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The Mediating Effect of Fall Risk Perception on the Relationship between Fracture Risk and Fall Prevention Behaviors in Women with Osteoporosis

골다공증 여성의 골절위험도와 낙상예방행위와의 관계에 미치는 낙상위험지각의 매개효과

  • Received : 2015.07.01
  • Accepted : 2015.08.02
  • Published : 2015.08.31

Abstract

Purpose: This study aims to establish a theoretical framework for the fall prevention behavior improvement program by verifying the associations between fracture risk, fall risk perception, and fall prevention behaviors in women with osteoporosis. Methods: A survey was conducted in 122 women who were diagnosed as osteoporosis by having T-score of the femur bone density below -2.5 standard deviation from the bone density examination performed in 2 orthopedic clinics located in B metropolitan city between July 2014 and September 2014. The risk of fracture, level of fall risk perception, and fall prevention behaviors were measured. Results: Fall risk perception had a complete mediating effect on the relationship between the fracture risk and fall prevention behaviors in women with osteoporosis. Conclusion: The perception of fall risk is important to enhance fall prevention behaviors in women with osteoporosis, and the development of various education programs to improve awareness of fall risk is needed.

Keywords

References

  1. Ahn, S. H., Kim, Y. M., Chun, N. M., & Lee, S. H. (2012). Incidence of osteoporosis and falls and predictors of fracture risk in postmenopausal women. Korean Journal of Women Health Nursing, 18(4), 237-247. http://dx.doi.org/10.4069/kjwhn.2012.18.4.237
  2. Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182. http://dx.doi.org/10.1037/0022-3514.51.6.1173
  3. Braun, B. (1998). Knowledge and perception of fall-related risk factors and fall-reduction techniques among communitydwelling elderly individuals. Physical Therapy, 78(12), 1262-1276. https://doi.org/10.1093/ptj/78.12.1262
  4. Champion, V. L., & Skinner, C. S. (2008). The health belief model. In Glanz, K., Rimer, B. K., & Viswanath, K. (Eds.), Health behavior and health education: Theory, research, and practice( pp. 45-65). San Francisco, CA: Jossey-Bass, Inc.
  5. Cho, E. S. (2013). Prevalence and management of osteoporosis: Korea national health and nutrition examination survey, 2008-2011. Retrieved May 12, 2014, from http://www.cdc.go.kr/CDC/contents/CdcKrContentLink.jsp?fid=31&cid=21375&ctype=6
  6. Delaney, M. F. (2006). Strategies for the prevention and treatment of osteoporosis during early postmenopause. American Journal of Obstetrics and Gynecology, 194(2), S12-S23. http://dx.doi.org/10.1016/j.ajog.2005.08.049
  7. Doheny, M. O., Sedlak, C. A., Estok, P. J., & Zeller, R. (2007). Osteoporosis knowledge, health beliefs, and DXA T-scores in men and women 50 years of age and older. Orthopaedic Nursing, 26(4), 243-250. http://dx.doi.org/10.1097/01.nor.0000284654.68215.de
  8. Dunniway, D. L., Camune, B., Baldwin, K., & Crane, J. K. (2012). FRAX counselling for bone health behavior change in women 50 years of age and older. Journal of the American Academic of Nurse Practitioners, 24(6), 382-389. http://dx.doi.org/10.1111/j.1745-7599.2012.00700.x
  9. Grossman, J. M., & MacLean, C. H. (2001). Quality indicators for the management of osteoporosis in vulnerable elders. Ann als of Internal Medicine, 135(8), 722-730. http://dx.doi.org/10.7326/0003-4819-135-8_Part_2-200110161-00011
  10. Gu, M. O., Gang, Y. S., Kim, S. Y., Kim, E. S., Kim, E. H., Ahn, H. R., et al. (2002). Younger and more active. Seoul: Hyeonmoonsa.
  11. Hong, C. M. (2011). Development of perception measurement of fall risk for the community-dwelling elderly. Unpublished doctoral dissertation. Ewha Womans University, Seoul.
  12. Hook, M. L. (2007). Using the common sense model to describe representations of fall risk in high risk community dwelling older adults and to explore the relationships among representations, threat of falling, fall prevention behaviors and falling. Unpublished doctoral dissertation, University of Wisconsin-Madison, Madison, USA.
  13. Hyeon, I. S., Park, M. H., Park, K. M., & Kim, C. N. (2010). The effects of a fall prevention program on the low-income elderly at risk of falls. Journal of Korean Academy of Community Health Nursing, 21(2), 200-209. http://dx.doi.org/10.12799/jkachn.2010.21.2.200
  14. Jang, H. J., & Ahn, S. H. (2014). A Predictive model of fall prevention behaviors in postmenopausal women. Journal of Korean Academy of Nursing, 44(5), 525-533. http://dx.doi.org/10.4040/jkan.2014.44.5.525
  15. Kang, T. H., Park, Y. K., Kim, E. H., Kim, S. M., & Oh, H. J. (2002). Spinal bone mineral density related with YSM in Korean menopausal women. Journal of Korean Academy of Family Medicine, 23(2), 224-232.
  16. Kanis, J. A., Johnell, O., Oden, A., Johansson, H., & McCloskey, E. (2008). FRAXTM and the assessment of fracture probability in men and women from the UK. Osteoporosis International, 19(4), 385-397. http://dx.doi.org/10.1007/s00198-007-0543-5
  17. Kim, J. Y., Lee, Y. W., & Ham, O. K. (2009). Factors related to fall in elderly patients with osteoporosis. Journal of Korean Academy of Adult Nursing, 21(2), 257-267.
  18. Kim, Y. H. (2013). Relations among fall efficacy, perception of fall risk and fall prevention behavior in the frail elderly at home. Journal of the Korea Academia-Industrial Cooperation Society, 14(7), 3383-3389. http://dx.doi.org/10.5762/KAIS.2013.14.7.3383
  19. Lee, D. Y., Lim, S. J., Moon, Y. W., Min, Y. K., Choi, D., & Yoon, D. K., et al. (2010). Determination of an applicable FRAX model in Korean women. Journal of Korean Medical Science, 25(11), 1657-1660. http://dx.doi.org/10.3346/jkms.2010.25.11.1657
  20. Lee, E. N. (1998). The effect of the health belief and efficacy expectation promoting program on osteoporosis preventive health behavior in women with rheumatoid arthritis. Journal of Muscle and Joint Health, 5(2), 174-190.
  21. Lim, D. H. (2012). Risk factors of fall-related injuries and the interaction of bone mineral density and health behaviors. Unpublished master's thesis. Ajou University, Suwon.
  22. 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 Geriatrics Society, 51(3), 300-305. http://dx.doi.org/10.1046/j.1532-5415.2003.51102.x
  23. Park, J. W., Huh, J. K., Kim, J. Y., Oh, J .H., Baek, G. H., & Gong, H. S. (2011). Osteoporosis medication treatment thresholds for patients with a distal radius fracture as determined using bone mineral density and the fracture risk assessment tool. Korean Journal of Bone Metabolism, 18(1), 15-21.
  24. Peterson, J. A. (2001). Osteoporosis overview. Geriatric Nursing, 22(1), 17-23. http://dx.doi.org/10.1067/mgn.2001.113534
  25. Rosenstock I. M., Strecher V. J., & Becker M. H. (1988). Social learning theory and the health belief model. Health Education & Behavior, 15(2), 175-183. http://dx.doi.org/10.1177/109019818801500203
  26. Stevens, J. A., Noonan, R. K., & Rubenstein, L. Z. (2009). Older Adult Fall Prevention: Perceptions, beliefs, and behaviors. American Journal of Lifestyle Medicine, 4(1), 16-20. http://dx.doi.org/10.1177/1559827609348350
  27. Vassallo, M., Vignaraja, R., Sharma, J. C. Briggs, R., & Allen, S. (2005). The relationship of falls to injury among hospital inpatients. The International Journal of Clinical Practice, 59(1), 17-20. http://dx.doi.org/10.1111/j.1742-1241.2004.00265.x