• 제목/요약/키워드: falling

검색결과 2,259건 처리시간 0.029초

경도인지장애 여성노인의 낙상두려움 예측 요인 (Predictors of the Fear of Falling among Elderly Women with Mild Cognitive Impairment)

  • 문정온;홍세훈
    • 지역사회간호학회지
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    • 제33권1호
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    • pp.63-73
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    • 2022
  • Purpose: The purpose of this study was to identify the predictors influencing fear of falling in community-dwelling elderly women with mild cognitive impairment (MCI). Methods: A secondary data analysis was performed using data of 65 years or older elderly women with MCI participating in the 7th Korea Longitudinal Study of Ageing of the Korea Employment Information Service. The study subjects included 368 elderly women with MCI. For data analysis, descriptive statistics and logistic regression with complex samples were performed using IBM SPSS ver. 23.0. Results: 89.9% of the elderly women with MCI had fear of falling. There were significant factors such as religion (OR=8.85, 95% CI: 3.39~23.15), restriction of activity (OR=6.84, 95% CI: 2.14~21.90), depression (OR=0.75, 95% CI: 0.62~0.90), and MMSE (OR=1.30, 95% CI: 1.03~1.63), predicting fear of falling in community-dwelling elderly women with MCI. Conclusion: Differentiated strategies should be developed for elderly women with MCI to decrease fear of falling and prevent falls with understanding of contributing factors. This study will provide fundamental information on programming and a policy proposal related to fear of falling for elderly women with MCI.

건축물 전동셔터 추락 리스크 분석 및 저감 방안 (Analysis on the Falling Risk of Building Electric Shutter and Reduction Measures)

  • 정영민;방홍순;김옥규
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2021년도 봄 학술논문 발표대회
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    • pp.295-296
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    • 2021
  • With the recent diversification and complication of buildings, the functions of building are also developing. As much as the development of buildings, the machine or equipment used for them is also developing. Thus, all sorts of domestic/foreign industrial facilities and fire stations in the whole nation are using the electric shutter that could meet the insulation just like the exterior wall of general buildings, for bringing-in/storage and crime prevention/fire prevention. Currently, various types of electric shutters are used. Such wrong operation and poor management are causing many panel-falling accidents. This study researched the reduction of electric shutter panel-falling risk by reviewing the domestic/foreign laws and standards, and researching the new safety equipment. First, the causes for falling and accident types were drawn by analyzing the cases of electric shutter accidents. After that, a checklist as the measures for reducing the falling of electric shutter in building was suggested by analyzing the items for the inspection of electric shutter.

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노인의 낙상경험에 따른 낙상 두려움, 낙상 효능감, 낙상예방행위 비교 (Comparison of Fear of Falling, Self-Efficacy of Falling and Fall Prevention Behavior According to the Fall Experience of the Elderly)

  • 정경숙;허제은
    • 대한통합의학회지
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    • 제8권4호
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    • pp.253-263
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    • 2020
  • Purpose : The purpose of this study was conducted to compare the fear of falling, self-efficacy and fall prevention behavior according to the fall experience of the elderly. Methods : The subjects of this study were 162 elderly in B metropolitan city. The data collection period was from September 10th to November 30th of 2018. The collected data was processed using SPSS 21.0 and was analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test. Results : The mean scores for fear of falling according to the fall experience and no fall experience of the elderly were 2.28±0.63 and 1.84±0.64 respectively and the results showed that fear of falling (t=4.26, p<.001) and self-efficacy of falling (t=3.88, p<.001) were significantly different between the two groups, but the mean scores for fall prevention behavior according to the fall experience and no fall experience of the elderly were 1.63±0.20 and 1.67±0.17 respectively and there was no significantly different in fall prevention behavior (t=-1.16, p=.25). Fear of falling according to the fall experience was significantly different by age (F=3.25, p<.05) and physical activity related to daily life (F=13.22, p<.001). Self-efficacy according to the fall experience was significantly different by age (F=3.03, p<.05), income per month (F=3.74, p<.05) and physical activity related to daily life (F=11.99, p<.001). But fall prevention behavior was no significantly different of general characteristics. Fear of falling according to the no fall experience was significantly different by age (F=3.37, p<.05), marriage status (F=3.37, p<.05), education level (F=5.15, p<.01), income per month (F=3.58, p<.05) and physical activity related to daily life (F=15.71, p<.001). Self-efficacy according to the no fall experience was significantly different by sex (t=2.32, p<.05), age (F=5.20, p<.01), marriage status (F=5.04, p<.01), education level (F=6.55, p<.001), income per month (F=5.99, p<.001) and physical activity related to daily life (F=18.86, p<.001). Fall prevention behavior was significantly different by marriage status (F=3.51, p<.05). Conclusion : The results of this study suggest the following : it is necessary to develop a program that can lower the fear of falling in the elderly and to increase the self-efficacy of falling, and to develop an education program that can improve the elderly's practice of fall prevention behavior regardless of the fall experience and to verify its effectiveness.

무한 유체에서 자유 낙하하는 원형 실린더의 2차원 운동에 관한 수치해석 (Numerical Analysis of Two-Dimensional Motion of a Freely Falling Circular Cylinder in an Infinite Fluid)

  • 남궁각;최형권;유정열
    • 대한기계학회논문집B
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    • 제28권6호
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    • pp.713-725
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    • 2004
  • The two-dimensional motion of a freely falling circular cylinder in an infinite fluid is investigated numerically using combined formulation. The effect of vortex shedding on the motion of a freely falling cylinder is clearly seen: as the streamwise velocity of the cylinder increases due to gravity, the periodic vortex shedding induces a periodic motion of the cylinder. This motion in turn affects the flow field, which is manifested by the generation of the angular velocity vector of the cylinder parallel to the cross product of the gravitational acceleration vector and the transverse velocity vector of the cylinder. A correlation of St-Re relationship for a freely falling circular cylinder is drawn from the present results. The Strouhal number for a freely falling circular cylinder is found to be smaller than that for a fixed circular cylinder when the two Reynolds numbers based on the streamwise terminal velocity of a freely failing circular cylinder and the free stream velocity of a fixed one are the same. From "thought experiments", it is shown that the transverse motion of the cylinder plays a crucial role in reducing the Strouhal number and has an effect of reducing the Reynolds number from the viewpoint of the pressure coefficient. The mechanism of this reduction in the Strouhal number is revealed by the fact that the freely falling cylinder experiences a smaller lift force than the fixed one due to the transverse motion resulting in the retardation of the vortex shedding.

지역사회 재가 노인들의 낙상공포에 관한 연구 (The Survey of Activities and Fear of Falling in the Community Dwelling Elderly)

  • 송경애;문정순;강성실;최정현
    • 한국보건간호학회지
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    • 제15권2호
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    • pp.324-333
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    • 2001
  • The purpose of this cross-sectional study was to explore fear of falling in relation to activity restriction of in the community dwelling elderly. Two hundred ninety-nine community dwelling elderly residing in Seoul and Kyonggi-do were interviewed using a structured questionnaire. The results were as follows : 1. Subjects were predominantly women$(70.6\%)$, an average 72.5 years old; the incidence of falls in last one year was $45.5\%$. 2. The highest level of fear found for activity in those who say they do engage and those who do not engage in the activity was 'going out when it is slippery '(m=2.53, 2.81) and 'reach for something over your head'(m=1.66, 2.60). Fear of falling scores were significant lower for those who say they do engage in eight kinds of activities (excluded activities of given were 'go to the store', 'take a tub bath', 'get out of bed') than for those who do not engage in the activities. 3. Among those who did not perform the activity, the three activities, when it is slippy(n=80), reaching overhead(n=70), and walk outside(n=59),were most often avoided because fear alone as well as for reasons in addition to fear. 4. The significant variables associated with fear of falling were female(p=0.0000), 1 educational status(p=0.000l), poor economic condition(p=0.0007), and experience of falls in last one year(p=0.0007). Fear of falling is common in the community dwelling elderly in Korea and is associated with several demographical variables. Therefore, to prevent falls and to reduce fear of falling, further study for development of education program for the elderly is needed.

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지역사회 노인의 신체활동도와 낙상 두려움, 우울, 신체기능 (Fear of Falling, Depression, Physical Fitness and Physical Activity among Community Dwelling Elders)

  • 이영희;최미경
    • 성인간호학회지
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    • 제23권4호
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    • pp.351-362
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    • 2011
  • Purpose: This study was designed to examine fear of falling, depression, physical fitness, and physical activity and further to identify the factors that predict physical activity among community dwelling elders. Methods: This study was a cross-sectional descriptive survey. Participants were 153 community dwelling elders from G city. Data were collected using structured questionnaires and were analyzed using descriptive statistics, ${\chi}^2$-test, t-test, ANOVA, and multinominal logistic regression analysis. Results: Activity levers were coded as inactive, minimal activity and enhancing physical active. Thirty-three point three percent reported inactivity, forty-seven point seven percent reported minimal activity and nineteen percent reported health enhancing physical activity. There were significant differences in physical activity relative to gender, age, falling experience, perceived health, and living situation. Further, there was significant difference in fear of falling, depression, and physical fitness by physical activity. For instance, Fear of falling (OR=1.04, p=.014) was a significant predicting factor for physical activity, In contrast for the enhancing physical active the variables of gender (OR=0.28, p=.046), age (OR=0.86, p=.021), perceived health (fair: OR=13.61, p=.006), fear of falling (OR=1.04, p=.026), and two-minute step (OR=1.04, p=.049) were significant. Conclusion: The results of this study indicate that physical activity intervention programs are needed to increase physical activity for community dwelling elders. Physical activity intervention programs should be developed and evaluated.

자이로센서를 이용한 낙상 방향 탐지 시스템 구현 (Implementation of Fall Direction Detector using a Single Gyroscope)

  • 문병현;류정탁
    • 한국산업정보학회논문지
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    • 제21권2호
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    • pp.31-37
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    • 2016
  • 낙상은 응급상황이 발생한 노인에게는 적절한 시간이 응급처치가 요구되는 주요한 상태이다. 응급상황의 경우, 낙상의 발생과 낙상 방향은 초기 상태의 응급처치를 위한 중요한 정보로 사용될 수 있다. 본 논문에서는 낙상의 발생과 방향을 정확히 판단하는 시스템을 구현하였다. 낙상과 방향을 감지하기 위하여 하나의 3축 자이로도센서(MPU-6050)를 사용하였다. 제안된 낙상 방향 알고리듬은 X와 Y축 가속도값을 사용하여 낙상여부와 앞, 뒤 좌,우 및 중간방향을 포함한 8개 낙상방향을 감지하였다. 제안된 시스템은 선택적인 가속도 임계값을 사용하여 97% 이상의 낙상과 낙상방향을 성공적으로 감지함을 보였다.

역사서 검색으로 관찰한 한반도 강설현상 (Snow Falling Phenomenon of the Korean Peninsular Based on the Records of Old Literatures)

  • 김기원;신만용
    • 한국농림기상학회지
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    • 제4권4호
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    • pp.248-253
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    • 2002
  • 본 논문은 우리나라 기원전 6년 11월부터 1928년 까지 1934년 간의 강설기록을 살펴 본 것으로서 다음과 같은 특징을 정리할 수 있었다. 첫눈 기록은 733년 7월에 신라땅과 1637년 전라도 무주에서 있었고 끝눈 기록은 6월 11일에 눈보라가 온 것으로 기록되어 한 여름에도 눈이 왔었다는 사실을 확인할 수 있다. 적설량은 척관법 단위를 써서 기록하였는데 최고 적설량은 약 열 자 혹은 한 장(장여 혹은 일장) 기록이 있었으며 자주 나타나는 큰눈 기록은 대개 4∼5자가 많이 발견된다. 단위를 치(촌)와 푼(분)까지 사용하여 기록한 바 정확성을 기하려 한 흔적도 보인다. 눈피해는 주로 인명과 가옥 등을 중심으로 기록하고 있다. 눈피해 중 인명피해로는 크게 3건이 발견된다. 1524년과 1521년에 함경도 경성 땅에서 각각 100여명과 140여명, 1670년에는 제주도에 큰눈이 내려 91명이 사망한 것으로 기록되어 있다. 첫눈이 오면 상서로운 것으로 여겨 나라에서는 신설하례(新雪賀禮) 의식을 갖고 나라의 안녕을 기원하였고, 눈이 오지 않으면 왕에게 간하여 기설제를 지내기도 하였다. 눈과 관련된 기상이변은 여러 번 발견된다. 눈 올 때 심한 천둥번개가 친다거나, 이상한 벌레들이 섞여 내린다거나 붉은 색깔의 눈이 내렸다는 기록이 있다. 검색한 결과는 단어별 건수에 있어서나 내용에 있어서나 미진한 것이다. 검색방법이나 검색에 사용해야 할 단어 중에는 좀 더 합당한 단어들이 있을 줄 안다. 차후의 연구를 위한 과제로 남기기를 희망한다.

지역사회에 거주하는 파킨슨병환자의 낙상공포 영향 요인 (Factors Influencing Fear of Falling in Patients with Parkinson's Disease in the Community)

  • 선순희;김정선
    • 한국콘텐츠학회논문지
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    • 제16권1호
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    • pp.676-687
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    • 2016
  • 본 연구는 지역사회에 거주하는 파킨슨병환자의 운동기능, 우울, 낙상공포의 관계를 파악하고 낙상공포에 미치는 영향요인을 규명하기 위한 것이다. 대상자는 편의표집에 의해 선정된 파킨슨병환자 180명이다. 수집된 자료는 IBM SPSS Statistics 20.0을 이용하여 기술통계, t-test, ANOVA, Pearson correlation coefficient와 multiple linear regression으로 분석하였다. 그 결과, 파킨슨병환자는 여성, 직업이 없는 경우. 보행보조기구 사용자, 2회 이상 낙상 경험자, 파킨슨병 4단계 환자, 유병기간이 9년을 초과한 경우, 항고혈압제 복용 환자, 독립적 운동수행력 하위군, 우울이 있는 경우 낙상공포가 더 높게 나타났다. 낙상공포는 운동기능 및 우울과 유의한 순상관관계를 나타냈다. 파킨슨병환자의 낙상공포의 영향요인은 우울, 낙상횟수, 파킨슨병 단계, 성별, 항고혈압제, 운동기능으로 변량의 36.0%의 설명력을 나타냈으며 영향요인 중 우울이 가장 강력한 요인으로 나타났다. 따라서 지역사회 거주하는 파킨슨병환자의 낙상공포를 예방하기 위해서는 영향요인에 대한 체계적 간호사정과 함께 우울을 완화할 수 있는 중재전략이 필요함을 제시해 주었다.

지역사회 재가노인의 낙상 두려움 예측요인 (Factors Influencing the Fear of Falling among Community-dwelling Elderly in Korea)

  • 박난주;신용순
    • 한국산학기술학회논문지
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    • 제20권6호
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    • pp.278-287
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    • 2019
  • 본 연구는 지역사회 재가노인의 낙상 두려움에 영향을 미치는 요인을 확인하기 위하여 수행되었다. 2014 노인실태조사(2014년 6월 11일~ 9월 4일)에 참여한 65세 이상 노인 10,242명의 자료를 사용하여 이차자료 분석을 실시하였다. 낙상에 대한 두려움의 위험 요인을 확인하기 위하여 다변량 로지스틱 회귀분석을 사용하였다. 노인의 81.5%는 낙상에 대한 두려움이 있었다. 지역사회 재가노인의 낙상 두려움에 대한 유의한 예측요인은 성별(OR=2.87, p<.001), 교육(OR=1.73, p<.001), 동거 배우자 유무(OR=1.19, p=.02), 낙상 경험(OR=6.35, p<.001), 관절염(OR=1.83, p<.001), 우울(OR=2.25, p<.001), 인지 장애(OR=1.24, p=.001), 도구적 일상생활활동(OR=1.98, p<.001), 운동(OR=1.29, p<.001) 및 만성 질병의 수(3개 이상: OR=2.53, p<.001, 1~2개: OR=1.73, p<.001)였다. 즉, 낙상 두려움은 다요인적 상태와 관련이 있으며, 관절염은 낙상 두려움과 관련된 중요한 만성 질환으로 확인되었다. 본 연구결과는 낙상 두려움과 관련한 프로그램 계획 및 정책 제안 시 기초 자료를 제공할 것이다.