한국보건간호학회지 (Journal of Korean Public Health Nursing)

  • 제27권1호
  • /
  • Pages.89-101
  • /
  • 2013
  • /
  • 1226-0290(pISSN)
  • /
  • 2234-2869(eISSN)
한국보건간호학회 (Korean Society of public Health Nursing)
권호 표지
DOI QR코드

DOI QR Code

재가 노인의 낙상 경험률과 관련 요인

The Prevalence and Factors of Falls among the Community-Dwelling Elderly

  • Jang, Insun (Department of Nursing, Korean Bible University) ;
  • Park, Eunok (College of Nursing, Jeju National University)
  • 투고 : 2013.02.16
  • 심사 : 2013.04.02
  • 발행 : 2013.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to investigate the prevalence, characteristics, and factors related to falls occurring among the community-dwelling elderly. Methods: The subjects were 299 community-dwelling-elderly in Jeju Province. Data were collected via in-person interviews by five visiting nurses in October, 2012. Fall risk assessment tools developed by the CDC, K-ADL, HDS-K, and GDS were used for data collection. Results: A significant number of subjects (34.1%) had experienced a fall at least once within the last six months. Living arrangements, strokes, urinary incontinence, main daily activities, and depression were significant factors related to these falls. Other risk factors included heavy use of medications, difficulties in walking and standing, needing arms to stand up from a chair, and hearing loss. Conclusion: The results reveal critical factors related to falls among the community-dwelling elderly. These information should be used to develop and implement fall prevention programs in communities.

키워드

참고문헌

  1. Choi, K. W. & Lee, I. S. (2010). Fall risk in low-income elderly people in one urban area. Journal of Korean Academy of Nursing, 40(4), 589-598. https://doi.org/10.4040/jkan.2010.40.4.589
  2. Donaldson, M. G., Khan, K. M., Davis, J. C., Salter, A. E., Buchanan, J., McKnight, D., Janssen, P. A., & Mckay, H. A. (2005). Emergency department fall‐related presentations do not trigger fall risk assessment: A gap in care of high‐risk outpatient fallers. Archives of Gerontology and Geriatrics, 41(3), 311-317. https://doi.org/10.1016/j.archger.2005.04.008
  3. Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. doi: 10.3758/ BRM.41.4.1149
  4. Gai, J., Gomes, L., Nóbrega, O. T., & Rodrigues, M. P. (2010). Factors related to falls among elderly women resident in a community. Dimuat dalam Journal Association Medical Brasil, 56(3), 327-332.
  5. Hong, S. H., Cho, E., & Choi, M. (2010). Risk factors for falls among communitydwelling older adults-using KLoSA data. Journal of Korean Gerontological Nursing, 12(3), 211-224.
  6. Jeong, K. H., Oh, Y. H., Lee, Y. K., Son, C. G., Park, B. M., Lee, S. Y., Lee, J. H., Gwon, J. D., Kim, S. B., Lee, S. J. Lee, Y. S., Lee, Y. H., Choi, S. J., & Kim, S. Y. (2012). A survey of the elderly, 2011. Seoul: Ministry of Health and Welfare.
  7. Korean Institute of Health and Social Welfare. Kee, B. S. (1996). A preliminary study for the standardization of Geriatric Depression Scale Short Form‐Korea Version. Journal of Korean Neuropsychiatric Association, 35(2), 298-307.
  8. Kim, C. K., Park, S. J., & Lee, D. Y. (2011). Contribution analysis of the risk factors for fall in the elderly. Journal of Sport and Leisure Studies, 43(2), 609-618.
  9. Kim, K. W., Lee, D. Y., Ahn, S. Y., Jhoo, J. H., & Kil, Y. N. (2002). Reliability and validity of Korean version of Hasegawa Dementia Scale(HDS-K) as a dementia screening instrument. The Korean Journal of Neuropsychiatric Association, 41(3), 526-537.
  10. Kim, S., & So, W. Y. (2011). Factors associated with falling in older, community dwelling adults in Korea. Journal of Korean Gerontological Nursing, 13(2), 91-100.
  11. Kim, S. H., & Choi, H. K. (2010). Fall risk factors in community‐dwelling older adults. Journal of Kyungbook Nursing Science, 14(2), 47-58.
  12. Kim, S. N. (2012). Effects of a multifactorial fall prevention program on physical.psychological function and home environmental hazards in community dwelling low‐income elderly. Journal of the Korean Gerontological Society, 32(1), 377-395.
  13. Korean Association of Geriatrics. (2012). Fall prevention: Risk assessment and management plan. Seoul: Youngmoon Publishing Company.
  14. Kwan, M. M., Close, J. C., Wong, A. K., & Lord, S. R. (2011). Falls incidence, risk factors, and consequences in Chinese older people: A systematic review. Journal of the American Geriatrics Society, 59(3), 536-543. doi: 10.1111/j.1532‐5415.2010.03286.x
  15. Lim, J. Y., Park, W. B., Oh, M. K., Kang, E. K., & Paik, N. J. (2010). Falls in a proportional region population in Korean elderly: Incidence, consequences, and risk factors. Journal of Korean Geriatrics Society, 14(1), 8-17. doi: 10.4235/jkgs. 2010.14.1.8
  16. Ministry Health and Welfare, Korea Center for Disease Control (2009). Statistics for type and cause of accidents at hospitals in 2008. Seoul: Author.
  17. Ministry of Health and Welfare, Korea Health Promotion Foundation (2012). The guideline of visiting health nursing program in 2012. Seoul: Author.
  18. Mun, Y. H. (2005). The prevalence and associated factors of the in-home falls of the elderly. Journal of Korean Academy of Public Health Nursing, 19(2), 324-333.
  19. National Center for Injury Prevention and Control. (2008). Preventing falls: How to develop community-based fall prevention programs for older adults. Atlanta, GA.: Center for Disease Control and Prevention.
  20. Rossat, A., Fantino, B., Nitenberg, C., Annweiler, C., Poujol, L., Herrmann, F. R., & Beauchet, O. (2010). Risk factors for falling in community‐dwelling older adults: Which of them are associated with the recurrence of falls? The Journal of Nutrition, Health, & Aging., 14(9), 787-791. https://doi.org/10.1007/s12603-010-0089-7
  21. Rubenstein, L. Z., Josephson, K., & Robinson, A. (1994). A falls in the nursing home. Annuals of Internal Medicine, 121(6), 442-451. https://doi.org/10.7326/0003-4819-121-6-199409150-00009
  22. Sai, A., Gallagher, J., Smith, L., & Logsdon, S. (2010). Fall predictors in the community dwelling elderly: a cross sectional and prospective cohort study. Journal of Musculoskeletal and Neuronal Interactions, 10(2), 142-150.
  23. 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 Korean Community Health Nursing Academic Society, 15(2), 324-333.
  24. Statistics Korea. (2012). Korea statistical information services. Retrieved March 23, 2012, from http://kosis.kr/index/index.jsp.
  25. Tinetti, M. E., & Kumar, C. (2010). The patient who falls "It's always a trade‐off". Journal of American Medical Association, 303(3), 258-266. doi: 10.1001/jama.2009.2024.
  26. Won, C. W., Rho, Y. G., Kim, S. Y., Cho, B. R., & Lee, Y. S. (2002). The validity and reliability of Korean activities of daily living(K-ADL) scale. Geriatrics, 6(2), 98-106.
  27. World Health Organization. (2007). Global report on falls prevention in older age. Geneva: World Health Organization.
  28. Yeom, J., & Na, H. J. (2012). Risk factors of falls among Korean elderly. Journal of the Korean Gerontological Society, 32(2), 577-592.
  29. Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M. B., & Leirer, V. O. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49. doi: 10.1016/0022 ‐3956(82)90033-4
  30. Yu, P. L., Qin, Z. H., Shi, J., Zhang, J., Xin, M. Z., Wu, Z. L., & Sun, Z. Q. (2009). Prevalence and related factors of falls among the elderly in an urban community of Beijing. Biomedical and Environmental Sciences, 22(3), 179-187. https://doi.org/10.1016/S0895-3988(09)60043-X

피인용 문헌

  1. Validation of the Short Form Bobath Memorial Hospital Fall Risk Assessment Scale at a Specialized Geriatric Hospital in Korea vol.28, pp.3, 2014, https://doi.org/10.5932/JKPHN.2014.28.3.495
  2. Comparison of Elderly Fallers and Elderly Non-Fallers: Balancing Ability, Depression, and Quality of Life vol.21, pp.3, 2014, https://doi.org/10.12674/ptk.2014.21.3.045
  3. The Effect of an Exercise Program for Preventing Urinary Incontinence among Community-Dwelling Elderly Females Living Alone vol.30, pp.2, 2016, https://doi.org/10.5932/JKPHN.2016.30.2.247
  4. The Injury and its Related Factors in the Elderly Using the Data of 2008 Community Health Survey vol.39, pp.1, 2014, https://doi.org/10.5393/JAMCH.2014.39.1.001