• Journal of muscle and joint health
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• v.30 no.3
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• pp.218-229
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• 2023

Purpose: This study aimed to assess and compare the effectiveness of various fall prevention interventions in hospitals through a network meta-analysis. Methods: A network meta-analysis was conducted using the "netmeta" package in R software (v4.1), employing a frequency method. Odds ratios of fall rates and injurious fall rates were utilized to confirm the effects of interventions for fall prevention. Comparative rankings of these interventions were determined using cumulative probability (P-score). Results: Comparative rankings via cumulative probability (P-scores) revealed individualized education as the most effective intervention for fall incidence (P-Score 87.8%). Followed by fall-preventing sensors (60.9%), multicomponent interventions (47.4%), usual care (33.2%), and environmental modification (20.7%). For fall-related injuries, individualized education ranked highest (P-Score 97.1%), followed by multicomponent interventions (76.0%), usual care (47.6%), environmental modification (24.2%), and fall-preventing sensors (5.1%). Conclusion: This study provides valuable insights into the relative effectiveness of diverse interventions in preventing fall incidence through network meta-analysis. The findings aim to support nurses in making informed decisions when implementing fall prevention strategies in clinical practice.

• Korean Journal of Adult Nursing
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• v.25 no.1
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• pp.74-82
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• 2013

Purpose: The purpose of this study was to identify the fall risk factors and to evaluate the effectiveness of the Morse Fall Scale(MFS) as an assessment tool among hospitalized inpatients. Methods: The medical records of a total of 294 patients who admitted to hospital from January 1 to December 31, 2010 were reviewed. One hundred forth seven patients who had experienced fall were matched with 147 patients who have never experienced fall. The fall information was obtained from electronic medical records and fall reports. Results: There were significant differences in visual disturbances, pain, emotional disturbances, sleep disorder, urination problems and elimination disorder at admission between fallers and non-fallers. Patients who had higher MFS scores at admission were more likely to fall as compared to the patients with lower MFS scores. When falls did occur, these occurred within five days following admission, in the patient room, among patients with alert mental status, and among patients who were ambulant with some assistance. Conclusion: The findings of this study support the need of using risk assessment tool for predicting risk for falls. This finding can be used as a useful resource to develop nursing intervention strategies for fall prevention at the hospital.

• Journal of Korean Public Health Nursing
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• v.33 no.2
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• pp.200-213
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• 2019

Purpose: This study was conducted to examine the effect of a fall prevention education on the fall related knowledge and fall prevention behavior of the elderly patients in comprehensive nursing care service wards. Method: A quasi experimental study with control group and experimental group was used. A total 62 elderly patients in comprehensive nursing care service wards were randomly divided into the experimental group(n=30) and the control group(n=32). The data collection period was from August to December, 2017. Data were analyzed with $X^2-test$, paired t-test, independent t-test and Pearson's correlation coefficient by using SPSS 25.0. Results: Experimental group reported higher score in fall related knowledge than the control group(t=-10.28, p<.001). Participants who viewed DVD and received the leaflet education reported higher score than those with routine admission education(t=-6.51, p<.001). The experimental group showed significant improvement in fall related knowledge and fall prevention behavior(r=.21, p=.015). Conclusion: The fall prevention program was effective in improving fall-related knowledge and fall prevention behavior among elderly patients. Since the DVD plus leaflet education was effective in improving prevention behaviors, it might be included in routine orientation on admission for the elderly patient in comprehensive nursing care service wards.

• Korean Journal of Adult Nursing
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• v.24 no.3
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• pp.244-252
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• 2012

Purpose: The purpose of the study was to develop a knowledge scale of risk factors for fall among community-dwelling older adults. Further, the validity and reliability of the scale was developed. Methods: A preliminary scale was developed through content validity by five experts and targeted subjects using the CVI (Content Validity Index). Following the establishment of content validity, the scale was used with 359 community-dwelling older adults to further establish both validity and reliability of the scale. Specifically, construct validity using known-group comparison technique, and reliability using Cronbach's ${\alpha}$ were established. Results: After content validity testing, 44 preliminary items were selected. Construct validity was established by known group-comparison, in which scores between the fall and no fall groups were compared. The Cronbach's ${\alpha}$ of the final scale was .83. Conclusion: Reliability and validity of the scale were confirmed. This tool may be used for measuring knowledge of fall risk factor for the community-dwelling older adults.

• Korean Journal of Adult Nursing
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• v.27 no.1
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• pp.29-38
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• 2015

Purpose: The purpose of the study was to validate fall risk assessment scales among hospitalized adult patients in South Korea using the electronic medical records by comparing sensitivity, specificity, positive predictive values, and negative predictive values of Morse Fall Scale (MFS), Bobath Memorial Hospital Fall Risk Assessment Scale (BMFRAS), and Johns Hopkins Hospital Fall Risk Assessment tool (JHFRAT). Methods: A total of 120 patients who experienced fall episodes during their hospitalization from June 2010 to December 2013 was categorized into the fall group. Another 120 patients, who didn't experience fall episodes with age, sex, clinical departments, and the type of wards matched with the fall group, were categorized to the comparison group. Data were analyzed for the comparisons of sensitivity, specificity, positive and negative predictive values, and the area under the curve of the three tools. Results: MFS at a cut-off score of 48 had .806 for ROC curves, 76.7% for sensitivity, 77.5% for specificity, 77.3% for positive predictive value, and 76.9% for negative predictive value, which were the highest values among the three fall assessment scales. Conclusion: The MFS with the highest score and the highest discrimination was evaluated to be suitable and reasonable for predicting falls of inpatients in med-surg units of university hospitals.

• Research in Community and Public Health Nursing
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• v.21 no.2
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• pp.139-147
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• 2010

Purpose: This study was to find out knowledge, fear, and efficacy of fall in the community dwelling elderly and to investigate how the factors were connected to one another. Methods: Data were collected from June to August, 2009 from 101 aged people who aged 65 or older and agreed to participate in this study sampled among elders at 8 halls of the aged in local communities. The subjects were interviewed by a co-researcher and 3 trained assistants in a way of responding to the questionnaire after being read. The data were analyzed through t-test, ANOVA, Turkey's test and Pearson correlation coefficients. Results: Knowledge of fall was affected significantly by whether the living cost was provided or not, fear of fall was affected by sex, level of education, hearing impairment and regular exercise, and efficacy of fall was affected by age, sex, marital status, level of education, hearing impairment, vertigo and regular exercise. The results also showed a negative correlation between fear of fall and efficacy of fall. Conclusion: According to this study, regular exercise can build up knowledge and efficacy of fall and diminish fear of fall. Thus it is highly recommended to include regular exercise in an effective fall-prevention program.

• The Journal of Korean Academic Society of Nursing Education
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• v.23 no.4
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• pp.398-408
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• 2017

Purpose: This study aims to identify the effect of pediatric fall prevention education with leaflets and picture books on the fall-related knowledge and preventive behaviors in caregivers of inpatient children. Methods: This study is a non-equivalent control group non-synchronized design. It divided 62 caregivers of inpatient children aged 5 and under into an experimental group and a control group in P general hospital located in B City. Results: Fall related knowledge score in the experimental group was increased by 2 points after the intervention and the score in the comparison group was increased by 0.1 points. The difference after the intervention in fall related knowledge scores between the two groups was statistically significant (t=7.67, p<.001). The fall related prevention behavior score of the experimental group increased by 9.3 points after the intervention, and the score of the comparison group increased by 2.5 points. The difference in the scores of fall related prevention behaviors between the two groups was statistically significant (t=5.71, p<.001). Conclusion: Pediatric inpatient fall prevention education using leaflets and picture books can improve caregivers' fall-related knowledge and preventive behaviors. In turn, this can reduce children's falls in pediatric wards in general hospitals.

• Journal of muscle and joint health
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• v.26 no.1
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• pp.54-61
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• 2019

Purpose: This study was performed to identify nursing students' fall prevention activities, health beliefs of falling and factors associated with fall prevention activities among nursing students. Methods: 149 nursing students from a university completed self-administered questionnaires including participants' characteristics, fall prevention activities, and health belief of falling. Hierarchical multiple regression analysis was used to determine significant independent factors of fall prevention activities. Results: The score for fall prevention activities was $62.40{\pm}9.78$, which was relatively high. The regression model had an adjusted $R^2$ of .16, which indicated that perceived susceptibility was a factor affecting fall prevention activities of nursing students. Conclusion: To increase perceived susceptibility, repetitive fall prevention education including various examples of falls could help nursing students to promote fall prevention activities. Nursing faculty should develop contents to increase recognition of obligation and responsibility regarding fall prevention in curriculum for nursing students.

• Child Health Nursing Research
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• v.30 no.3
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• pp.176-186
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• 2024

Purpose: With the recent increase in interest in patient safety, prevention of falls in hospitalized children has become important. This study aimed to identify the incidence rate of falls among hospitalized children and explore fall-related characteristics. Methods: This retrospective descriptive study analyzed the medical information of 18,119 patients aged <18 years admitted to a general hospital in South Korea from electronic medical records and fall event reports between January 1, 2018, and September 30, 2023. The study variables included the general and clinical characteristics of the fall group and fall-related characteristics of the fall events. This study employed descriptive statistics and a chi-square test using IBM SPSS version 26.0. Results: Among the patients, 82 fall events were identified. Therefore, the fall incidence rate was 4.5 falls per 1,000 patients. Furthermore, a statistically significant difference was found concerning the type of injury sustained between children >1 year old and those <1 year old, and most cases had no damage or bruises. More cases were found in which falls occurred two days after hospitalization in winter and summer than on the day or the day after hospitalization, which was a statistically significant difference. In addition, fall prevalence was higher between 8 am and 4 pm, and when no caregiver was present. Conclusion: Based on the results of this study, education and interventions to prevent fall events in infants and toddlers should persist throughout hospitalization, and it is necessary to guide continuous management and observation of the caregivers.

• Journal of muscle and joint health
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• v.21 no.1
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• pp.36-45
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• 2014

Purpose: The purpose of this study was to investigate the factors increasing fall risk in the residential environment risk and the perceived fall risk among the older adults who received home care services to provide information for developing a comprehensive falls intervention program. Methods: The subjects were 227 community-dwelling elderly aged 65 years and over who were taken care of by home-visiting nurses of the national health centers. The data were collected from July to August in 2012 using the Choi's residential environmental risk scale (2010) and the Hong's fall risk scale (2011). Results: Requires an assistive devices to walk, modified residential environment, health security, approval certificate of LTC, residential safety perception, residential environment risk, and perception of fall risk were statistically significant risk factors. A multiple logistic regression analysis showed that room & kitchen, physical perception, medication & ADL perception, floor-related environmental perception, and daily living tool-related perception were statistically significant predictors of fall. Conclusion: The results showed that the residential environment and the perceived fall risk were associated with fall experiences among the elderly. It is necessary to develope multifactorial intervention programs considering both environmental and perceived risk factors as well as physical risk factors to reduce and prevent falls among the elderly.