지역사회간호학회지 (Research in Community and Public Health Nursing)

  • 제21권2호
  • /
  • Pages.139-147
  • /
  • 2010
  • /
  • 1225-9594(pISSN)
  • /
  • 2288-4203(eISSN)
한국지역사회간호학회 (Korean Academy of Community Health Nursing)
권호 표지

재가 노인의 낙상에 대한 지식, 두려움 및 효능감의 관계

Relations among Knowledge, Fear and Efficacy of Fall in the Community Dwelling Elderly

  • 투고 : 2010.04.22
  • 심사 : 2010.06.16
  • 발행 : 2010.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was to find out knowledge, fear, and efficacy of fall in the community dwelling elderly and to investigate how the factors were connected to one another. Methods: Data were collected from June to August, 2009 from 101 aged people who aged 65 or older and agreed to participate in this study sampled among elders at 8 halls of the aged in local communities. The subjects were interviewed by a co-researcher and 3 trained assistants in a way of responding to the questionnaire after being read. The data were analyzed through t-test, ANOVA, Turkey's test and Pearson correlation coefficients. Results: Knowledge of fall was affected significantly by whether the living cost was provided or not, fear of fall was affected by sex, level of education, hearing impairment and regular exercise, and efficacy of fall was affected by age, sex, marital status, level of education, hearing impairment, vertigo and regular exercise. The results also showed a negative correlation between fear of fall and efficacy of fall. Conclusion: According to this study, regular exercise can build up knowledge and efficacy of fall and diminish fear of fall. Thus it is highly recommended to include regular exercise in an effective fall-prevention program.

키워드

참고문헌

  1. Chang, C. M. (2005). A structural model for falls and quality of life in elderly people living at home. Unpublished doctoral dissertation, Kyung Hee University, Seoul.
  2. Chang, C. M., & Kang, H. S. (2004). Physical function and psychological status in the elderly those who experienced a fall or not. The Korean journal of Rehabilitation Nursing, 7(1),48-57.
  3. Choi, J. H. (2002). The effects of Tai Chi exercise on physiologk, psychologkal functions, and fall in fall prone elderly: Unpublished doctoral dissertation, Catholic University of Korea, Seoul.
  4. Cumming, R. G., Salkeld, G., & Thomas, M. (2000). Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission. Journal of Gerontology American Biological Science Medicine, 55(5), M229-M305.
  5. Deshpande, N., Metter, E. J., Bandinelli, S., Lauretani, F., Bandinelli, S., Windham, B. G., et al. (2008). 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),615-620. https://doi.org/10.1111/j.1532-5415.2007.01639.x
  6. Friedman, S. M., Munoz, B., West, S. K, Rubin, G. S., & Fried, L. P. (2002). Falls and fear of falling: Which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention. Journal of the American Geriatric Society, 50(8),1329-1335. https://doi.org/10.1046/j.1532-5415.2002.50352.x
  7. Hakim, R. M., Roginski, A., & Walker,J. (2007). 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),60-68. https://doi.org/10.1519/00139143-200708000-00005
  8. Hur, J. Y. (2007). Knowledge and attitude toward falls among elderly inpatients. Unpublished master's thesis, Yonsei University, Seoul.
  9. Hyeon, I. S. (2008). The effects of a fall prevention program on the knowledge, efficacy, and preventive actions of falls among the low-income elderly: Unpublished master's thesis, Keimyung University, Daegu.
  10. Jung, D. (2009). A prediction model of fear of falling in older adults living in a continuing-care retirement community (CCRC) in United States. Journal of the Korean Gerontological Society, 29(1), 243-258.
  11. Kim, S. J. (2004). Risk factors of falling in the elderly in urban cities. Unpublished master's thesis, Ewha Womans University, Seoul.
  12. Kim, S. W., Yang, Y.J., Eo, K. S., Cho, H. J., & Kim, Y. S. (1998). Fear of falling in elderly persons living in a home for the aged. The Journal of Korean Academy of FamIly Medicine, 19(2), 1400-1409.
  13. Kressig, R. W., Worf, S. L., Sattin, R. W., O'Grady, M. A., Greenspan, A., Cums, A., et al. (2001). Associations of demographic, functional, and behavioral characteristics with activity-related fear of falling among older adults transitioning to frailty. Journal of the American Geriatrics Society, 49(11), 1456-1462. https://doi.org/10.1046/j.1532-5415.2001.4911237.x
  14. Lee, H. Y., Bak, W. S., & Yang, H. I. (2009). Fear of falling and falls efficacy with bone mineral density in the middle and old aged women. Journal of Muscle Joint Health, 16(1), 5-12.
  15. Lee, M. S. (2007). Manan community health survey analysis. Anyang: Manan-gu Elderly Health Center.
  16. Li, F., Fisher, K J., Harmer, P., & McAuley, E. (2005). Falls selfefficacy as a mediator of fear of falling in an exercise intervention for older adults. The Journals of Gerontology, 60B(1),34-40.
  17. Nikolaus, T., & Bach, M. (2003). Preventing falls in communitydwelling frail older people using a home intervention team (HIT): Results from the randomized falls-HIT trial. Journal of American Geriatric Society, 51(3), 300-305. https://doi.org/10.1046/j.1532-5415.2003.51102.x
  18. Liu, M. R. (2007). The effects of Tai Chi exerci,'e program on physical strength, tall related perception and health status in nursing home elderly. Unpublished master's thesis, Chungnam National University, Daejeon.
  19. Rubenstein, L. Z., Josephson, K R., & Robbins, A. S. (1994). Falls in the nursing home. Annuals of Internal Medicine, 121(6), 442-451. https://doi.org/10.7326/0003-4819-121-6-199409150-00009
  20. Salminen, M.J., Vahlberg, T.J., Salonoja, M. T., Aarnio, P. T., & Kivela, S. L. (2009). Effect of a risk-based multifactorial fall prevention program on the incidence of falls. Journal of the American Geriatrics Society, 57(4), 612-619. https://doi.org/10.1111/j.1532-5415.2009.02176.x
  21. Scheffer, A. C., Schuurmans, M. J., Dijk, N., & Hooft, T. (2008). Fear of falling: Measurement strategy, prevalence, risk factors and consequences among older persons. Age and Ageing, 37(1), 19-24.
  22. Seo, H. L., Kim, S. K, Yeom, W. S., Lee, E. C., & Baek, Y. H. (1998). The study on self-care status, activity of daily living and physical self-efficacy of aged people. The Journal of the Research Institute of Physical Education & Sports Science, 14,133-143.
  23. Shaw, F. E. (2007). Prevention of falls in older people with dementia. Journal of Neural Transmission, 114(10), 1259- 1264. https://doi.org/10.1007/s00702-007-0741-5
  24. Shumway-Cook, A., Silver, I. F., LeMier, M., York, S., Cummings, P., Koepsell, T. D. (2007). Effectiveness of a communitybased multifactorial intervention on falls and fall risk factors in community-living older adults: A randomized controlled trial. The Journal of Gerontology 62A(12), 1420.
  25. Sohng, K. Y., Moon, J. S., Kang, S. S., & Choi,J. H. (2001). The survey of activities and fear of falling in the community dwelling elderly. Journal of Korea Community Health Nursing Academic Society, 15(2), 324-333.
  26. Statistics Korea (2008). Elderly statistics in 2008. Retrieved February 10, 2010, from http://www.nso.go.kr
  27. Tideiksaar, R. (1997). Falling in old age. Prevention and Management (2nd ed.). New York: Spring Publishing Company.
  28. Tinetti, M. E., Richman, D., & Powell, L. (1990). Fall efficacy as a measure of fear of falling. The Journals of Gerontology, 45, 239-243.
  29. Tinetti, M. E., Baker, D. I., Dutcher, J., Vincent, J. E., & Rozett, R. T. (1997). Reducing the risks falls among older adult in the community. Berkeley, CA: Peaceable Kingdom Press.
  30. Vassallo, M., Vignaraja, R., Sharma,J. C., Briggs, R., & Allen, S. (2005). The relationship of falls to injury among hospital inpatients. The Intemational Journal on Clinical Practice, 59, 17-20. https://doi.org/10.1111/j.1368-504X.2005.00482.x