노인의 운동효능감, 일상생활 수행능력, 낙상지식 및 낙상두려움간의 관계
The relationship between exercise efficacy, instrumental activity of daily living , fall knowledge, and fear of falling
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본 연구는 지역사회에 거주하는 노인을 대상으로 운동효능감, 일상생활수행능력, 낙상에 대한 지식 및 두려움 간의 관계를 파악하기 위한 서술적 상관관계연구이다. 연구대상자는 지역사회 재가노인 100명으로 2017년 6월부터 17월까지 구조화된 설문지를 통하여 자료수집하였으며, 수집된 자료는 SPSS(version 22) program을 이용하여 분석하였다. 통계분석은 기술통계, t-test 또는 F검증, 상관관계와 단계적 회귀분석으로 하였다. 연구결과 대상자의 운동효능감은 23.96±22.54점, 일상생활 수행능력은 51.52±6.26점, 낙상지식은 26.98±2.49점, 낙상 두려움은 13.64±10.92점으로 나타났다. 대상자의 낙상지식은 낙상 두려움, 운동효능감과 유의한 양의 상관관계가 있는 것으로 나타났다. 대상자의 낙상두려움은 낙상경험에서 유의한 영향을 미치는 것으로 나타났으며, 낙상두려움을 28.6%를 설명하였다. 향후 노인을 대상으로 일상생활수행능력을 향상시킬 수 방안을 모색하여, 낙상관련교육과 간호중재프로그램 개발이 필요하다.
Abstract
This study was to find out Self-efficacy for exercise, Instrumental activities of daily living, fall knowledg and fear of falling in the community dwelling elderly and to investigate how the factors were connected to one another. Data were colected from June to July, 2017 from 100 aged people who aged 65 or older and agreed to participate in this study sampled among elders at thirteen halls of the aged in local communities. The data was analyzed using descriptive statistics, t-test, one way ANOVA, Pearson’s correlation coefficient and stepwise regression with SPSS/Window 22.0. The average score for self-efficacy for exercise was 23.96±22.54 points, for IADL 51.52±6.26 points, fall knowledge 26.98±2.49 points and fear of falling 13.64±10.92 points. knowledge of fall was significantly correlated with fear of falling and self-efficacy for exercise. Falling experience could explain 28.6% of the fear of falling. The nursing strategy that enhance IADL and Fall knowledg are needed and the nursing strategy that can improve IADL and education of Elderly Home Residents should be developed.
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