65세 이상 노인인구의 다중약물요법 여부에 따른 낙상 고위험군 예측: 의사결정나무 분석을 활용하여
A model for predicting fall experience in the elderly population over 65 years old: Decision tree analysis
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to construct a model to predict whether the elderly population over 65 years of age will experience falls according to multi-drug therapy and related factors. Methods: Decision tree analysis was used to analyze data from the 2020 national survey of the living condition and welfare needs of older Koreans. Results: The fall experience rate was 23.7%, which was the highest in the case of diet management due to disease while taking multi-drug therapy. In contrast, those who did not receive multi-drug therapy had good subjective health rates, and those who did not have arthritis showed the lowest fall experience rate (5.5%). Conclusion: The elderly population has a high prevalence of chronic diseases, and the number of people using multi-drug therapy is increasing accordingly. For this reason, healthcare providers should carefully prescribe medication for older adults. In addition, it is necessary to develop and apply a customized fall management program that reflects the demographic and health-related factors, which include diet, disease types, and health levels, with multi-drug therapy.
Abstract
Purpose: This study aimed to construct a model to predict whether the elderly population over 65 years of age will experience falls according to multi-drug therapy and related factors. Methods: Decision tree analysis was used to analyze data from the 2020 national survey of the living condition and welfare needs of older Koreans. Results: The fall experience rate was 23.7%, which was the highest in the case of diet management due to disease while taking multi-drug therapy. In contrast, those who did not receive multi-drug therapy had good subjective health rates, and those who did not have arthritis showed the lowest fall experience rate (5.5%). Conclusion: The elderly population has a high prevalence of chronic diseases, and the number of people using multi-drug therapy is increasing accordingly. For this reason, healthcare providers should carefully prescribe medication for older adults. In addition, it is necessary to develop and apply a customized fall management program that reflects the demographic and health-related factors, which include diet, disease types, and health levels, with multi-drug therapy.
참고문헌 (30)
- 김진호, "노인의 다약제복용과 약물처방에 대한 이해", Korean Journal of Family Practice, 10(6), pp.407~417 (2020), 대한가정의학회[DOI]
- 박난주, "지역사회 노인의 연령군에 따른 낙상예측요인", 지역사회간호학회지, 30(2), pp.141~149 (2019), 한국지역사회간호학회
- 김민주, "노인의 낙상에 영향을 미치는 요인 : 2014년 노인실태조사를 중심으로", 한국콘텐츠학회 논문지, 17(6), pp.479~489 (2017), 한국콘텐츠학회[DOI]
- 장인순, "재가 노인의 낙상 경험률과 관련 요인", 한국보건간호학회지, 27(1), pp.89~101 (2013), 한국보건간호학회
- "Older adult falls reported by state" (2020)[URL]
- 박난주, "지역사회 재가노인의 낙상 두려움 예측요인", 한국산학기술학회논문지, 20(6), pp.278~287 (2019), 한국산학기술학회[DOI]
- Lukaszyk C, "Risk factors, incidence, consequences and prevention strategies for falls and fall-injury within older indigenous populations : a systematic review", Australian and New Zealand Journal of Public Health, 40(6), pp.564~568 (2016)[DOI]
- 염지혜, "한국 노인의 낙상: 회복, 장애, 사망에 관한 연구", 한국인구학, 43(2), pp.103~127 (2020), 한국인구학회[DOI]
- 남일성, "우울증과 낙상의 상호 영향 분석", 한국노년학, 34(3), pp.523~537 (2014), 한국노년학회
- 이현주, "도시 생활 노인의 낙상요인 예측에 관한 연구", 재활복지공학회논문지, 12(1), pp.46~52 (2018), 한국재활복지공학회[DOI]
- 김상희, "도시 거주 노인의 낙상 위험요인 분석", 디지털융복합연구, 14(5), pp.485~491 (2016), 한국디지털정책학회[DOI]
- "Fall accidents in elderly patients can be caused by taking multiple drugs" (2020)[URL]
- 박지경, "노인 만성질환자의 미충족 의료에 영향을 미치는 요인 : 2017년도 노인실태조사를 중심으로", 한국산학기술학회논문지, 20(12), pp.306~313 (2019), 한국산학기술학회[DOI]
- 홍창형, "노인 환자에서의 부적절한 약물처방", 대한의사협회지, 52(1), pp.91~99 (2009), 대한의사협회
- Salazar JA, "Clinical consequences of polypharmacy in elderly : expect the unexpected, think the unthinkable", Expert Opinon on Drug Safety, 6, pp.695~704 (2007)[DOI]
- 이예원, "낙상 위험을 초래하는 약물", Research in Vestibular Science, 15(4), pp.101~106 (2016), 대한평형의학회
- "Is 4-5 tablets a day basic? falls in the elderly may be due to drugs" (2021)[URL]
- Mamum K, "Association between falls and high-risk medication use in hospitalized Asian elderly patients", Geriatric and Gerontology Internaltional, 9, pp.276~281 (2009)[DOI]
- Jung YK, "Patterns of drug use and factors associated with polypharmacy in elderly patients visiting psychiatric outpatient clinic", Journal of Neurospsychiatric Association, 26, pp.493~503 (2009)[DOI]
- 이준석, "일개 노인복지관 방문 노인환자들의 다약제복용과 부적절한 약물처방 실태", Korean Journal of Family Medicine, 29(12), pp.925~931 (2008), 대한가정의학회
- "2020 Senior citizen survey" (2020)[URL]
- 서지영, "재난피해여성의 회복탄력성에 따른 삶의 질 예측모형", 성인간호학회지, 33(6), pp.639~648 (2021), 한국성인간호학회[DOI]
- Kojima T, "Polypharmacy as a risk for fall occurrence in geriatric outpatients", Geriatric and Gerontology International, 12, pp.425~430 (2012)[DOI]
- Ambrose A, "Risk factors for falls among older adults : a review of the literature", Maturitas, 75, pp.51~61 (2013)[DOI]
- 윤태복, "고령 환자를 위한 NFC기반 복약 관리 시스템의 개발", 한국산학기술학회논문지, 15(8), pp.5303~5309 (2014), 한국산학기술학회[DOI]
- 김명수, "고 위험약물의 투약확인을 위한 스마트 폰 어플리케이션의 개발 및 효과", 성인간호학회지, 26(3), pp.253~265 (2014), 한국성인간호학회[DOI]
- 장혜영, "남성 독거노인의 영양장애 예측요인", Journal of The Korean Data Analysis Society, 22(3), pp.1159~1172 (2020), 한국자료분석학회[DOI]
- 윤여진, "한국 독거노인의 식사패턴에 따른 식사의 질 평가: 2016∼2018 국민건강영양조사 자료를 이용하여", 대한영양사협회 학술지, 27(3), pp.133~148 (2021), 대한영양사협회
- Ryeom TH, "The risk factors of falls in the elderly", Korean Journal of Family Practice, 22(2), pp.221~229 (2001)
- 이명숙, "건강다이어리 프로그램이 저소득 관절염 여성노인의 낙상관련 심리적 변수에 미치는 효과", 농촌의학.지역보건, 36(3), pp.167~178 (2011), 한국농촌의학.지역보건학회
