지역사회 재가노인의 낙상경험과 낙상위험요인
Fall Experience and Risk Factors for Falls among the Community-dwelling Elderly
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초록
Purpose: The purpose of this study was to investigate the experience of falls and identify risk factors associated with falls. Methods: The participants were 233 community-dwelling elderly people in two cities. Data were collected by interviewing the elderly with structured questionnaires from May to June, 2012. For data analysis, descriptive statistics and multiple logistic regression were performed using SPSS version 17.0. Results: Age, educational level, living arrangement, health status,the use of assistive devices, the number of medication, hypertension, arthralgia, dizziness, fall efficacy, fear of falling, activity of daily living, and quality of life were significant associated with fall experience. Through multiple logistic regression analysis,arthralgia, dizziness, fall efficacy, and fear of falling were identified as significant predictors of falls. Conclusion: It is important to identify the risk factors for falls among the elderly living in community. Fall prevention interventions should be multifactorial,especially for the elderly who were identified as the high risk group.
Abstract
Purpose: The purpose of this study was to investigate the experience of falls and identify risk factors associated with falls. Methods: The participants were 233 community-dwelling elderly people in two cities. Data were collected by interviewing the elderly with structured questionnaires from May to June, 2012. For data analysis, descriptive statistics and multiple logistic regression were performed using SPSS version 17.0. Results: Age, educational level, living arrangement, health status, the use of assistive devices, the number of medication, hypertension, arthralgia, dizziness, fall efficacy, fear of falling, activity of daily living, and quality of life were significant associated with fall experience. Through multiple logistic regression analysis, arthralgia, dizziness, fall efficacy, and fear of falling were identified as significant predictors of falls. Conclusion: It is important to identify the risk factors for falls among the elderly living in community. Fall prevention interventions should be multifactorial, especially for the elderly who were identified as the high risk group.
참고문헌 (29)
- Caterino, J. M, "Comparison of balance assessment modalities in emergency department elders: a pilot cross-sectional observational study", BioMed Central Emergency Medicine, 9(1), pp.19~25 (2009)[DOI]
- Choi, J. H, "The effects of Tai Chi exercise on physiologic, psychological functions, and fall in fall prone elderly", doctor, pp.2002
- 최경원, "도시 빈곤 노인의 낙상발생 위험요인에 관한 연구", Journal of Korean Academy of Nursing, 40(4), pp.589~598 (2010), 한국간호과학회
- 최경원, "지역사회 재가 허약노인의 낙상두려움 관련요인 성별 비교", 한국노년학, 31(3), pp.539~551 (2011), 한국노년학회
- Chou, W. C, "Perceptions of physicians on the barriers and facilitators to integrating fall risk evaluation and management into practice", Journal of General Internal Medicine, 21(2), pp.117~122 (2006)[DOI]
- Deshpande, N, "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)[DOI]
- Hakim, R. M, "Comparison of fall education methods for primary prevention with community-dwelling older adults in a senior center setting", Journal of Geriatric Physical Therapy, 30(2), pp.60~68 (2007)
- Hartholt, K. A, "Societal consequences of falls in the older population: Injuries, healthcare costs, and long-term reduced quality of life", The Journal of Trauma and Acute Care Surgery, 71(3), pp.748~753 (2011)[DOI]
- Jang, S. N, "Time since falling and fear of falling among communitydwelling elderly", International Psychogeriatrics, 19(6), pp.1072~1083 (2007)[DOI]
- 정희숙, "뇌졸중으로 요양병원에 입원한 환자의 낙상에 대한 두려움 영향요인", 근관절건강학회지, 18(2), pp.215~226 (2011), 대한근관절건강학회
- 김종민, "노인생애주기에 따른 낙상요인", 보건교육건강증진학회지, 27(1), pp.21~34 (2010), 한국보건교육건강증진학회
- 김선호, "우리나라 재가노인의 낙상에 미치는 영향요인", 노인간호학회지, 13(2), pp.91~100 (2011), 노인간호학회
- "The aged population statistics" (2012)[URL]
- 권명순, "낙상예방 프로그램이 재가노인의 체력과 심리기능에 미치는 효과", Journal of Korean Academy of Nursing, 41(2), pp.165~174 (2011), 한국간호과학회
- Leung, A. Y, "Care management service and falls prevention : A case-control study in a Chinese population", Journal of Aging and Health, 22(3), pp.348~361 (2010)[DOI]
- 임재영, "한국 노인의 낙상 실태와 위험요인: 일부 지역의 인구비례 할당 표본 조사", 노인병, 14(1), pp.8~17 (2010), 대한노인병학회
- McKee, K. J, "Fear of falling, falls efficacy, and health outcomes in older people following hip fracture", Disability and Rehabilitation, 24(6), pp.327~333 (2002)
- "2008 Customized visiting health services guidebook" (2008)[URL]
- 박애자, "요양시설 노인의 낙상 실태와 영향 요인", 근관절건강학회지, 18(1), pp.50~62 (2011), 대한근관절건강학회
- 박인숙, "지역사회거주 여성노인에게 적용한 타이치 낙상예방 프로그램의 효과", 근관절건강학회지, 19(3), pp.282~292 (2012), 대한근관절건강학회[DOI]
- Rubenstein, L. Z, "Falls and their prevention in elderly people: What does the evidence show?", The Medical Clinics of North America, 90(5), pp.807~824 (2006)
- Salminen, M. J, "Effect of a risk-based multifactorial fall prevention program on the incidence of falls", Journal of the American Geriatrics Society, 57(4), pp.612~619 (2009)[DOI]
- Sleet, D. A, "CDCs research portfolio in older adult fall prevention: A review of progress, 1985-2005, and future research directions", Journal of Safety Research, 39(3), pp.259~267 (2008)[DOI]
- Song, K. Y, "The survey of activities and fear of falling in the community dwelling elderly", Journal of Korean Community Health Nursing Academic Society, 15(2), pp.324~333 (2001)
- Song, M. S, "Construction of a functional status prediction model for the elderly", doctor, pp.1991
- Tideiksaar, R, "Falling in old age-prevention and management" (1997), Spring Publishing Co
- Tinetti, M. E, "Falls efficacy as a measure of fear of falling", The Journals of Gerontology, pp.239~243 (1990)[DOI]
- Yesavage, J. A, "Development and validation of a geriatric depression screening scale : A preliminary report", Journal of Psychiatric Research, 17(1), pp.37~49 (1982)[DOI]
- 유인영, "경로당 이용 노인의 낙상경혐과 낙상 예측요인", 지역사회간호학회지, 18(1), pp.14~22 (2007), 지역사회간호학회
