골다공증 여성의 골절위험도와 낙상예방행위와의 관계에 미치는 낙상위험지각의 매개효과
The Mediating Effect of Fall Risk Perception on the Relationship between Fracture Risk and Fall Prevention Behaviors in Women with Osteoporosis
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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.
Abstract
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.
참고문헌 (27)
- 안숙희, "폐경 후 여성 골다공증과 낙상의 실태 및 골절 위험 예측요인", 여성건강간호학회지, 18(4), pp.237~247 (2012), 여성건강간호학회
- Reuben M. Baron, "The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.", Journal of Personality and Social Psychology, 51(6), pp.1173~1182 (1986), American Psychological Association (APA)[DOI]
- Braun, B., "Knowledge and perception of fall-related risk factors and fall-reduction techniques among communitydwelling elderly individuals", Physical Therapy, 78(12), pp.1262~1276 (1998)
- Champion, V. L., "Health behavior and health education: Theory, research, and practice", pp.45~65 (2008), Jossey-Bass, Inc
- "Prevalence and management of osteoporosis: Korea national health and nutrition examination survey, 2008-2011" (2013)[URL]
- Miriam F. Delaney, "Strategies for the prevention and treatment of osteoporosis during early postmenopause", American Journal of Obstetrics and Gynecology, 194(2), pp.S12~S23 (2006), Elsevier BV[DOI]
- Margaret O. Doheny, "Osteoporosis Knowledge, Health Beliefs, and DXA T-Scores in Men and Women 50 Years of Age and Older", Orthopaedic Nursing, 26(4), pp.243~250 (2007), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Diane L. Dunniway, "FRAX® counseling for bone health behavior change in women 50 years of age and older", Journal of the American Academy of Nurse Practitioners, 24(6), pp.382~389 (2012), Wiley-Blackwell[DOI]
- Grossman, J. M., "Quality indicators for the management of osteoporosis in vulnerable elders", Ann als of Internal Medicine, 135(8), pp.722~730 (2001)[DOI]
- Gu, M. O., "Younger and more active" (2002), Hyeonmoonsa
- Hong, C. M., "Development of perception measurement of fall risk for the community-dwelling elderly", doctor, pp.2011
- Hook, M. L., "Using the common sense model to describe representations of fall risk in high risk community dwelling older adults and to explore the relationships among representations, threat of falling, fall prevention behaviors and falling", doctor, pp.2007
- 현일선, "저소득층 낙상위험 노인을 대상으로 한 낙상예방 프로그램의 효과", 지역사회간호학회지, 21(2), pp.200~209 (2010), 한국지역사회간호학회
- 장현정, "폐경 후 여성의 낙상예방행위 예측모형", Journal of Korean Academy of Nursing, 44(5), pp.525~533 (2014), 한국간호과학회
- Kang, T. H., "Spinal bone mineral density related with YSM in Korean menopausal women", Journal of Korean Academy of Family Medicine, 23(2), pp.224~232 (2002)
- J. A. Kanis, "FRAX™ and the assessment of fracture probability in men and women from the UK", Osteoporosis International, 19(4), pp.385~397 (2008), Springer Nature[DOI]
- 김주연, "골다공증 노인 환자의 낙상 관련요인에 관한 연구", 성인간호학회지, 21(2), pp.257~267 (2009), 성인간호학회
- 김영희, "재가 허약노인의 낙상효능감, 낙상위험지각 및 낙상예방행위와의 관계", 한국산학기술학회논문지, 14(7), pp.3383~3389 (2013), 한국산학기술학회[DOI]
- 이동윤, "Determination of an Applicable FRAX Model in Korean Women", Journal of Korean Medical Science, 25(11), pp.1657~1660 (2010), 대한의학회
- Lee, E. N., "The effect of the health belief and efficacy expectation promoting program on osteoporosis preventive health behavior in women with rheumatoid arthritis", Journal of Muscle and Joint Health, 5(2), pp.174~190 (1998)
- Lim, D. H., "Risk factors of fall-related injuries and the interaction of bone mineral density and health behaviors", master, pp.2012
- Thorsten Nikolaus, "Preventing Falls in Community-Dwelling Frail Older People Using a Home Intervention Team (HIT): Results From the Randomized Falls-HIT Trial", Journal of the American Geriatrics Society, 51(3), pp.300~305 (2003), Wiley-Blackwell[DOI]
- 박재우, "Osteoporosis Medication Treatment Thresholds for Patients with a Distal Radius Fracture as Determined using Bone Mineral Density and the Fracture Risk Assessment Tool", 대한골대사학회지, 18(1), pp.15~21 (2011), 대한골대사학회
- Jane Anthony Peterson, "Osteoporosis overview", Geriatric Nursing, 22(1), pp.17~23 (2001), Elsevier BV[DOI]
- I. M. Rosenstock, "Social Learning Theory and the Health Belief Model", Health Education & Behavior, 15(2), pp.175~183 (1988), SAGE Publications[DOI]
- J. A. Stevens, "Older Adult Fall Prevention: Perceptions, Beliefs, and Behaviors", American Journal of Lifestyle Medicine, 4(1), pp.16~20 (2010), SAGE Publications[DOI]
- M. Vassallo, "The relationship of falls to injury among hospital in-patients", International Journal of Clinical Practice, 59(1), pp.17~20 (2005), Wiley-Blackwell[DOI]