• Title/Summary/Keyword: prevention of falls

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A Study on Protective Purposes and Intents of Use of Safety Helmets as for Reduction of Falls (추락사고 감소를 위한 안전모의 보호목적과 사용의도에 대한 고찰)

  • Kim, Jin Hyun
    • Journal of the Korean Society of Safety
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    • v.28 no.5
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    • pp.83-89
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    • 2013
  • Occupational Safety and Health Act provides that industrial safety helmets are personal protective equipment(PPE) to protect heads against falls from a height. Relevant domestic regulations are distinguished and different from other countries' cases. This study investigated industrial safety helmet's protective purposes and characteristics related to falls and the notion of fall prevention. A comparative analysis of regulations on safety helmets and fall prevention as well as standards on safety helmet's impact test requirements is followed by a literature review. It is also suggested that the term "fall" related to safety helmets should be changed to "impact on the upper part of head" in domestic regulations and standards.

Fear of Falling, Falls Efficacy and Fall Prevention Behaviors according to the Fall Experience among Older Adults in Outpatient Settings (외래방문 노인의 낙상경험 유무에 따른 낙상에 대한 두려움, 효능감 및 예방행위)

  • Uhm, In Ae;Hwang, Seon Young
    • Journal of East-West Nursing Research
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    • v.27 no.1
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    • pp.61-69
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    • 2021
  • Purpose: This study aims to determine the association between fear of falling, falls efficacy, and fall prevention behaviors in older adults in outpatient and identify the factors affecting fall prevention behaviors. Methods: This was a descriptive study. A total of 137 older adults aged 60 or older with more than one disease in an outpatients setting were recruited from a university hospital in Seoul. Data were collected from March 11 through April 8, 2016. Results: The experience of a fall was significantly associated with age (t=-2.71, p=.008), gender (𝛘2=14.32, p<.001), education (𝛘2=6.05, p=.049), income (𝛘2=9.93, p=.019), physical activity status (𝛘2=16.84, p<.001), and the number of diseases (t=-2.89, p=.004). Fall experience was not significantly associated with marital status (𝛘2=3.79, p=.285). Multiple regression analysis revealed that the most influential factor of fall prevention behaviors was the fear of falls (β=-.37, p<.001), followed by the number of diseases (β=-.20, p=.013). Conclusion: It is necessary to provide preventive fall education with older adults in outpatients settings considering the fear level of falling and the numbers of accompanying diseases.

Validity and Reliability Assessment of the Performance Measures Based on the Nursing Process for Prevention and Management of Pressure Ulcers, Falls and Pain (간호과정 적용 평가도구의 타당도 및 신뢰도 조사 - 욕창, 낙상예방 및 통증 간호를 중심으로 -)

  • Kim, Keum Soon;Kim, Jin A;Choi, Yun Kyoung;Kim, Yu Jeong;Song, Mal Soon;Kim, Eul Soon
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.3
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    • pp.5-23
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    • 2010
  • Purpose: This study was conducted to determine the validity and reliability of performance measurement tools based on the nursing process for prevention and management of pressure ulcers, falls and pain. Methods: The performance measurement tools were reviewed by a panel of experts and refined on the basis of the panel's suggestions. The validity of the performance measurement tools was measured by surveying hospital nurses. The reliability of these tools was tested by having nursing experts use the tools in five nursing units to assess nursing performance in prevention and management of pressure ulcers, falls and pain. Results: The performance measurement tools in this study were found to be acceptable as tools to evaluate quality of nursing care in pressure ulcers, falls and pain. The reliability of the performance measurement tools was acceptable. Conclusion: These results indicate that the performance measurement tools developed in this study are valid and reliable instruments to monitor and improve quality of nursing care in prevention and management of pressure ulcers, falls and pain.

The Effects of the Fall Prevention Education on the Awareness of Beginners to Spatial Design (낙상예방교육이 공간디자인 입문 학생의 인식에 미치는 효과)

  • Lee, Yeun-Sook;Park, Ji-Seon;Jang, Mi-Seon
    • Korean Institute of Interior Design Journal
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    • v.25 no.4
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    • pp.60-67
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    • 2016
  • Falls are accidents that can happen throughout the overall period of human life and their results are very fatal and have a serious negative effect on individuals and society. In case of aged people, even though they live in places where dangerous risks of falls are prevalent, they cannot improve their residential environment for themselves. Therefore, this study intends to prove the effects of fall prevention education by providing fall prevention education to spatial design majoring students in order to improve their perception about the falls and fall prevention environments and their social responsibility as a designer. This study was designed as Quasi-experimental study, and 121 beginners to spatial design received the education. As a result, the effects of education was proved by showing improvements on their awareness about the fall risks, the importance of fall prevention environment and social responsibility as a designer. In addition, after the education students could know more about spatial elements for fall prevention and they specified the details of important environmental factors for fall prevention. Generally, fall prevention education has been given to aged people and this is a first example of fall prevention education that was given to younger generation. It is meaningful that fall prevention education has changed the awareness of the students to help them work in spatial environment design with a strong sense of responsibility as an expert of spatial designer in future.

Prevalence and Associated Factors of Falls among People with Parkinson′s Disease (파킨슨병 환자의 낙상에 영향을 미치는 요인)

  • Sohng Kyeong-Yae;Moon Jung-Soon;Lee Kwang-Soo
    • Journal of Korean Academy of Nursing
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    • v.34 no.6
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    • pp.1081-1091
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    • 2004
  • Purpose: This study was done to identify the risk factors associated with falls among patients with Parkinson's Disease(PD). Method: A retrospective study design was used through the collection of physiological and physical health, and psychosocial functions. Results: Of the 100 participants, fifty-nine(59%) reported one or more falls and seventy-one(71%) reported one or more near-falls. Anaverage 34.7 falls and 150.3 near-falls were reported in the previous year per person. Stage of PD, foot problems, balance, fear of falling, and activities of daily living were significantly associated with an increased risk of falls. Conclusion: The findings confirm the high risk of falling in PD patients. Also these results have implications for developing fall prevention programs for PD patients.

The Mediating Effect of Depression in the Relationship between Muscle Strength of Extremities and Falls among Community-Dwelling Elderly (지역사회 재가노인의 사지근력과 낙상의 관계에서 우울의 매개작용)

  • Park, Hyoung-Sook;Park, Kyung-Yeon
    • Journal of Korean Academy of Nursing
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    • v.38 no.5
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    • pp.730-738
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    • 2008
  • Purpose: The purpose of this study was to identify the mediating effect of depression in the relationship between muscle strength of extremities and falls among community-dwelling elderly. Methods: Two hundred forty-seven participants were recruited from a public health center, a hall for the aged and a school for the aged in B city. Face-to-face interviews were conducted using questionnaires from May to September of 2007. Data was analyzed with descriptive statistics, Pearson correlation, and multiple regression using the SPSS WIN 14.0 program. Results: There was a significantly negative relationship between muscle strength of lower extremities and falls, muscle strength of left upper extremity and falls, and muscle strength of right upper extremity and falls. Depression positively correlated with falls. Depression showed mediating effects between muscle strength of extremities and falls. Weakness of muscle strength of extremities increased depression and the increased depression increased the frequencies of falls. Conclusion: For the effective management and prevention of community-dwelling older adults' falls, exercise programs including depression-decreasing strategies should be established. These exercise programs can decrease depression which is the mediator role between the degrees of muscle strength of extremities and falls.

Development of Fall Prevention Program for Improvement of Healthcare in Rehabilitation Patients Based on Image Processing : A Preliminary Investigation (영상처리 기반 재활 환자의 헬스케어 개선을 위한 낙상예방 프로그램 개발 : 예비연구)

  • Kang, So-La;Yoon, Jung-Dae;Yoo, Jin-Won;Na, Chang-Ho;Heo, Sung-Jin;Kim, Ye-Soon;Moon, Jong-Hoon
    • The Journal of the Korea institute of electronic communication sciences
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    • v.13 no.4
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    • pp.887-896
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    • 2018
  • The purpose of this preliminary study was to investigate the effect of fall prevention program on the occurrence of falls in inpatients at general hospital. Before the intervention, we identified the occurrence of the rate of falls in I hospital at Incheon and 190 patients received rehabilitation treatment. The causes of falls were carelessness of caregivers and therapists, increased burden of therapists, and height of beds. After recognizing the problems, the authors developed a fall prevention program through the PDCA model. The fall prevention program consisted of a video of fall prevention education and education for the patients and caregivers, environmental improvement and education of therapists for two months. After intervention, 230 patients were subjected to be included as analysis of the incidence of falls included As a result, the fall incidence was reduced by 34.1~66.7% in the pain clinic and 21.3~40.8% in the exercise clinic / department of occupational therapy compared to the before intervention. These findings show that the fall prevention program has a positive effect on the fall of inpatients, and it can be used as a model for fall prevention.

Structural Analysis of Variables related to Fall Prevention Behavior of Registered Nurses in Small-to-Medium Sized Hospitals (중소병원 간호사의 낙상예방행위와 관련 변인 간의 구조 분석)

  • Park, Ji Hyun;Son, Jung Tae
    • 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.

Effects of Health Belief of Falling on Fall Prevention Activities of Nursing Students (간호대학생의 낙상에 대한 건강신념이 낙상예방행위에 미치는 영향)

  • Ko, Young Ji;Uhm, Ju-Yeon
    • Journal of muscle and joint health
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    • v.26 no.1
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    • pp.54-61
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    • 2019
  • Purpose: This study was performed to identify nursing students' fall prevention activities, health beliefs of falling and factors associated with fall prevention activities among nursing students. Methods: 149 nursing students from a university completed self-administered questionnaires including participants' characteristics, fall prevention activities, and health belief of falling. Hierarchical multiple regression analysis was used to determine significant independent factors of fall prevention activities. Results: The score for fall prevention activities was $62.40{\pm}9.78$, which was relatively high. The regression model had an adjusted $R^2$ of .16, which indicated that perceived susceptibility was a factor affecting fall prevention activities of nursing students. Conclusion: To increase perceived susceptibility, repetitive fall prevention education including various examples of falls could help nursing students to promote fall prevention activities. Nursing faculty should develop contents to increase recognition of obligation and responsibility regarding fall prevention in curriculum for nursing students.

Factors associated with healthcare utilization for infant falls in South Korea: a cross-sectional online survey

  • Soo-Yeon Han;Cho Hee Kim
    • Child Health Nursing Research
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    • v.29 no.4
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    • pp.252-259
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    • 2023
  • Purpose: Falls are a common cause of unintentional injuries in infants. This study was conducted to examine the patterns of healthcare utilization following infant falls in South Korea. Methods: This cross-sectional descriptive study utilized an online survey designed to gather information regarding the general characteristics of parents and infants, fall-related variables, and healthcare use. Results: The most serious falls identified by parents occurred at an average infant age of 6.97 months. Most fall incidents took place indoors (95.7%), and many occurred under the supervision of caregivers (68.0%). Following the fall, 36.4% of the participants used healthcare services. Logistic regression analysis revealed that healthcare use following an infant fall was significantly associated with being a firstborn child (odds ratio [OR]=5.32, 95% confidence interval [CI], 2.19-15.28) and falling from a caregiver's arms (OR=4.22; 95% CI, 1.45-13.68). Conclusion: To prevent and decrease the frequency of infant falls, improvements are needed in both the domestic environment and parenting approaches.