The Effects of Fall Health Belief and Knowledge of Fall on the Prevention of Fall in the Elderly: Mediating and Moderating Effects of Fall Fear
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This descriptive study investigated the mediating and moderating effects of fear of fall on the relationships between health belief on fall, fall-related knowledge and fall prevention behaviors among older adults Methods: We enrolled 229 older adults residing in a senior citizen hall and community welfare center, and investigated their health belief on fall, fall-related knowledge, fall prevention behavior, and fear of fall. Descriptive statistics, ANOVA and t-test were used to analyze differences in variables. Pearson correlation and multiple regression were used to investigate mediating and moderating effects of the fear of fall on the relationships between health belief on fall, fall-related knowledge, and fall prevention behaviors. Results: The fear of fall significantly mediated the health belief on fall and fall prevention behaviors, but there was no significant mediation between knowledge of fall and fall prevention behaviors. The fear of fall did not have a moderating effect on the relationships between health belief on fall, knowledge of fall, and fall prevention behaviors. Conclusion: It is important to investigate and implement health belief on fall and fear of fall among older adults to improve their fall prevention behaviors.
Abstract
Purpose: This descriptive study investigated the mediating and moderating effects of fear of fall on the relationships between health belief on fall, fall-related knowledge and fall prevention behaviors among older adults Methods: We enrolled 229 older adults residing in a senior citizen hall and community welfare center, and investigated their health belief on fall, fall-related knowledge, fall prevention behavior, and fear of fall. Descriptive statistics, ANOVA and t-test were used to analyze differences in variables. Pearson correlation and multiple regression were used to investigate mediating and moderating effects of the fear of fall on the relationships between health belief on fall, fall-related knowledge, and fall prevention behaviors. Results: The fear of fall significantly mediated the health belief on fall and fall prevention behaviors, but there was no significant mediation between knowledge of fall and fall prevention behaviors. The fear of fall did not have a moderating effect on the relationships between health belief on fall, knowledge of fall, and fall prevention behaviors. Conclusion: It is important to investigate and implement health belief on fall and fear of fall among older adults to improve their fall prevention behaviors.
참고문헌 (31)
- Baron, R. M., "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)[DOI]
- Susan J. Blalock, "Relationship Between Perceived Risk of Falling and Adoption of Precautions to Reduce Fall Risk", Journal of the American Geriatrics Society, 64(6), pp.1313~1317 (2016), Wiley[DOI]
- Chang, C. M., "A Study on relations between physical function, psychological status, falls, and quality of life in elderly people living at home", Korea Care Management Research, 3, pp.71~89 (2009)
- Nandini Deshpande, "Activity Restriction Induced by Fear of Falling and Objective and Subjective Measures of Physical Function: A Prospective Cohort Study", Journal of the American Geriatrics Society, 56(4), pp.615~620 (2008), Wiley[DOI]
- Fletcher, P. C., "Restriction in activity associated with fear of falling among community-based seniors using home care services", Age and Ageing, 33(3), pp.273~279 (2004)[DOI]
- Gu, M., "Growing younger and more active" (2002), Hyunmoon
- 황선영, "노인 입원 환자의 낙상 예방행위에 영향을 미치는 요인", Korean Journal of Health Promotion, 13(2), pp.76~85 (2013), 대한임상건강증진학회
- 현일선, "저소득층 낙상위험 노인을 대상으로 한 낙상예방 프로그램의 효과", 지역사회간호학회지, 21(2), pp.200~209 (2010), 한국지역사회간호학회
- 장경숙, "재가 관절염 노인의 낙상 예방행위 예측모형 구축", 성인간호학회지, 27(6), pp.684~694 (2015), 한국성인간호학회[DOI]
- 조희은, "낙상예방 프로그램이 노인의 체력, 낙상효능감 및 낙상예방행위에 미치는 효과", 재활간호학회지, 20(1), pp.22~32 (2017), 한국재활간호학회[DOI]
- 조희숙, "건강신념 모형을 적용한 한국인 건강관련 행동 연구에 대한 메타분석", 한국심리학회지: 건강, 9(1), pp.69~84 (2004), 한국건강심리학회
- 정지영, "요양병원 간병사의 낙상예방효능감과 낙상예방건강신념이 낙상예방인지도에 미치는 영향", 한국콘텐츠학회 논문지, 15(2), pp.333~343 (2015), 한국콘텐츠학회[DOI]
- 정영미, "재가노인의 건강상태에 따른 낙상실태 및 낙상관련요인", 한국노년학, 26(2), pp.291~303 (2006), 한국노년학회
- 강기선, "낙상예방운동 프로그램이 지역 경로당 센터 노인의 일상생활수행능력, 낙상두려움 및 삶의 질에 미치는 효과", 한국산학기술학회논문지, 17(8), pp.267~272 (2016), 한국산학기술학회[DOI]
- 김미선, "노인요양원 요양보호사의 낙상관련지식과 낙상예방돌봄행위", 근관절건강학회지, 21(1), pp.11~18 (2014), 대한근관절건강학회[DOI]
- 권명순, "재가 노인의 낙상에 대한 지식, 두려움 및 효능감의 관계", 지역사회간호학회지, 21(2), pp.139~147 (2010), 한국지역사회간호학회
- Lachman, M. E., "Fear of falling and activity restriction : the survey of activities and fear of falling in the elderly(SAFE)", The Journals of Gerontology Series B : Psychological Sciences and Social Sciences, 53(1), pp.43~50 (1998)[DOI]
- Lee, I., "Easyflow regression analysis" (2014), Hannarae Publishing Co
- 이상곤, "일부농촌지역 재가 낙상경험 노인의 낙상두려움 관련 요인", 농촌의학.지역보건, 36(4), pp.251~263 (2011), 한국농촌의학.지역보건학회
- "Survey of elderly state" (2014)[URL]
- "2016 National health insurance statistical yearbook" (2016)[URL]
- 박민경, "응급실 간호사의 건강신념이 낙상예방활동에 미치는 영향", 간호행정학회지, 20(2), pp.176~186 (2014), 간호행정학회[DOI]
- Pfortmueller, C., "Reducing fall risk in the elderly : Risk factors and fall prevention, a systematic review", Minerva Medica, 105(4), pp.275~281 (2014)
- 신정순, "낙상예방프로그램이 노인의 근력, 균형 및 낙상두려움에 미치는 효과", 임상간호연구, 22(1), pp.10~19 (2016), 병원간호사회
- Sohng, K. Y., "The survey of activities and fear of falling in the community dwelling elderly", Journal of Korean Public Health Nursing, 15(2), pp.324~333 (2001)
- "Future population estimation" (2017)[URL]
- Brendon Stubbs, "The Avoidance of Activities due to Fear of Falling Contributes to Sedentary Behavior among Community-Dwelling Older Adults with Chronic Musculoskeletal Pain: A Multisite Observational Study", Pain Medicine, 15(11), pp.1861~1871 (2014), Oxford University Press (OUP)[DOI]
- Tinetti, M. E., "Preventing falls in elderly persons", New England Journal of Medicine, 348(1), pp.42~49 (2003)
- Tinetti, M. E., "Falls efficacy as a measure of fear of falling", Journal of gerontology, 45(6), pp.239~243 (1990)[DOI]
- 유재순, "농촌 지역의 재가 취약계층 허약노인을 위한 낙상예방 프로그램의 효과", Journal of Korean Academy of Nursing, 43(5), pp.613~625 (2013), 한국간호과학회
- 유광수, "노인전문병원 간호사의 낙상에 관한 지식 및 태도, 낙상 예방활동에 관한 연구", 한국보건간호학회지, 31(3), pp.436~450 (2017), 한국보건간호학회