우리나라 재가노인의 낙상에 미치는 영향요인
Factors Associated with Falling in Older, Community-dwelling Adults in Korea
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참고문헌
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초록
Purpose: The aim of this study was to identify factors associated with falling among older, community-dwelling adults in Korea. Methods: This study was a secondary analysis research. Data were analyzed for 9,035 older adults aged 65 or older who participated in the 2008 National Elderly Survey. Logistic regression was done to identify the impact of socio-demographic and health related factors on the incidences of falls. Results: Within the last year,17.8% of older adults had experienced at least one fall. Gender (odds ratio [OR]=1.56), age (OR=1.12), number of chronic diseases (OR=1.47), number of medications (OR=1.68), strength in lower limbs (OR=1.73), visual impairment (OR=1.48), hearing impairment (OR=1.20), body mass index (OR=1.17), activities of daily living (OR=1.64), and depression (OR=1.46) were significant factors affecting the incidence of falls in this sample. Conclusion: These findings provide relevant information for designing prevention and management programs as interventions to reduce the incidence of falls in older, community-dwelling adults in Korea.
Abstract
Purpose: The aim of this study was to identify factors associated with falling among older, community-dwelling adults in Korea. Methods: This study was a secondary analysis research. Data were analyzed for 9,035 older adults aged 65 or older who participated in the 2008 National Elderly Survey. Logistic regression was done to identify the impact of socio-demographic and health related factors on the incidences of falls. Results: Within the last year,17.8% of older adults had experienced at least one fall. Gender (odds ratio [OR]=1.56), age (OR=1.12), number of chronic diseases (OR=1.47), number of medications (OR=1.68), strength in lower limbs (OR=1.73), visual impairment (OR=1.48), hearing impairment (OR=1.20), body mass index (OR=1.17), activities of daily living (OR=1.64), and depression (OR=1.46) were significant factors affecting the incidence of falls in this sample. Conclusion: These findings provide relevant information for designing prevention and management programs as interventions to reduce the incidence of falls in older, community-dwelling adults in Korea.
참고문헌 (28)
- Bulat, T., "Clinical practice algorithm: Medication management to reduce fall risk in the elderly - part 2. summary algorithm", Journal of the American Academy of Nurse Practitioner, 20(4), pp.181~190 (2008)
- 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)
- Chang, N. T., "Incidence, risk factors and consequences of falling injuries among the community-dwelling elderly in Shihpai, Taiwan", Aging Clinical and Experimental Research, 22(1), pp.70~77 (2010)
- Cho, J. P., "Prevalence and association factors of falls in the elderly community", Korean Journal of Preventive Medicine, 34(1), pp.47~54 (2001)
- 정성춘, "일본의 지적재산권 전략의 최근 동향에 관한 연구", 한일경상논집, 29(2), pp.223~247 (2004), 한일경상학회
- Day, L., "Randomised factorial trial of falls prevention among older people living in their own homes", British Medical Journal, 325(7356), pp.1~6 (2002)
- Franseen, E. H., "Equilibrium and limb coordination in mild cognitive impairment and mild Alzheimer's disease", Journal of the American Geriatric Society, 47(4), pp.463~469 (1996)
- 장군자, "고혈압이 있는 재가노인의 낙상발생의 차이 및 영향요인", 한국보건간호학회지, 24(2), pp.302~310 (2010), 한국보건간호학회
- Jeon, E., "A study of ADL, medications and falls frequency in community-dwelling elderly", The Korean Journal of Rehabilitation Nursing, 11(2), pp.107~113 (2008)
- 정영미, "재가노인의 건강상태에 따른 낙상실태 및 낙상관련요인", 한국노년학, 26(2), pp.291~303 (2006), 한국노년학회
- 김종민, "우리나라 65세 이상 노인들의 낙상사고 관련 요인 - 국민건강영양조사 결과를 이용하여", 보건교육건강증진학회지, 24(5), pp.23~39 (2007), 한국보건교육건강증진학회
- 김종민, "노인생애주기에 따른 낙상요인", 보건교육건강증진학회지, 27(1), pp.21~34 (2010), 한국보건교육건강증진학회
- 김종민, "노인의 성별 낙상관련 요인", 보건교육건강증진학회지, 25(2), pp.1~18 (2008), 한국보건교육건강증진학회
- 김설향, "복지관 이용 노인의 근력, 우울, 일상생활정도가 낙상에 미치는 영향", 한국사회체육학회지, 39(2), pp.755~762 (2010), 한국사회체육학회
- 이동영, "Mini-Mental State Examination의 한국 노인 정상규준 연구", 신경정신의학, 41(3), pp.508~525 (2002), 대한신경정신의학회
- 이주현, "한국 농촌지역 노인에서 낙상 경험과 낙상 두려움이 일상활동 제한에 미치는 영향", 노인병, 13(2), pp.79~88 (2009), 대한노인병학회
- 임재영, "한국 노인의 낙상 실태와 위험요인: 일부 지역의 인구비례 할당 표본 조사", 노인병, 14(1), pp.8~17 (2010), 대한노인병학회
- Lim, N. G., "A study on the prevalence and associated factors of falls in some rural elderly", Journal of Korean Geriatrics Society, 6(3), pp.183~196 (2002)
- Ministry of Health & Welfare, "The 3rd Korea National Health and Nutrition Examination Survey (KNHANES III), 2005- Illness of Adults" (2006), Ministry of Health & Welfare Press
- Ministry of Health, Welfare and Family Affairs, "2008 National Elderly Survey: The living condition and welfare needs for older adults" (2009), Author
- 박영혜, "노인가정의 낙상사고 위험 환경요인", 보건교육건강증진학회지, 22(4), pp.203~213 (2005), 한국보건교육건강증진학회
- Rossat, A., "Risk factors for falling in community-dwelling older adults: Which of them are associated with resurrence of falls", The Journal of Nutrition, Health & Aging, 14(9), pp.787~791 (2010)
- 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)
- Ryeom, T. H., "The risk factors of falls in the elderly", Journal of the Korean Academy of Family Medicine, 22(2), pp.221~229 (2001)
- Sleet, D. A., "CDCs research portfolio in old adult fall prevention: A review of progress, 1985-2005", Journal of Safety Research, 39(3), pp.259~267 (2008)
- Stevens, J. A., "Self-reported falls and fall-related injuries among persons aged > or =65 years: United States, 2006", Journal of Safety Research, 39(3), pp.345~349 (2008)
- Tinetti, M. E., "Falls, injuries due to falls, and the risk of admission on a nursing home", The New England Journal of Medicine, 337(18), pp.1279~1284 (1997)
- 유인영, "중소도시 지역사회 재가노인의 낙상특성과 낙상영향요인", 한국생활환경학회지, 16(4), pp.428~435 (2009), 한국생활환경학회