방문간호를 받는 재가노인의 낙상위험
Fall Risk in the Community-dwelling Elderly who Received Home Care Services: Focused on Residential Environment and Perception of Fall Risk
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참고문헌
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초록
Purpose: The purpose of this study was to investigate the factors increasing fall risk in the residential environment risk and the perceived fall risk among the older adults who received home care services to provide information for developing a comprehensive falls intervention program. Methods: The subjects were 227 community-dwelling elderly aged 65 years and over who were taken care of by home-visiting nurses of the national health centers. The data were collected from July to August in 2012 using the Choi's residential environmental risk scale (2010) and the Hong's fall risk scale (2011). Results: Requires an assistive devices to walk, modified residential environment, health security, approval certificate of LTC, residential safety perception, residential environment risk, and perception of fall risk were statistically significant risk factors. A multiple logistic regression analysis showed that room & kitchen, physical perception, medication & ADL perception, floor-related environmental perception, and daily living tool-related perception were statistically significant predictors of fall. Conclusion: The results showed that the residential environment and the perceived fall risk were associated with fall experiences among the elderly. It is necessary to develope multifactorial intervention programs considering both environmental and perceived risk factors as well as physical risk factors to reduce and prevent falls among the elderly.
Abstract
Purpose: The purpose of this study was to investigate the factors increasing fall risk in the residential environment risk and the perceived fall risk among the older adults who received home care services to provide information for developing a comprehensive falls intervention program. Methods: The subjects were 227 community-dwelling elderly aged 65 years and over who were taken care of by home-visiting nurses of the national health centers. The data were collected from July to August in 2012 using the Choi's residential environmental risk scale (2010) and the Hong's fall risk scale (2011). Results: Requires an assistive devices to walk, modified residential environment, health security, approval certificate of LTC, residential safety perception, residential environment risk, and perception of fall risk were statistically significant risk factors. A multiple logistic regression analysis showed that room & kitchen, physical perception, medication & ADL perception, floor-related environmental perception, and daily living tool-related perception were statistically significant predictors of fall. Conclusion: The results showed that the residential environment and the perceived fall risk were associated with fall experiences among the elderly. It is necessary to develope multifactorial intervention programs considering both environmental and perceived risk factors as well as physical risk factors to reduce and prevent falls among the elderly.
참고문헌 (29)
- Braun, B. L., "Knowledge and perception of fall-related risk factors and fall reduction techniques among communitydwelling elderly individuals", Physical therapy, 78(12), pp.1262~1276 (1998)
- Chai, K. J., "A literature review a program of intervention for prevention of falling in the patients with dementia", Journal of Society of Occupational Therapy for the Aged and Dementia, 4(2), pp.27~34 (2010)
- Chin, Y. R., "Analysis of effects and nursing intervention of home health care in public health centers", The Journal of Korean Community Nursing, 15(3), pp.1~12 (2004)
- 최경원, "도시 빈곤 노인의 낙상발생 위험요인에 관한 연구", Journal of Korean Academy of Nursing, 40(4), pp.589~598 (2010), 한국간호과학회[DOI]
- Hong, C. M., "Development of perception measurement of fall risk for the community-dwelling elderly", 박사, pp.2011
- 홍세훈, "지역사회 거주 노인의 낙상 발생현황 및 관련요인 - 고령화연구패널(KLoSA) 자료를 이용하여", 노인간호학회지, 12(3), pp.211~224 (2010), 노인간호학회
- Hughes, K., "Older persons' perception of risk of falling: Implications for fall-prevention campaigns", American Journal of Public Health, 98(2), pp.351~357 (2008)[DOI]
- Iwarsson, S., "Person-environment fit predicts falls in elderly better than the consideration of environmental hazards only", Clinical Rehabilitation, 23(6), pp.558~567 (2009)[DOI]
- Jang, I. S., "Home safety assessment for fall prevention in elderly people in a rural community", Journal of Korean Gerontological Nursing, 4(2), pp.176~186 (2002)
- "2011 Survey of the elderly" (2011)[URL]
- 권명순, "낙상예방 프로그램이 재가노인의 체력과 심리기능에 미치는 효과", Journal of Korean Academy of Nursing, 41(2), pp.165~174 (2011), 한국간호과학회[DOI]
- Lee, F., "Perceptions of older people living in the community about their fear of falling", Disability and Rehabilitation, 30(23), pp.1803~1811 (2008)[DOI]
- 임경춘, "재가 노인의 낙상공포 여부에 따른 건강상태, 신체기능상태 및 가정환경 위험 비교", 한국노년학, 29(4), pp.1577~1589 (2009), 한국노년학회
- Lord, S. R., "Home environment risk factors for falls in older people and the efficacy of home modifications", Age and Ageing, 35(2), pp.55~59 (2006)
- Masud, T., "Epidemiology of falls", Age and Ageing, 30(4), pp.3~7 (2001)
- Menz, H. B., "A tactile stimulus applied to the leg improves postural stability in young, old and neuropathic subjects", Neuroscience Letters, 406(1-2), pp.23~26 (2006)[DOI]
- "Senior survey 2008 (National Senior Living Conditions and Welfare Needs Survey)" (2008)[URL]
- 백경원, "화장실에서의 노인 낙상 예방을 위한 안전손잡이 효과", 한국노년학, 22(3), pp.85~98 (2002), 한국노년학회
- 박영혜, "노인가정의 낙상사고 위험 환경요인", 보건교육건강증진학회지, 22(4), pp.203~213 (2005), 한국보건교육건강증진학회
- "Changes in healthcare insurance fee" (2012)[URL]
- Pynoos, J., "Environmental assessment and modification as fall-prevention strategies for elderly", Clinics in Geriatric Medicine, 26(4), pp.633~644 (2010)[DOI]
- Ryeom, T. H., "The risk factors of falls in elderly", Journal of Korean Academy of Family Medicine, 22(2), pp.221~229 (2001)
- Shin, K. R., "A comparative study on falls experience, characteristics and associated factors of falls, and joint flexibility among the community-dwelling elderly", Nursing Science, 23(2), pp.11~21 (2011)
- Steinman, B. A., "Fall risk in older adults: Roles of self-rated vision, home modifications, and limb function", Journal of Aging and Health, 21(5), pp.655~676 (2009)[DOI]
- Stevens, J. A., "Falls among elderly-risk factors and prevention strategies", Journal of Safety Research, 36(4), pp.409~411 (2005)
- The Korean Society for Customized Visiting Health Care, "Understanding and outlook of home visiting care program" (2013), Made by One
- Wyman, J. F., "Effectiveness of education and individualized counseling in reducing environmental hazards in the homes of community-dwelling older women", Journal of the American Geriatric Society, 55(10), pp.1548~1556 (2007)[DOI]
- 유인영, "경로당 이용 노인의 낙상경혐과 낙상 예측요인", 지역사회간호학회지, 18(1), pp.14~22 (2007), 한국지역사회간호학회
- 유인영, "RAI-HC를 이용한 노인의 다면적 재낙상 위험요인 분석-1회 낙상자와 재낙상자 비교-", Journal of Korean Academy of Nursing, 41(1), pp.119~128 (2011), 한국간호과학회[DOI]