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요양병원 요양보호사의 치매노인에 대한 낙상 지식, 낙상예방 자기효능감이 낙상예방행위 및 낙상관리행위에 미치는 영향

The Influence of Fall-Related Knowledge and Fall Prevention Self-Efficacy of Care-Givers Working in Long-term Care Hospitals with Older Adults with Dementia on Fall Prevention Behaviors and Fall Management Behaviors

  • 임정옥 (경북과학대학교 간호학과) ;
  • 구미옥 (경상대학교 간호대학.건강과학연구원 노인건강연구센터)
  • Lim, Jeong-Ok (Department of Nursing, Kyoungbuk Science College) ;
  • Gu, Mee-Ock (College of Nursing, Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University)
  • 투고 : 2018.08.28
  • 심사 : 2018.12.21
  • 발행 : 2018.12.31

초록

Objectives: The purpose of this study was to investigate the influence of fall-related knowledge and fall prevention self-efficacy of care-givers working in long-term care hospitals on fall prevention behaviors and fall management behaviors for older adults with dementia. Methods: Participants were 125 care-givers working in long-term care hospitals. Data were collected with structured questionnaires from August 7 to 14, 2018. Data were analyzed by t-test, ANOVA, $Scheff{\dot{e}}$ test, Pearson's correlation coefficients, and multiple regression analysis using SPSS 18.0. Results: Fall prevention self-efficacy influence fall prevention behaviors(${\beta}=.55$, p<.001), while fall-related knowledge impacted fall management behaviors(${\beta}=.43$, p<.001). Conclusions: The results suggest that an education program for fall prevention of older adults with dementia in long-term care hospitals should focus on improving the fall-related knowledge and fall prevention self-efficacy of care-givers to increase both the fall prevention behaviors and fall management behaviors of care-givers.

키워드

참고문헌

  1. http://www.kosis.kr/eng/nsportalStats/nsportalStats_0102Body.jsp?menuId=10&NUM=1014
  2. http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=286138&page=1
  3. http://www.nhis.or.kr/bbs7/boards/B0039/24107
  4. Y.H. Park(2016), Characteristics and ADL(Activities of daily living) associated factors of elderly inpatients in long-term care hospital : A survey of patients(2013-2014), The Korean Journal of Health Service Management, Vol.10(3);159-171. https://doi.org/10.12811/kshsm.2016.10.3.159
  5. J.O. Lim, M.O. Gu(2016), Fall-related circumstances and fall risk factors among inpatients with dementia in long-term care hospital, Journal of Korean Gerontological Nursing, Vol.18(2);72-83. https://doi.org/10.17079/jkgn.2016.18.2.72
  6. J.D. Kwon(2013), Social services for the elderly. 5th ed, Hakjisa, pp. 1-526
  7. S.H. Chung, K.H. Jho, Y.M. Shin(2001), Analysis of the risk factors and psychotropics' role in the falls of the dementic elderlies in a nursing home, Korean Association for Geriatric Psychiatry, Vol.5(1):76-85.
  8. T. Pellfolk, T. Gustafsson, Y. Gustafson, S. Karlsson(2009), Risk factors for falls among residents with dementia living in group dwellings, International Psychogeriatrics, Vol.21(1):187-94. https://doi.org/10.1017/S1041610208007837
  9. L.M. Allan, C.G. Ballard, E.N. Rowan, R.A. Kenny(2009), Incidence and prediction of falls in dementia: a prospective study in older people, Plos One, Vol.4(5):e5521. https://doi.org/10.1371/journal.pone.0005521
  10. S.Y. Hong, H.O. Park(2017), A meta-analysis of the risk factors related to falls among elderly patients with dementia, Korean Journal of Adult Nursing, Vol.29(1):51-62. https://doi.org/10.7475/kjan.2017.29.1.51
  11. J.H. Kang(2016), A Qualitative study on care workers' care experiences regarding falls at nursing home settings, Social Science Research Review Kyungsung University, Vol. 32(3):129-154.
  12. http://www.kca.go.kr/brd/m_32/view.do?seq=2046&srchFr=&srchTo=&srchWord
  13. C.G. Kim, M.J. Suh(2002), An analysis of fall incidence rate and its related factors of fall in inpatients, Journal of Korean Society of Quality Assurance in Health Care, Vol.9(2):210-28.
  14. Y.W. Park(2011), Guideline for nursing safety management 7th ed, Hospital Nurses Association, pp. 1-137.
  15. Ministry of Health and Welfare & Korea Health Industry Development Institute(2008), Guidelines for hospital evaluation programme, Ministry of Health and Welfare & Korea Health Industry Development Institute, pp. 1-518.
  16. Ministry of Health & Welfare(2014), Standard educational textbook for care worker, Ministry of Health & Welfare, pp. 1-636.
  17. J.I. Shin, H.J. Kim(2012), A study on care helper insight and fall-related knowledge through fall prevention education, Journal of Occupational Therapy for the Aged and Dementia, Vol.6(1);1-10.
  18. M.S. Kim, J.S. Kim(2013), 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. Journal of The Korea Contents Association, Vol.13(11);778-790. https://doi.org/10.5392/JKCA.2013.13.11.778
  19. M.S. Kim, Y. Eun(2014), Fall-related knowledge and caring behaviors for fall prevention among care workers in nursing home, Journal of Muscle and Joint Health, Vol.21(1);11-18. https://doi.org/10.5953/JMJH.2014.21.1.11
  20. D.Y. Jung, H.J. Kim, J.Y. Byun(2013), A study of knowledge, attitude, and self-efficacy for preventing falls among long term care facilities' direct care workers in Korea, Korean Academic Society Of Women'S Health, Vol.14(1);81-96.
  21. F. Faul, E. Erdfelder, A. Lang, A. Buchner(2009), Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses, Behavior Research Methods, Vol.41;1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  22. I.Y. Whang(2011), A study on knowledge, attitude, and implementation of clinical nursing practice guideline for fall prevention among hospital nurses working in the small and medium sized hospitals, Gyeongsang National University, pp. 1-54.
  23. P.C. Dykes, D.L. Carroll, K. McColgan, A. Hurley, S.R. Lipsitz, R. Colombo, L. Zuyev, B. Middleton(2011), Scales for assessing self-efficacy of nurses and assistants for preventing falls, Journal of Advanced Nursing, Vol.67(2);438-449. https://doi.org/10.1111/j.1365-2648.2010.05501.x
  24. S.H. Kim, J.M. Seo(2017), Geriatric hospital nurses' knowledge, attitude toward falls, and fall prevention activities, Journal of Korean Gerontological Nursing, Vol.19(2);81-91. https://doi.org/10.17079/jkgn.2017.19.2.81
  25. J.Y. Jung, G.H. Jung(2016), The affect factors of geriatric hospital nurse's falls prevention activities, Journal of Health Informatics and Statistics, Vol.41(2);203-211. https://doi.org/10.21032/jhis.2016.41.2.203