Journal of Industrial Convergence (산업융합연구)

DAEHAN Society of Industrial Management (대한산업경영학회)
권호 표지
DOI QR코드

DOI QR Code

A Study on the Fear of Fall and Fall Efficacy in the Elderly

노인의 낙상두려움, 낙상태도 및 낙상효능감에 관한 연구

  • Received : 2018.08.07
  • Accepted : 2018.09.14
  • Published : 2018.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study is a descriptive research study for examining the general characteristics and health-related characteristics of the elderly in a local community, investigating factors for the fear of fall and identifying the relationship between the fear of fall, attitude to fall and fall efficacy. The subject of this study was 140 senior citizens who are using a community center in D city. The collected data was analyzed with the SPSS/WIN 21.0 program. The result of the study showed there was a significant difference in the fear of fall according to gender, person living together, subjective health condition, pain and unsafe gait. There was a significant negative correlation between the fear of fall and fall fear and fall efficacy. However, fall fear and fall efficacy were positive correlated. This study aims to provide necessary preliminary data for developing fall prevention program that can improve the fear of fall, attitude to fall and fall efficay based on the results of this study.

본 연구는 지역사회 노인의 일반적 특성 및 건강관련 특성을 조사하여, 낙상두려움 요인을 규명하고, 낙상두려움, 낙상태도 및 낙상효능감과의 관계를 파악하기 위한 서술적 조사연구이다. 연구대상자는 D시의 복지관을 이용하는 노인 140명이었다. SPSS 21.0 프로그램을 이용하여 분석하였다. 연구결과 성별, 동거인, 주관적 건강상태, 통증, 불안전한 걸음걸이에서 낙상두려움의 차이가 있었다. 낙상두려움과 낙상태도(r=-.396, p<.001), 낙상두려움과 낙상효능감(r=-.184, p=.030)은 유의한 음의 상관관계를 보였고, 낙상태도와 낙상효능감(r=.411, <,001)은 양의 상관관계를 보였다. 본 연구결과에 기초하여 낙상두려움, 낙상태도 및 낙상효능감을 향상시킬 수 있는 낙상예방프로그램 개발 및 적용이 필요하다.

Keywords

References

  1. Statistics Korea. (2017). Elderly people Statistics. KOSIS(Online). http://kostat.go.kr
  2. K. I. Lee & J. H. Lee. (2017). The Impacts Daily Stress, Ego Resilience, and Quality of Life of the Elderly in Long-term Care Institutions. Journal of the Korea Convergence Society, 8(6), 325-336. https://doi.org/10.15207/JKCS.2017.8.6.325
  3. P. Kannus, H. Sievanen, M. Palvanen, T. Jarvinen & J. Parkkari. (2005). Prevention of falls and consequent injuries in elderly people. The Lancet, 366(9500), 1885-1893. https://doi.org/10.1016/S0140-6736(05)67604-0
  4. Y. J. Bae. (2017). Relationship Between Older Adults' Fear of Falling and Satisfaction of Life Case Study of Seniors Welfare Center. The Korean Journal of Sport, 15(4), 511-518.
  5. S. H. Kim, S. K. Kim, C. Y. Kang & H. Y. Lee. (2016). Fall Risk Analysis of Elderly Living in the city. Journal of Digital Convergence, 14(5), 485-491. https://doi.org/10.14400/JDC.2016.14.5.485
  6. E. S. Yun. (2014). The Effects of Urinary Incontinence and Quality of Sleep on Fall Efficacy of the Community Dwelling Elderly. Journal of Korea Academy-Industrial, 15(4), 2142-2149. https://doi.org/10.5762/KAIS.2014.15.4.2142
  7. R. Ruchinskas. (2003). Clinical prediction of falls in the elderly. American Geriatric Society, 82(4), 273-278.
  8. K. Hil & J. Schwarz. (2004). Assessment and management of falls in older people. Journal of Internal Medicine, 34, 557-258. https://doi.org/10.1111/j.1445-5994.2004.00668.x
  9. R. Body & A. Stevens. (2009). Falls and fear of falling, burden, beliefs and behaviours. Age and Aging, 38, 423-428. https://doi.org/10.1093/ageing/afp053
  10. A. C. Scheffer, M. J. Schuumans, N. Dijk, T. Hooft & S. E. Rooij. (2008). Fear of falling: measurement strategy, prevalence, risk factors, and consequences among older persons. Age and Aging, 37(1), 19-24. https://doi.org/10.1093/ageing/afm169
  11. K. S. Jang. (2014). A Model for Fall Prevention Behavior of Arthritis Elderly Living in the Community. PhD. dissertation. Chungnam University, Daejeon.
  12. J. Y. Hur & H. J. Kim. (2009). Relationship of Risk Factors, Knowledge and Attitude to Falls in Elderly Inpatients. Journal Korean Gerontological Nursing Society, 11(1), 38-50.
  13. Y. O. Kang & R. Y. Song. (2018). Effects of Fall Prevention Education Program on Attitudes, Prevention Behaviors, and Satisfaction among Elderly Inpatients. Korean Journal of Adult Nursing, 30(1), 49-59. https://doi.org/10.7475/kjan.2018.30.1.49
  14. M. E. Tinetti, D. Richman & L. Powell. (1990). Fall efficacy as a measure of fear of falling. Journal of Gerontology, 45(6), 239-243. https://doi.org/10.1093/geronj/45.6.P239
  15. I. S. Hyeon, M. H. Park, K. M. Park & J. N. Kim. (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. https://doi.org/10.12799/jkachn.2010.21.2.200
  16. J. W. Park & H. R. Yoo. (2006). Fear of Falling ADL and Physical Functioning among Senior Citizens. The Korean Journal of Rehabilitation Nursing, 9(2), 117-125.
  17. M. J. Moon. (2018). The relationship between Self-efficacy for exercise, instrumental activity of daily living, fall knowledge, and fear of falling. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities and Sociology, 8(2), 887-900.
  18. K. C. Lim, K. J. June & J. L. Yoon. (2009). The Comparison of Health Status, Functional Status, and Home Environment Hazards in Terms of the Fear of Falling in Community-dwelling Older Adults. Journal of the Gerontological Society, 29(4), 1577-1589.
  19. M. S. Kwon. (2010). Relations among Knowledge, Fear and Efficacy of Fall in the Community Dwelling Elderly. Journal of Korean Academy of Community Health Nursing, 21(2), 139-147. https://doi.org/10.12799/jkachn.2010.21.2.139
  20. K. R. Shin, Y. H. Kang, D. Y. Jung, M. Y. Jung, M. Y. Kim, E. S. Eun & R. W. Ma. (2010). A Study on the Frequency of Falls, Fear of Falling, and Percived Health Status according to Cognitive Function in Community-dwelling Elderly Woon. Journal of the Gerontological Society, 31(4), 1155-1167.
  21. 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, 9(2), 210-228.
  22. L. Yardley, N. Beyer, K. Hauer, G. Kempen, C. Piot Ziegler & C. Todd. (2005). Development and initial waldation of the Falls Efficacy Scale-International(FES-I). Age and Ageing, 34, 614-619. https://doi.org/10.1093/ageing/afi196
  23. J. H. Hur, S. K. Lim & D. H. Lee. (2010). Development of the Korean Falls Efficacy Scale(FES-K) for the Elderly. The Korean Journal of Physical Education, 49(3), 193-201.
  24. Y. S. Hwang, B. T. Oh, J. Y. Lee, S. K. Park, S. W. Hong, D. H. Kim & Y. S. Suh. (2017). Factors Related with Fear of Falling in the Korean Elderly. Korean Journal of Family Practice, 7(5), 640-645. https://doi.org/10.21215/kjfp.2017.7.5.640
  25. M. Y. Lee. (2013). An interrelationship with life physical fitness, incidence and anxiety of falling in elderly women: based on one-year observation. The Korean Journal of Sport, 11(2), 479-487.
  26. M. J. Moon. (2018). The relationship between Self-efficacy for exercise, instrumental activity of daily living, fall knowledge, and fear of falling. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities and Sociology, 8(2), 887-900.
  27. H. K. Cho & I. S. Jung. (2018). A study on the communication ability, general self-efficacy, social self-efficacy and academic ahievement of nursing freshmen. Journal of Convergence for Information Technology, 8(3), 25-32. https://doi.org/10.22156/CS4SMB.2018.8.3.025
  28. M. H. Kim, J. R. Chun & S. A. Hong. (2016). Factors of Family Funtion and Self-efficacy Influencing Old Patient's Decision of Advance Directives Attitude. Journal of Convergence for Information Technology, 6(4), 123-129. https://doi.org/10.4156/jcit.vol6.issue4.15