지역사회거주 여성노인에게 적용한 타이치 낙상예방 프로그램의 효과
Effect of the Tai Chi Fall Prevention Program for Elderly Women Living in the Community
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Purpose: The study aimed to examine the effects of Tai Chi fall prevention program on risk factors for fall, fear of falling, and quality of life among elderly women living in the community. Methods: A quasi-experimental pretest-posttest design with non-equivalent control group was used. Sixty participants were recruited from 4 senior citizen centers in a city. The 1-hour Tai Chi fall prevention program was provided three times a week for 6 months to the experimental group. Risk factors for fall including fracture risk and bone mineral density, fear of falling, and quality of life were measured at the baseline and at 6 months. Results: Participants were 75 years old in average. At the completion of 6 month program, the experimental group showed lower fracture risks, less fear of falling, and higher scores in several domains of quality of life than the control group, after controlling for the pretest scores, fall experience, and regular exercise habit. Conclusion: The Tai Chi fall prevention program was safely applied to elderly women with improvement in fracture risk, fear of falling, and several domains of quality of life. Future study is necessary to confirm the longer effect of the Tai Chi program for the prevention of fall episodes.
Abstract
Purpose: The study aimed to examine the effects of Tai Chi fall prevention program on risk factors for fall, fear of falling, and quality of life among elderly women living in the community. Methods: A quasi-experimental pretest-posttest design with non-equivalent control group was used. Sixty participants were recruited from 4 senior citizen centers in a city. The 1-hour Tai Chi fall prevention program was provided three times a week for 6 months to the experimental group. Risk factors for fall including fracture risk and bone mineral density, fear of falling, and quality of life were measured at the baseline and at 6 months. Results: Participants were 75 years old in average. At the completion of 6 month program, the experimental group showed lower fracture risks, less fear of falling, and higher scores in several domains of quality of life than the control group, after controlling for the pretest scores, fall experience, and regular exercise habit. Conclusion: The Tai Chi fall prevention program was safely applied to elderly women with improvement in fracture risk, fear of falling, and several domains of quality of life. Future study is necessary to confirm the longer effect of the Tai Chi program for the prevention of fall episodes.
참고문헌 (29)
- Akyol, A. D., "Falls in the elderly: What can be done?", International Nursing Review, 54(2), pp.191~196 (2007)
- "Prevention of falls in older persons. ACS/BGS clinical practice guideline" (2010)[URL]
- Chang, C. M, "Physical function and psychological status in the elderly those who experienced a fall or not", The Korean Journal of Rehabilitation Nursing, 7(1), pp.48~57 (2004)
- Choi, J. H., "The effects of Tai Chi exercise on physiologic, psychological functions, and falls among fall-prone elderly", Journal of Rheumatology Health, 10(1), pp.62~76 (2003)
- 최경원, "도시 빈곤 노인의 낙상발생 위험요인에 관한 연구", Journal of Korean Academy of Nursing, 40(4), pp.589~598 (2010), 한국간호과학회
- Day, L., "Modelling the population-level impact of tai-chi in falls and fall-related injury among community-dwelling older people", Injury Prevention, 16(5), pp.321~326 (2010)
- Evitt, C. P., "Fear of falling in older adults : A guide to its prevalence, risk factors, and consequences", Rehabilitation Nursing, 29(6), pp.207~210 (2004)
- Fujiwara, S., "Development and application of a Japanese model of the WHO fracture risk assessment tool (FRAX)", Osteoporosis International, 19, pp.429~435 (2008)
- Gagnon, N., "Affective correlates of fear of falling inelderly persons", The American Journal of GeriatricPsychiatry, 13(1), pp.7~14 (2005)
- "Interventions for preventing falls in elderly people" (2009)[URL]
- 구미옥, "노인 낙상예방 운동중재 문헌분석 연구", Journal of Korean Academy of Nursing, 35(6), pp.1101~1112 (2005), 한국간호과학회
- Economic analysis of Tai Chi as a means of preventing falls and falls related injuries among older adults. Centre for Health Economics Research and Evaluation, "Haas, M.", University of Technology, ~, pp.CHERE Working paper 2006 (2006), 4
- Han, C. W., "Development of the Korean version of short-form 36-Item health survey : Health related QOL of healthy elderly people and elderly patients in Korea", Tohoku Journal of Experimental Medicine, 203(3), pp.189~194 (2004)
- Huang, T. T., "Reducing the fear of falling among community-dwelling elderly adults through cognitive-behavioral strategies and intense Tai Chi exercise: A randomized controlled trial", Journal of Advanced Nursing, 67(5), pp.961~671 (2011)
- Kanis, J. A., "FRAXTM and the assessment of fracture probability in men and women from the UK", Osteoporosis International, 19(4), pp.385~397 (2008)
- 권명순, "낙상예방 프로그램이 재가노인의 체력과 심리기능에 미치는 효과", Journal of Korean Academy of Nursing, 41(2), pp.165~174 (2011), 한국간호과학회
- Kohrt, W. M., "American College of Sports Medicine position stand : Physical activity and bone health", Medicine & Science in Sports & Exercise, 36, pp.1985~1996 (2004)
- 임재영, "한국 노인의 낙상 실태와 위험요인: 일부 지역의 인구비례 할당 표본 조사", 노인병, 14(1), pp.8~17 (2010), 대한노인병학회
- Lippuner, K., "FRAX assessment of osteoporotic fracture probability in Switzerland", Osteoporosis International, 21, pp.381~389 (2010)
- 류명인, "타이치 운동프로그램이 시설노인의 체력, 낙상관련 지각 및 건강상태에 미치는 효과", Journal of Korean Academy of Nursing, 38(4), pp.620~628 (2008), 한국간호과학회
- "Clinician's guide to prevention and treatment of osteoporosis" (2010)[URL]
- Ock, S. M., "Femoral and vertebral bone mineral density and physical fitness factors in postmenopausal women of practicing Tai Chi", The Journal of The Korean Academy of Family Medicine, 21(1), pp.46~56 (2000)
- Park, J. H., "The relationship between fear of falls and physical performances, physical characteristics and bone mineral density of elderly Korean in a rural community", 박사, pp.2011
- 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
- Shin, K. R., "Experiences among older adults who have fallen", Qualitative Research, 11(1), pp.26~35 (2010)
- Sohng, K. Y., "The survey of activities and fear of falling in the community dwelling elderly", Journal of Korea Community Health Nursing Academic Society, 15(2), pp.324~333 (2001)
- Tideiksaar, R., "Falling in old age-prevention and management" (1997), Spring Publishing Co
- Ware, J. E., "The MOS 36-item short-form health survey(SF-36) : Ι. Conceptual framework and item selection", Medical Care, 30(6), pp.473~489 (1992)
- Wu, G., "Evaluation of the effectiveness of Tai Chi for improving balance and preventing falls in the older population: A review", Journal of The American Geriatrics Society, 50(4), pp.746~754 (2002)