• Title/Summary/Keyword: fall prevention method

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Effect of Fall Prevention Education for Older Patients in Comprehensive Nursing Care Service Ward (간호·간병 통합병동에 입원한 노인환자의 낙상예방교육 효과)

  • Shim, Song-mi;Kim, Eunha
    • Journal of Korean Public Health Nursing
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    • v.33 no.2
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    • pp.200-213
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    • 2019
  • Purpose: This study was conducted to examine the effect of a fall prevention education on the fall related knowledge and fall prevention behavior of the elderly patients in comprehensive nursing care service wards. Method: A quasi experimental study with control group and experimental group was used. A total 62 elderly patients in comprehensive nursing care service wards were randomly divided into the experimental group(n=30) and the control group(n=32). The data collection period was from August to December, 2017. Data were analyzed with $X^2-test$, paired t-test, independent t-test and Pearson's correlation coefficient by using SPSS 25.0. Results: Experimental group reported higher score in fall related knowledge than the control group(t=-10.28, p<.001). Participants who viewed DVD and received the leaflet education reported higher score than those with routine admission education(t=-6.51, p<.001). The experimental group showed significant improvement in fall related knowledge and fall prevention behavior(r=.21, p=.015). Conclusion: The fall prevention program was effective in improving fall-related knowledge and fall prevention behavior among elderly patients. Since the DVD plus leaflet education was effective in improving prevention behaviors, it might be included in routine orientation on admission for the elderly patient in comprehensive nursing care service wards.

Comparative Effect of Interventions for Fall Prevention in Hospitals: Network Meta-analysis (병원 입원 환자를 위한 낙상예방중재 효과의 비교우위: 네트워크 메타분석)

  • Kang, Hyunwook;Ko, Ji Woon
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.218-229
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    • 2023
  • Purpose: This study aimed to assess and compare the effectiveness of various fall prevention interventions in hospitals through a network meta-analysis. Methods: A network meta-analysis was conducted using the "netmeta" package in R software (v4.1), employing a frequency method. Odds ratios of fall rates and injurious fall rates were utilized to confirm the effects of interventions for fall prevention. Comparative rankings of these interventions were determined using cumulative probability (P-score). Results: Comparative rankings via cumulative probability (P-scores) revealed individualized education as the most effective intervention for fall incidence (P-Score 87.8%). Followed by fall-preventing sensors (60.9%), multicomponent interventions (47.4%), usual care (33.2%), and environmental modification (20.7%). For fall-related injuries, individualized education ranked highest (P-Score 97.1%), followed by multicomponent interventions (76.0%), usual care (47.6%), environmental modification (24.2%), and fall-preventing sensors (5.1%). Conclusion: This study provides valuable insights into the relative effectiveness of diverse interventions in preventing fall incidence through network meta-analysis. The findings aim to support nurses in making informed decisions when implementing fall prevention strategies in clinical practice.

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

  • Kim, Won-Ock
    • The Korean Journal of Rehabilitation Nursing
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    • v.1 no.1
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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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The Effects of Fall Prevention Program on Knowledge, Self-efficacy, and Preventive Activity Related to Fall, and Depression of Low-income Elderly Women* (낙상예방 프로그램이 저소득 여성 노인의 낙상에 대한 지식, 자기효능감, 예방행위 및 우울에 미치는 효과)

  • Shin, Kyung-Rim;Shin, Su-Jin;Kim, Jeong-Sun;Kim, Jin-Young
    • Journal of Korean Academy of Nursing
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    • v.35 no.1
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    • pp.104-112
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    • 2005
  • Purpose: This research was conducted to determine the effects of a fall prevention program on knowledge, self-efficacy, prevention activity, and depression in the low-income elderly women. Method: The design of this study was a nonequivalent control group pretest-posttest design. There were 22 subjects in the experimental group and 22 in the control group. A fall prevention program was performed for approximately 40 minutes, once a week for 6 weeks. Results: The results of this study were as follows: There were statistically significant differences of knowledge, self-efficacy, and prevention activity related to falls and depression between the experimental group and control group. Conclusion: In conclusion, the fall prevention program used in this study is appropriate for the elderly, therefore this program is strongly recommended for community-based health and welfare centers.

A Study on the Improvement of Fall Accidents in the Constrtction Industry by Analyzing Success Cases in the U.S.A (미국 성공사례 분석을 통한 건설업 추락 사고 개선방안에 관한 연구)

  • Lee, Ji-Yeob;Kim, Sung-Hyon;Myagmarsuren, Batbagana;Son, Kiyoung
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2021.05a
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    • pp.287-288
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    • 2021
  • The fall accidents have been occurred continuously although the efforts to prevent fall accidents have been made constantly. On the other hand, the U.S.A executes the policy improvements and various prevention system then, as a result, the fall accidents of the U.S.A. construction industry are greatly decreased. Therefore, the objective of this study is to investigate the causes and prevention system regarding fall accidents between South Korea and U.S.A. The findings of this study can be utilized to decrease fall accidents of South Korea as a basic material.

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Effects of Long Term Care Hospital Care-givers' Fall Prevention Self Efficacy and Fall Prevention Health Belief on Fall Prevention Awareness (요양병원 간병사의 낙상예방효능감과 낙상예방건강신념이 낙상예방인지도에 미치는 영향)

  • Jung, Ji-Young;Park, Yoon-Ji;Jung, Gye Hyun
    • The Journal of the Korea Contents Association
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    • v.15 no.2
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    • pp.333-343
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    • 2015
  • The purpose of this study is to investigate the factors that affect the fall prevention awareness of care-givers working at long-term care hospitals. A convenience sampling method was used to select care-givers who worked at 7 different long term care hospitals which were located in D city and N city. Data were collected from July 2014 to August 2014. 200 data were used for analysis out of 215 data which were collected. The hierarchical regression analysis reveals the following results: Firstly, the effects of care-givers' education level, certificate status, period of work experience and fall-related learning hours on their fall prevention awareness level were statistically significant. Secondly, among fall prevention health beliefs, perceived benefit, perceived disability, perceived sensitivity and self-efficacy were positively related to the level of fall prevention awareness. Thirdly, while such factors as perceived benefit, perceived sensitivity and self-efficacy showed positive effects on the fall prevention awareness, the period of work experience had negative effects. The regression model shows the power of explanation of 31.7 percents. In conclusion, the study suggests a fine-tuned program to improve care-givers' fall prevention awareness in a way of promoting fall prevention self-efficacy, perceived benefits and perceived sensitivity while considering the care-givers' period of work experience.

A Review of Exercise Interventions for Fall Prevention in the Elderly (노인 낙상예방 운동중재 문헌분석 연구)

  • Gu, Mee Ock;Jeon, Mi Yang;Kim, Hee-Ja;Eun, Young
    • Journal of Korean Academy of Nursing
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    • v.35 no.6
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    • pp.1101-1112
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    • 2005
  • Purpose: This study was done to suggest directions for developing exercise interventions for fall prevention in the elderly in Korea in the future, Method: Twenty five articles for fall prevention exercises were reviewed and analyzed. Result: $84.0\%$ of subjects were older adults age 65 and older living in the community. The most frequently performed interventions were lower limb strength and balance exercises together $43.3\%$, group exercise $70.0\%$, exercise 3 times/week $60.0\%$, 60 min per session $36.7\%$, duration of 12 weeks and 1 year $23.3\%$ each. The most frequently used outcome variables were static balance $84.0\%$, lower limb muscle strength $72.0\%$, dynamic balance $56.0\%$, and falls $56.0\%$. The effect of exercise interventions on fall prevention was inconclusive. Lower limb strength exercises with resistance were effective for increasing muscle strength. Balance exercises with various movements for balance were effective for increasing balance. Conclusion: Exercise interventions for fall prevention is recommended for older adults with risk factors of falling. The desirable type of exercise intervention is lower limb strength and balance exercise together.

A Study on the Indwelled Accident Factors in Small & Medium-Sized Construction Sites Utilizing Safety Consulting Data (건설재해예방기술지도 결과자료 분석을 통한 중$\cdot$소 건설 현장의 잠재사고 유발 요인 개선 방안 연구)

  • Hong Sung Man;Yoon Young Goo;Kweon Dae Chul;Park Peom
    • Journal of the Korean Society of Safety
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    • v.19 no.3 s.67
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    • pp.84-88
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    • 2004
  • Accident of small and medium-sized construction sites happens much than large-sized construction sites. The safety consulting for accident prevention of construction sites has been launched in 1995. This research probed latency accident of small and medium-sized construction sites. By method, we used that result data of safety consulting for accident prevention of small and medium-sized construction sites. As a result a fall was examined by the most latency accident factor. In this study, a fall and electric shock, descent, fall down in ground, a fire was examined weighty accident factor of small and medium-sized construction sites.

The Effect of Inpatient Elderly Patients' with Chronic Diseases on Fall Experience (입원 노인환자의 만성질환 보유가 낙상경험에 미치는 영향)

  • Park, Ju Hyee;Suh, Won Sik
    • Korea Journal of Hospital Management
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    • v.26 no.4
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    • pp.29-37
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    • 2021
  • Purpose: The purpose of this study is to identify the characteristics and factors affecting falls among elderly inpatients with chronic diseases based on the data from the discharge damage depth survey of the Korea Disease Control and Prevention Agency(KDCA) from 2014 to 2018. Method: The study selected elderly inpatients aged over 65 who were hospitalized(n=1,173). Their data were analyzed after being assigned to either a fall group(KSCD, W00-W19) or a non-fall group. Frequency analysis, cross-tabulation analysis, and binary logistic regression analysis were conducted, using SPSS 28. Results: According to the analysis on category of fall and non-fall group were statistically significant difference in age and having chronic diseases. Based on the binary logistic regression analysis of factors affecting falls, The risk of falls was 1.058 times higher with age, and E11-E14 and I63 as main diagnostic codes, the risk of falls was 2.049 times and 2.437 times higher. Conclusion: It is necessary to develop customized educational manuals and muscle exercise programs considering the characteristics of chronic diseases and to create a safe hospital room environment, and this result is expected to be used as basic data for fall prevention education and manual development for elderly inpatients with chronic diseases.

Effects of Fall Prevention Education on the Variables Related to Using Orthosis and Fear of Falling in Fracture Patients Wearing the Leg Orthosis (하지보조기 사용 골절환자를 위한 낙상예방교육이 보조기 사용관련 변수 및 낙상공포감에 미치는 효과)

  • Cha, Kyeong-Sook;Beak, Seung-Mi;Cho, Ok-Hee
    • Journal of muscle and joint health
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    • v.19 no.2
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    • pp.131-141
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    • 2012
  • Purpose: The purpose of this study was to test the change of study variables (knowledge, efficacy, and fatigue) related to using orthosis and fear of falling in fracture patients wearing the leg orthosis after fall prevention education in terms of educational method and frequency. Methods: Participants were 87 fracture patients wearing the leg orthosis. Experimental I group (n=30) and experimental II group (n=27) received the fall prevention education once and three times respectively with leaflets. Experimental III group (n=30) received video training once. Results: The level of the subjects' knowledge was significantly increased in experimental I and II groups rather than in experimental III group. In case of experimental I and experimental II group, fear of falling was decreased when compared to experimental III group. However, there were no significant changes in efficacy and fatigue related to using orthosis among three groups. Conclusion: The fall prevention education using leaflets was more effective than video training method. Only one education with leaflets was effective enough. Therefore, it is recommended that the education with leaflets or pamphlets should be developed systematically according to the characteristics of fracture patients wearing the leg orthosis.