성인간호학회지 (Korean Journal of Adult Nursing)

  • 제29권1호
  • /
  • Pages.51-62
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  • 2017
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  • 1225-4886(pISSN)
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  • 2288-338X(eISSN)
한국성인간호학회 (Korean Society of Adult Nursing)
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치매노인의 낙상위험요인에 관한 메타분석

A Meta-analysis of the Risk Factors related to Falls among Elderly Patients with Dementia

  • 홍선영 (대구과학대학교 간호학과) ;
  • 박희옥 (계명대학교 간호대학)
  • 투고 : 2016.12.01
  • 심사 : 2017.02.26
  • 발행 : 2017.02.28
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초록

Purpose: The purpose of this study was to provide data about the risk factors related to falls among elderly patients with dementia using meta-analysis. Methods: Key words used for search through electronic database (CINAHL, PubMed, Ovid-MEDLINE, RISS, KISS, DBPIA, National Assembly Library) included 'dementia', 'Alzheimer', 'fall'. Twenty studies met the inclusion criteria for the meta-analysis and 'R' version 3.2.2 was used to analyze the correlated effect size. Results: Study results showed that risk factors related to falls were identified as the demographic (age, gender, education), dementia-related (disease duration, cognition), physical (body mass index, walking, balance, activity of daily living, use of walking aids, number of medications including psychotropic drugs, musculoskeletal problems, parkinsonism, comorbidity), psychological (neuropsychiatric symptom, depression), environmental (Physical environment), and fall-related (fall history, high risk group of fall) factors. The effect size of risk factors such as high risk group of fall (r=.35), use of walking aids (r=.33), depression (r=.31), psychotropic drugs (r=.27), Musculoskeletal problems (r=.25) were higher than the other risk factors. Conclusion: Based on the findings of this study, strategies to improve elderly patient's depression, intensive care for high risk group of fall, and adequate training with walking aids are needed for prevention of falls in elderly patients with dementia.

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참고문헌

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