test, independent t-test and paired t-test using the SPSS program. Results: Muscle strength of the lower extremities, postural balance and fall efficacy scores significantly improved in the experimental group compared to the control group. Conclusion: These results suggest that this program can improve lower extremity muscle strength, postural balance and fall efficacy in elders. Therefore, this program is recommended for use in fall prevention programs for elders living in the community.

• 성인간호학회지
• /
• 제27권5호
• /
• pp.559-571
• /
• 2015

Purpose: This study is to determine the predictive validity of the St. Thomas Risk Assessment Tool in Falling Elderly Inpatients (STRATIFY) for inpatients' fall risk. Methods: A literature search was performed to identify all studies published between 1946 and 2014 from periodicals indexed in Ovid Medline, Embase, CINAHL, KoreaMed, NDSL and other databases, using the following key words; 'fall', 'fall risk assessment', 'fall screening', 'mobility scale', and 'risk assessment tool'. The QUADAS-II was applied to assess the internal validity of the diagnostic studies. Fourteen studies were analyzed using meta-analysis with MetaDisc 1.4. Results: The predictive validity of STRATIFY was as follows; pooled sensitivity .75 (95% CI: 0.72~0.78), pooled specificity .69 (95% CI: 0.69~0.70) respectively. In addition, the pooled sensitivity in the study that targets only the over 65 years of age was .89 (95% CI: 0.85~0.93). Conclusion: The STRATIFY's predictive validity for fall risk is at a moderate level. Although there is a limit to interpret the results for heterogeneity between the literature, STRATIFY is an appropriate tool to apply to hospitalized patients of the elderly at a potential risk of accidental fall in a hospital.

• 대한통합의학회지
• /
• 제5권2호
• /
• pp.33-42
• /
• 2017

Purpose: This study examined the effects of the fumanet exercise program on the cognitive function and fall down-related physical fitness factor in elderly people. Method: The study period was May 2-June 24, 2016. The participants included 20 elderly persons (control group 10, experimental group 10) who registered at the day-care Center in G. City. Descriptive statistics were used for the analysis of the control and experimental groups' general characteristics. The chi-square and Mann-Whitney U tests were conducted to identify the two groups' general characteristics' and dependent variables' homogeneity. The Wilcoxon signed-rank test was used to compare the pre-and post-intervention cognitive function and fall down-related physical fitness factor, and a Mann-Whitney U test was used to analyze the rate of cognitive function and fall down-related physical fitness factor changes between the groups after the intervention. Result: The participants' fall down-related physical fitness factors (balance, gait, leg strength) increased and memory in the cognitive function sub-area improved in the participants who participated in the fumanet exercise program. The amount of change in gait was significantly different between the control and experimental groups. Conclusion: The fumanet exercise program included gait training using the learn, remember and repeat phased steps. Therefore, this study proposes using the fumanet exercise program to improve the elderly's cognitive function and physical fitness factor.

• 한국학교ㆍ지역보건교육학회지
• /
• 제23권1호
• /
• pp.29-40
• /
• 2022

Objectives: The purpose of this study is to identify the relationship between metabolic syndrome factor diseases and falls in the elderly aged 65 years or older and use them as basic data to reduce the risk of falls. Methods: The method of this study was to compare the injury-related characteristics of the fall and non-fall groups with a factor disease of metabolic syndrome in Korea over 65 years of age. Data from the 14th National Hospital Discharge In-depth Injury Survey in 2018 were used to conduct the study. A total of 7,991 data were analyzed using SPSS 23.0. Results: Among the total injuries, the fall group with metabolic syndrome factor disease accounted for 69.0% and the non-fall group 31.0%. Falls occurred in 86.3% of households. In the fall group with metabolic syndrome factor disease, the number of females was 1.9~2.1 times higher than that of males. Compared to 65~69 years of age, the incidence of falls was 1.4~1.5 times higher in 70~79 years, 1.7~2.2 times higher in 80~89 years, and 2.5~3.6 times higher in 90-year-olds and older. In NISS, the incidence of falls was 1.7 times higher in moderate compared to mild. In principle diagnosis, the incidence of falls was 2.2 times higher in S40-S99 compared to S00-S19. Conclusion: The elderly with metabolic syndrome factor disease should continue to promote health through light exercise that can strengthen muscle strength to prevent falls.

• 국제물리치료학회지
• /
• 제2권2호
• /
• pp.329-338
• /
• 2011

The purpose of this study is to examine the effect of stabilization, resistance exercise, and combined exercise for lumbar on balance and walking ability of elderly. This study selected 22 subjects of over 65 years old elderly women who satisfy the study condition from A, B and C Senior Citizen's Center, in Daegu. The subjects were divided into groups; 7 for resistance exercise group, 8 for stabilization exercise group, and 7 for combined exercise group(resistance and stabilization exercise). The exercises were conducted for 60min a day, three times a week for 12 weeks. Balance and walking ability were checked before the exercise, 6 weeks later, and 12 weeks later. First, all lumbar muscle strengthening exercises were effective for static balance which changed according to exercising period. In dynamic balance, the resistance exercise group showed significant improvement in sit to stand. Stabilization exercise group showed significant improvement in all factors. The combined exercise group showed significant improvement in sit to stand and timed up and go. There was no difference between the exercise types. Second, the resistance exercise group showed significant change in Cadence which changed according to exercising period. The combined exercise group showed significant improvement in all factors. Between the exercise types, combined exercise was a bit more effective than resistance exercise. According to the result of 12 weeks of lumbar muscle exercise, combined exercise is considered to be the most effective exercise to prevent fall as it helps balance and walking ability slightly more than other exercises. Therefore, this study can understand the risk factors for fall accidents that frequently occur among elderly and adopt the combined exercise to prevent fall which in turn will prevent secondary problems occur from fall accidents and improve quality of life of elderly.

• 기본간호학회지
• /
• 제14권2호
• /
• pp.181-188
• /
• 2007

Purpose: The purpose of this study was to evaluate the effects of BeHaS exercise program on pain, balance, and falling efficacy in elderly with osteoarthritis. Method: A convenience sample of 52 elderly people with osteoarthritis who lived in C city were recruited through the public health center. For this quasi-experimental study design, 31 of the elders were assigned to the experimental group which received the BeHaS exercise program twice week for eight weeks, and 24 were assigned for the control group (no intervention). Outcome measures were numeric pain scale, standing on one leg for balance, fall efficacy scale. Analysis was performed with SPSS version 12.0 program. Results: Pain was decreased significantly in the experimental group as compared to the control group, Balance and fall efficacy were improved significantly in the experimental group as compared to the control group. Conclusion: The BeHaS exercise program can be effective in improving pain, balance, and fall efficacy in elders with osteoarthritis.

• 기본간호학회지
• /
• 제17권3호
• /
• pp.304-313
• /
• 2010

Purpose: The purpose of this study was to examine preventive effects of water drinking on postprandial fall of blood pressure in the elderly. Method: Participants were 25 elders who had experienced postprandial fall of systolic blood pressure of more than 15mmHg in a previous study. Within subject repeated measures design using random order allocation was used to control extraneous variables among participants. During the experiment, each participant had to drink 400mL water before lunch, whereas when in the control, they only had their lunch. Blood pressure and heart rate were measured for both times before lunch and at 15 minutes intervals up to 90 minutes after lunch. Data were analyzed using descriptive statistics, repeated measures of ANOVA, paired t-test and Bonferroni adjustment as Post-hoc analysis. Results: Water drinking before lunch elicited significant pressor effects by increasing systolic and diastolic pressure $13.9{\pm}4.7/5.2{\pm}2.2mmHg$ compared blood pressure during the control p<.005, p<.022. Heart rate, however, did not change significantly at either time. Conclusion: Drinking water before meal is recommended for elders who experience postprandial hypotension. However, the appropriate volume of water to prevent postprandial fall in blood pressure should be further studied.

• 지역사회간호학회지
• /
• 제23권1호
• /
• pp.22-30
• /
• 2012

Purpose: This study was conducted in order to investigate the effects of an aerobic exercise program on mobility, fall efficacy, balance, and stress in the elderly at senior centers. Methods: This research was conducted as a quasi-experimental pretest and posttest control and experimental comparison study. The subjects were 41 senior residents (Exp.=18, Cont.=23) who aged above 65 at senior centers in S City. The period of time for data collection and intervention was from August 25 to December 5, 2008. Results: Mobility (t=-3.10, p<.01) in the experimental group were significantly higher than those in the control group without an aerobic exercise program. However, fall efficacy (t=1.28, p=.207), balance (t=-.53, p=.602; t=.36, p=.723), stress (t=-1.32, p=.199) in the experimental group was not significantly higher than that in the control group. Conclusion: These findings confirmed that aerobic exercise programs make a contribution to improving mobility in the elderly at senior centers.