노인요양원 치매노인의 성별에 따른 낙상경험 요인 비교
Comparison of risk factors for and experiences with falls according to sex among older adults with dementia in long-term care
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Purpose: The purpose of this study was to provide basic data to develop a Fall Prevention Education Program by comparing and analyzing fall experiences and the factors that influence elderly people with dementia suffering falls. Method: The participants were 302 patients with dementia aged 60 years or older with nursing records of hospitalization in three nursing homes located in a metropolitan area. The SPSS/Win 21.0 package was used to analyze the collected data. A logistic regression analysis was performed to identify the influence factors related to fall experiences. Results: For men, fall experiences were more frequent given the following factors: overweight; high fall risk tendency; aged 90 and above; married; dementia duration period of 5 to 9 years; and taking medication for dementia. For women, the factors included age range of 80 to 89; overweight; obese; both low and high fall risk tendency; separation by death; and having spent less than 1 year in nursing homes. Conclusion: We anticipate positive results in fall prevention education programs for the elderly with dementia if the results of this study are used as basic data, and interventions are customized to consider the sex and the relevant influence factors as to fall experiences.
Abstract
Purpose: The purpose of this study was to provide basic data to develop a Fall Prevention Education Program by comparing and analyzing fall experiences and the factors that influence elderly people with dementia suffering falls. Method: The participants were 302 patients with dementia aged 60 years or older with nursing records of hospitalization in three nursing homes located in a metropolitan area. The SPSS/Win 21.0 package was used to analyze the collected data. A logistic regression analysis was performed to identify the influence factors related to fall experiences. Results: For men, fall experiences were more frequent given the following factors: overweight; high fall risk tendency; aged 90 and above; married; dementia duration period of 5 to 9 years; and taking medication for dementia. For women, the factors included age range of 80 to 89; overweight; obese; both low and high fall risk tendency; separation by death; and having spent less than 1 year in nursing homes. Conclusion: We anticipate positive results in fall prevention education programs for the elderly with dementia if the results of this study are used as basic data, and interventions are customized to consider the sex and the relevant influence factors as to fall experiences.
참고문헌 (29)
- Alexander, N. B., "Gait disorders in older adult", Journal of American Geriatric Society, 44(4), pp.434~445 (1996)
- 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)
- Faul, F., "Statistical power analyses using G*Power 3. 1 : Tests for correlation and regression analyses", Behavior Research Methods, 41(4), pp.1149~1160 (2009)
- Hendrich, A. L., "Validation of the hendrich II fall risk model : A large concurrent case", control study of hospitalized patients, 2003, pp.16(2), 9~21
- 강영옥, "일 종합병원 입원 환자의 낙상 실태 및 위험 요인 분석", 근관절건강학회지, 22(3), pp.149~159 (2015), 대한근관절건강학회[DOI]
- 김종민, "노인의 성별 낙상관련 요인", 보건교육건강증진학회지, 25(2), pp.1~18 (2008), 한국보건교육건강증진학회
- 김세정, "종합병원에 입원한 노인환자의 낙상위험요인", Journal of The Korean Data Analysis Society, 16(4), pp.2191~2203 (2014), 한국자료분석학회
- 김윤숙, "종합병원 입원 환자의 낙상 위험 요인 및 낙상 위험도 평가", 성인간호학회지, 25(1), pp.74~82 (2013), 한국성인간호학회
- 고효은, "지역사회 노인들의 한국판 간이 정신상태 판별검사(MMSE-K), 노인용 로웬스타인 작업치료 인지평가(LOTCA-G)에 대한 한국판 몬트리올 인지기능 검사(MoCA-K)의 타당도 연구", 한국산학기술학회논문지, 14(1), pp.312~320 (2013), 한국산학기술학회[DOI]
- 이안생, "노인전문병원 입원환자의 낙상 위험 요인분석 - 낙상 보고서를 중심으로 -", Journal of The Korean Data Analysis Society, 12(5), pp.2511~2523 (2010), 한국자료분석학회
- 임은실, "생애전환 초기 노인의 성별에 따른 낙상경험 및 내재적 요인 비교", 한국콘텐츠학회 논문지, 13(12), pp.276~290 (2013), 한국콘텐츠학회[DOI]
- Lim, J. O., "Circumstances risk factors and predictors of falls among dementia inpatients of a long-term care hospital", master, pp.2015
- 임정옥, "요양병원 치매 환자의 낙상실태와 낙상위험요인 분석", 노인간호학회지, 18(2), pp.72~83 (2016), 노인간호학회[DOI]
- 임재영, "한국 노인의 낙상 실태와 위험요인: 일부 지역의 인구비례 할당 표본 조사", Annals of geriatric medicine and research, 14(1), pp.8~17 (2010), 대한노인병학회
- The prevalence of dementia research in 2013, "Ministry of Health & Welfare", ~ (2013)
- Morse, J., "Development of scale to identify the fall-prone patient", Canadian Journal on Aging, 8(4), pp.366~377 (1989)
- Murphy, S., "Participation in daily living tasks among older with fear of falling", American Journal of Occupational Therapy, 55(3), pp.538~544 (2001)
- 남영희, "낙상의 위험요인이 손상중증도에 미치는 영향", 대한보건연구, 40(3), pp.81~91 (2014), 사단법인 대한보건협회
- Elementary statistics he resources in 2013, "National Health Insurance Review & Assessment Service", ~ (2013)
- Rubenstein, L. Z., "Fall in older people: epidemiology, risk factors and strategies for prevention", Age and Ageing, 35(S2), pp.37~41 (2006)
- 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)
- Sattin, R. W., "Falls among older persons : A public health perspective", Annual Review of Public Health, 13, pp.489~508 (1992)
- Schoenfelder, D. P., "An exercise program to improve failrelated outcomes in elderly nursing home residents", Applied Nursing Research, 17(1), pp.21~31 (2004)
- Schwendimann, R., "Evaluation of the morse fall scale in hospitalized patients", Age and Ageing, 35(5), pp.311~313 (2006)
- Shin, J. G., "Prevalence and management of falls among elderly in a hospital", master, pp.2011
- Soriano, T. A., "Falls in the community-dwelling older adult : A review for primary-care providers", Clinical Intervention Aging, 2(4), pp.545~554 (2007)
- 염지혜, "한국노인의 낙상경험이 사망에 미친 영향", 노인복지연구, (68), pp.389~408 (2015), 한국노인복지학회
- 염지혜, "한국노인의 낙상 요인 연구", 한국노년학, 32(2), pp.577~592 (2012), 한국노년학회
- 윤은숙, "지역사회 노인의 성별에 따른 낙상 예측모형", Journal of Korean Academy of Nursing, 42(6), pp.810~818 (2012), 한국간호과학회