Effects of the Fall Prevention Education Program (FPEP) for Caregivers in Elderly Care Facilities on Fall-related Knowledge, Fall-related Burden, and Caring Behaviors for Fall Prevention

노인요양시설 요양보호사를 위한 낙상예방교육프로그램이 낙상관련 지식, 낙상관련 부담감 및 낙상예방 돌봄행위에 미치는 효과

  • Received : 2013.09.13
  • Accepted : 2013.11.12
  • Published : 2013.11.28


The purpose of the study was to examine the effects of the Fall Prevention Education Program (FPEP) on those providing direct care in elderly care facilities regarding fall-related knowledge, fall-related burden, and caring behaviors for fall prevention. The FPEP developed in the study was implemented for 80 minutes per session and four sessions in total. Participants included a total of 47 subjects, 24 in the experimental group and 23 in the control group. The program was implemented from July 16 through August 31, 2012. Data were analyzed using ${\chi}^2$-tests, Fisher's exact probability tests, independent t-tests, and analyses of covariance using the SPSS/Win 19.0 program. According to the pre-and post-test, the experimental group participated in the program showed an increase in fall -related knowledge (t=6.71, p<.001), a decrease in fall-related burden (t=-2.31, p=.026), and an increase in caring behaviors for fall prevention (F=49.50, p<.001) as compared to the control group. The results of the study demonstrated that the FPEP developed for those providing direct care in elderly care facilities was an effective intervention for decreasing fall-related burden and increasing fall-related knowledge and caring behaviors for fall prevention.


  1. Centers for Disease Control and Prevention [CDC], Falls among older adults: An Overview, Retrieved December 14, 2012, Available from
  2. L. Z. Rubenstein and K. R. Josephson,, "Falls and their prevention in elderly people: what does the evidence show?," Med Clin North Am, Vol.90, No.5, pp.807-824, 2006.
  3. 박은옥, 장인순, "재가노인 낙상환경위험 평가도구 개발" 한국콘텐츠학회논문지, 제13권, 제5호, pp.354-365, 2013
  4. R. Tideiksaar, Falls in older people, Health Professions Press, 2010.
  5. R. Ruchinskas, "Clinical prediction of falls in the elderly," Am J Phys Med Rehabil, Vol.82, No.4, pp.273-278, 2003.
  6. L. M. Wagner, J. C. Dionne, J. R. Zive and P. A. Rochon, "Fall risk care processes in nursing home facilities," J Am Med Dir Assoc, Vol.12, No.6, pp.426-430, 2011.
  7. T. G. Fitzgerald, T. Hadjistavropoulos, and Y. C. MacNab, "Caregiver fear of falling and functional ability among seniors residing in long-term care facilities," Gerontology, Vol.55, No.4, pp.460-467, 2009.
  8. R. Boyd and J. A. Stevens, "Falls and fear of falling: burden, beliefs and behaviours," Age Ageing, Vol.38, No.4, pp.423-428, 2009.
  9. http:/
  10. V. L. Phillips, R. D. Yarmo, and A. E. Hunsaker, "Certified nursing aides' and care assistants' views on falls: insight for creation and implementation of fall prevention programs," J Am Med Dir Assoc, Vol.9, No.3, pp.168-172, 2008.
  11. M. L. Hook, E. C. Devine, and L. M. Lang, "Using a computerized fall risk assessment process to tailor interventions in acute care," Advances in Patient Safety: New Directions and Alternative Approaches, Vol.1:Assessment, pp.1-19, 2008.
  12. M. Kuzuya, Y. Masuda, Y. Hirakawa, M. Iwata, H. Enoki, and J. Hasegawa, "Falls of the elderly are associated with burden of caregivers in the community," J Geriatr Psychiatry, Vol.21, No.8, pp.740-745, 2006.
  13. C. Davey, R. Wiles, A. Ashburn, and C. Murphy, "Falling in Parkinson's disease: the impact on informal caregivers," Disabil Rehabil, Vol.26, No.23, pp.1360-1366, 2004.
  15. 신중일, 김훈주, "낙상예방교육을 통한 요양보호사들의 낙상에 대한 지식 및 인식도 연구," 고령자.치매작업치료학회지, 제6권, 제1호, pp.1-10, 2012.
  16. M. M. Fleck and D. A. Forrester, "The efficacy of an educational program to improve direct caregiver knowledge regarding fall prevention," J For Nurses In Staff Development, Vol.17, No.1, pp.27-33, 2010.
  17. F. Faul, E. Erdfelder, A. G. Lang, and A. Buchner, G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, Vol.39, No.2, pp.175-191, 2007.
  18. 이은옥, 임난영, 박현애, 이인숙, 김종임, 배정이, 이선미, 간호연구와 통계분석, 수문사, 2009.
  19. The American Geriatric Society, 2010 AGS/BGS Clinical Practice Guideline: Prevention of falls in older persons summary of recommendations.[internet] Retrieved July 17, 2012, Available from http://www. care pros/Falls. Summary. Guide. pdf
  20. Y. Arai, K. Kudo, T. Hosokawa, M. Washino, H. Miura, and S. Hisamichi, "Reliability and validity of the Japanese version the Zarit Caregiver Burden interview," Psychiatry and Clinical Neurosciences,. Vol.51, pp.281-287, 1997.
  21. 신경림, 김정선, 신수진, "안전사고 예방프로그램이 저소득 여성노인의 안전사고에 대한 지식, 태도 및 예방행위에 미치는 효과," 한국노년학, 제24권, 제4호, pp.53-67, 2004.
  22. 국립재활원, 낙상예방체조 동영상, 보건복지가족부 국립재활원, 2011.
  23. 성남시노인보건센터 교육정보개발부, 편마비 환자와 보호자를 위한 일상생활 동작가이드 DVD, 2011.
  24. 大田 仁史, 三好 春樹(Hitoshi, Ota. & Miyoshi, Haruki.), 新しい介護 完全圖解. 講談社, 2004.
  25. 大田 仁史, 三好 春樹(Hitoshi, Ota. & Miyoshi, Haruki.), DVDブック 新しい介護 基本の, 2004.
  26. W. A. Ray, J. A. Taylor, A. K. Brown, P. Gideon, K. Hall, and P. Arbogast, "Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education," Arch Intern Med, Vol.165, No.19, pp.2293-2298, 2005.
  27. A. Bouwen, J. D. Lepeleire, and F. Buntinx, "Rate of accidental falls in institutionalized older people with and without cognitive impairment halved as a result of a staff-oriented intervention," Age Ageing, Vol.37, No.3, pp.306-310, 2008.
  28. S. S. Koh, E. Manias, A. M. Hutchinson, S. Donath, and L. Johnston, "Nurses' perceived barriers to the implementation of a fall prevention clinical practice guideline in Singapore hospitals," BMC Health Services Research, 2008. Available from /8/105.
  29. 이은정, 노인요양시설 요양보호사의 근골격계 증상과 관련 요인, 영남대학교 보건학과 석사학위논문, 2011.
  30. 현일선, 낙상예방 프로그램이 저소득층 노인의 낙상에 대한 지식, 효능감 및 예방행위에 미치는 효과, 계명대학교 간호학과 석사학위논문, 2009.
  31. 신경림, 신수진, 김정선, 김진영, "낙상예방프로 그램이 저소득 여성노인의 낙상에 대한 지식, 자기효능감, 예방행위 및 우울에 미치는 효과," 대한간호학회지, 제35권, 제1호, pp.104-112, 2005.
  32. H. A. Deery, L. M. Day, and B. M. Fildes, "An impact evaluation of a fall prevention program among older people," Accident Analysis and Prevention, Vol.32, No.2, pp.427-433, 2000.
  33. 김민영, 입원 노인환자의 낙상에 대한 지식 및 예방 행위, 계명대학교 간호학과 석사학위논문, 2008.
  34. R. A. Anderson, K. Corazzini, K. Porter, K. Daily, R. R. McDaniel, and C. Colón-Emeric, "CONNECT for quality: protocol of a cluster randomized controlled trial to improve fall prevention in nursing homes," Implement Sci, 2012, Available from content/7/1/11.

Cited by

  1. Fall-related Knowledge and Caring Behaviors for Fall Prevention among Care Workers in Nursing Home vol.21, pp.1, 2014,