대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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70세 이상 시설거주 허약노인의 낙상예방을 위한 교육단독중재와교육운동복합중재 효과 비교

Comparison of the Effects of Education Only and Exercise Training Combined with Education on Fall Prevention in Adults Aged 70 Years or Older Residing in Elderly Residential Facilities

  • 투고 : 2020.08.20
  • 심사 : 2021.03.08
  • 발행 : 2021.04.30
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초록

Purpose: To compare the effects of education only and exercise training combined with education on fall knowledge, fall efficacy, physical activity, and physical function in adults aged 70 years or older residing in elderly residential facilities. Method: A three-group pre- and post-test design was utilized: education only (EO; n = 23), education and TheraBand (ET; n = 22), and education and walking (EW; n = 22). Fall education was provided for all three groups. In addition, TheraBand exercise training was provided for the ET and a walking exercise for the EW. Data were collected from November 1st, 2017 to February 15th, 2019 and analyzed with χ2 test, paired t-test, and one-way ANOVA using IBM SPSS/WIN ver. 22.0. Results: Compared with the EO, the ET and the EW were more effective in terms of fall efficacy, physical activity, and lower extremity muscle strength. The EW showed higher improvement in walking abilities than the EO and the ET. Conclusion: Exercise training combined with education is more effective in preventing falls among community-dwelling adults aged 70 years or older. When considering fall prevention programs for older adults, both TheraBand and walking exercise training combined with education can be chosen based on the participant's physical status. Aggressive strategies to improve daily walking are required to maintain walking abilities among community-dwelling adults aged 70 years or older.

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참고문헌

  1. Chung K, Oh YH, Kang EN, Kim KR, Lee Y, Oh M, et al. 2017 National survey of older Koreans: Findings and implications. Sejong: Korea Institute for Health and Social Affairs (KIHASA); 2018. Report No.: Policy Report 2018-01.
  2. Korea Consumer Agency (KCA). In-depth analysis of safety accidents for the elderly [Internet]. Chungbuk Innovation City: Korea Consumer Agency; c2017 [cited 2019 Jan 10]. Available from: https://www.dbpia.co.kr/Journal/voisDetail?voisId=VOIS00311964.
  3. Park BR. Effect of fall prevention intervention for the elderly: Systematic review. The Journal of Korean Aging Friendly Industry Association. 2018;10(2):19-29. https://doi.org/10.34264/jkafa.2018.10.2.19
  4. Kim M. Factors associated with falls in the elderly: Based on 2014 the Korean elderly survey. The Journal of the Korea Contents Association. 2017;17(6):479-489. https://doi.org/10.5392/JKCA.2017.17.06.479
  5. Stanghelle B, Bentzen H, Giangregorio L, Pripp AH, Skelton DA, Bergland A. Effects of a resistance and balance exercise programme on physical fitness, health-related quality of life and fear of falling in older women with osteoporosis and vertebral fracture: A randomized controlled trial. Osteoporosis International. 2020;31(6):1069-1078. https://doi.org/10.1007/s00198-019-05256-4
  6. De Araujo HS, Cruz ADFC, Simionatto J, Oliveira PCDS, Barbosa SRM. Risk and fear of falls in the elderly of Campo Grande, Mato Grosso do Sul: Sociodemographic and functional characteristics. Mundo da Saude. 2020;44:3-11. https://doi.org/10.15343/0104-7809.202044003011
  7. Aranyavalai T, Jalayondeja C, Jalayondeja W, Pichaiyongwongdee S, Kaewkungwal J, Laskin JJ. Association between walking 5000 step/day and fall incidence over six months in urban community-dwelling older people. BMC Geriatrics. 2020;20(1):194. https://doi.org/10.1186/s12877-020-01582-z
  8. Sitthiracha P, Eungpinichpong W, Chatchawan U. Effect of progressive step marching exercise on balance ability in the elderly: A cluster randomized clinical trial. International Journal of Environmental Research and Public Health. 2021;18(6):3146. https://doi.org/10.3390/ijerph18063146
  9. Hyeon I. The effects of a fall prevention program on the knowledge, efficacy, and preventive actions of falls among the low-income elderly [master's thesis]. Daegu: Keimyung University; 2009. p. 1-81.
  10. Lach HW, Lozano AJ, Hanlon AL, Cacchione PZ. Fear of falling in sensory impaired nursing home residents. Aging & Mental Health. 2020;24(3):474-480. https://doi.org/10.1080/13607863.2018.1537359
  11. Park NJ, Shin YS. Factors influencing the fear of falling among community-dwelling elderly in Korea. Journal of the Korea Academia-Industrial Cooperation Society. 2019;20(6):278-287. https://doi.org/10.5762/KAIS.2019.20.6.278
  12. Moon MJ. 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. 2018;8(2):887-900. https://doi.org/10.35873/ajmahs.2018.8.2.086
  13. Huang Y, Wu C, Peng H, Chen Q, Fan X, Xiao L, et al. The correlation between fall prevention knowledge and behavior in stroke outpatients. Journal of Neuroscience Nursing. 2020;52(2):61-65. https://doi.org/10.1097/JNN.0000000000000494
  14. Punlomso S, Srimuang P, Tudpor K. Fall prevention by Otago exercise program based on health belief model in community-dwelling older persons. Indian Journal of Physiotherapy and Occupational Therapy. 2020;14(1):245-252.
  15. Lee SH, Bak WS, Shin G, Lee KS, Lim KC, Kim M, et al. Development of a fall-prevention exercise program for elderly people in community. Journal of Muscle and Joint Health. 2020;27(1):61-70. https://doi.org/10.5953/JMJH.2020.27.1.61
  16. Shin JS, Kim YK, Kang MA, Yeo HN. Effects of fall prevention program on muscle strength, postural balance, and fear of falling in elderly. Journal of Korean Clinical Nursing Research. 2016;22(1):10-19. https://doi.org/10.22650/JKCNR.2016.22.1.10
  17. Kwak CJ, Kim YL, Lee SM. Effects of elastic-band resistance exercise on balance, mobility and gait function, flexibility and fall efficacy in elderly people. Journal of Physical Therapy Science. 2016;28(11):3189-3196. https://doi.org/10.1589/jpts.28.3189
  18. Kim SN. 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. 2012;32(2):377-395.
  19. Taing D, McKay K. Better strength, better balance! Partnering to deliver a fall prevention program for older adults. Canadian Journal of Public Health. 2017;108(3):e314-e319. https://doi.org/10.17269/CJPH.108.5901
  20. Roigk P, Becker C, Schulz C, Konig HH, Rapp K. Longterm evaluation of the implementation of a large fall and fracture prevention program in long-term care facilities. BMC Geriatrics. 2018;18(1):233. https://doi.org/10.1186/s12877-018-0924-y
  21. Biben V, Defi IR, Suselo D. Elastic band training effect to parameters of sarcopenia in elderly community-dwelling. Global Medical & Health Communication. 2019;7(2):136-142. https://doi.org/10.29313/gmhc.v7i2.4468
  22. Roh KH, Park HA. A meta-analysis of the effect of walking exercise on lower limb muscle endurance, whole body endurance and upper body flexibility in elders. Journal of Korean Academy of Nursing. 2013;43(4):536-546. https://doi.org/10.4040/jkan.2013.43.4.536
  23. Okubo Y, Osuka Y, Jung S, Rafael F, Tsujimoto T, Aiba T, et al. Walking can be more effective than balance training in fall prevention among community-dwelling older adults. Geriatrics & Gerontology International. 2016;16(1):118-125. https://doi.org/10.1111/ggi.12444
  24. Ozaki H, Nakagata T, Yoshihara T, Kitada T, Natsume T, Ishihara Y, et al. Effects of progressive walking and stair-climbing training program on muscle size and strength of the lower body in untrained older adults. Journal of Sports Science and Medicine. 2019;18(4):722-728.
  25. Kim CJ. Interaction identification of risk factors for falls in older adults using decision-tree analysis. The Korean Journal of Physical Education. 2020;59(4):369-380. https://doi.org/10.23949/kjpe.2020.7.59.4.25
  26. Easy to Find, Practical Law. Meet new family at the elderly residential facilities [Internet]. Sejong: Korea Ministry of Government Legislation (MOLEG); c2020 [cited 2020 Nov 11]. Available from: https://easylaw.go.kr/CSP/CnpClsMain.laf?popMenu=ov&csmSeq=673&ccfNo=4&cciNo=1&cnpClsNo=1.
  27. Park SM. Meta-analysis of the interventions for preventing falls by the elderly in the eight countries: Comparison between aged 70’s and 80’s. Journal of the Korean Gerontological Society. 2010;30(1):49-63.
  28. Cho SI. Effects of a fall prevention exercise program on muscle strength, balance and fall efficacy in older-old elderly [master's thesis]. Kimhae: Inje University; 2012. p. 1-64.
  29. Kim JI, Kim SA, Park K, Kim J, Lee L, Choi SW, et al. Effects of BeHaS program on health behavior, physiologic index and self-esteem of the elderly living alone with metabolic syndrome based on community based participatory research. Journal of Korean Academy of Nursing. 2020;50(4):571- 582. https://doi.org/10.4040/jkan.19261
  30. Tinetti ME, Mendes de Leon CF, Doucette JT, Baker DI. Fear of falling and fall-related efficacy in relationship to functioning among community-living elders. Journal of Gerontology. 1994;49(3):M140-M147. https://doi.org/10.1093/geronj/49.3.m140
  31. Jang SN, Cho SI, Ou SW, Lee ES, Baik HW. The validity and reliability of Korean Fall Efficacy Scale(FES) and Activities-specific Balance Confidence Scale(ABC). Journal of the Korean Geriatrics Society. 2003;7(4):255-268.
  32. Oh JY, Yang YJ, Kim BS, Kang JH. Validity and reliability of Korean version of International Physical Activity Questionnaire (IPAQ) short form. Journal of the Korean Academy of Family Medicine. 2007;28(7):532-541.
  33. Choi KJ, Go BG, Song HS, Kim KJ, Park SJ, Cho JH, et al. The development of physical fitness test battery and evaluation criteria of it for Korean elderly person. The Korean Journal of Measurement and Evaluation in Physical Education and Sport Science. 2014;16(3):15-30. https://doi.org/10.21797/ksme.2014.16.3.002
  34. Jones CJ, Rikli RE, Beam WC. A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Research Quarterly for Exercise and Sport. 1999;70(2):113-119. https://doi.org/10.1080/02701367.1999.10608028
  35. Wall JC, Bell C, Campbell S, Davis J. The Timed Getup-and-Go test revisited: Measurement of the component tasks. Journal of Rehabilitation Research and Development. 2000;37(1):109-113.
  36. Michikawa T, Nishiwaki Y, Takebayashi T, Toyama Y. Oneleg standing test for elderly populations. Journal of Orthopaedic Science. 2009;14(5):675-685. https://doi.org/10.1007/s00776-009-1371-6
  37. Zion AS, De Meersman R, Diamond BE, Bloomfield DM. A home-based resistance-training program using elastic bands for elderly patients with orthostatic hypotension. Clinical Autonomic Research. 2003;13(4):286-292. https://doi.org/10.1007/s10286-003-0117-3