• 제목/요약/키워드: Fall-related factors

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요양병원 간병사의 낙상예방효능감과 낙상예방건강신념이 낙상예방인지도에 미치는 영향 (Effects of Long Term Care Hospital Care-givers' Fall Prevention Self Efficacy and Fall Prevention Health Belief on Fall Prevention Awareness)

  • 정지영;박윤지;정계현
    • 한국콘텐츠학회논문지
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    • 제15권2호
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    • pp.333-343
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    • 2015
  • 본 연구는 요양병원 간병사의 낙상예방인지도에 미치는 영향요인을 파악하기 위한 서술적 조사연구이다. 자료수집기간은 2014년 7월 1일부터 8월 31일까지였다. D광역시와 N시에 소재하는 7개 요양병원의 간병사를 대상으로 편의 표집 하였다. 수집된 자료 215부 중 200부를 분석에 이용하였다. 연구결과 첫째, 요양병원 간병사의 학력, 요양보호사 자격증 유무, 근무경력과 낙상관련 교육시간에 따른 낙상예방인지도에서 유의한 차이가 있었다. 둘째, 낙상예방건강신념 중 지각된유익성, 지각된장애성, 지각된민감성과 낙상예방효능감은 낙상예방인지도와 유의한 양의 상관관계가 있었다. 셋째, 요양병원 간병사에게 영향을 주는 개인적 특성을 통제한 상태에서 위계적 회귀분석한 결과, 정적영향요인은 지각된유익성, 낙상예방효능감, 지각된민감성, 부적영향요인은 근무경력으로 나타났으며, 이들 변수의 낙상예상인지도에 대한 설명력은 31.7%였다. 이러한 결과로 요양병원 간병사의 낙상예방인지도를 증가시키기 위해 간병사의 근무경력에 따른 낙상예방효능감과 건강신념 중 지각된 유익성과 지각된 민감성을 높일 수 있는 프로그램을 적극 모색해야할 것이다.

재가 여성노인에서 1회 낙상군과 반복낙상군의 낙상관련 특성 비교연구 (Comparative Study on Fall Related Characteristics between Single and Recurrent Falls in Community-Dwelling Older Women)

  • 박형숙;장랑;박경연
    • 성인간호학회지
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    • 제20권6호
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    • pp.905-916
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    • 2008
  • Purpose: The purpose of this study was to identify the influencing factors on the single and recurrent falls in community-dwelling older women. Methods: Seventy eight volunteers aged over 65 were included in the study. The participants experienced at least one fall within the past one year. Data were measured on each participant from May 2007 to September 2007, collected using structured researcher-administered sheets and measuring their physical strengths and analyzed by descriptive statistics, t-test, chi-square test, Mann-Whitney U test and logistic regression analysis. Results: The prevalence of recurrent falls were 53.8%. The level of education(Z = -2.455, p = .014) and the presence of spouse($x^2$ = 4.843, p = .044) showed significant differences between the single-fall group and the recurrent-fall group in the study. Significantly predicting factor on the recurrent falls was the level of education and the variable explained 20.1% of variants in the occurrence of recurrent falls. Conclusion: Although a variety of factors affected the single fall in the elderly women, the level of education and the presence of spouse proved to be the significant factors in their recurrent falls. These factors proven to be significant as the result of this should be reflected in the development of effective programs for preventing the elderly from recurrent falls.

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노인의 낙상두려움, 낙상태도 및 낙상효능감에 관한 연구 (A Study on the Fear of Fall and Fall Efficacy in the Elderly)

  • 현일선
    • 산업융합연구
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    • 제16권3호
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    • pp.1-7
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    • 2018
  • 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.

Factors associated with healthcare utilization for infant falls in South Korea: a cross-sectional online survey

  • Soo-Yeon Han;Cho Hee Kim
    • Child Health Nursing Research
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    • 제29권4호
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    • pp.252-259
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    • 2023
  • Purpose: Falls are a common cause of unintentional injuries in infants. This study was conducted to examine the patterns of healthcare utilization following infant falls in South Korea. Methods: This cross-sectional descriptive study utilized an online survey designed to gather information regarding the general characteristics of parents and infants, fall-related variables, and healthcare use. Results: The most serious falls identified by parents occurred at an average infant age of 6.97 months. Most fall incidents took place indoors (95.7%), and many occurred under the supervision of caregivers (68.0%). Following the fall, 36.4% of the participants used healthcare services. Logistic regression analysis revealed that healthcare use following an infant fall was significantly associated with being a firstborn child (odds ratio [OR]=5.32, 95% confidence interval [CI], 2.19-15.28) and falling from a caregiver's arms (OR=4.22; 95% CI, 1.45-13.68). Conclusion: To prevent and decrease the frequency of infant falls, improvements are needed in both the domestic environment and parenting approaches.

도시와 농촌 지역 구분 기준 연구 (A Study on the Classification Criteria Between Urban and Rural Area)

  • 강대구
    • 농촌지도와개발
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    • 제16권3호
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    • pp.557-586
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    • 2009
  • The objective is to find the classification criteria between urban and rural, and to classify the urban and rural area all the country in Korea. For the research objectives, reviews of related literature and statistical yearbooks were used for finding criteria and analysing data. Through reviewing the literature, some indicators were selected in views of rurality and urbanity, and gathered the data from statistical yearbooks. And factor analysis was used to find first and second factor for classifying region. Six factors as a city surrounding(36%), non-farmer household population ratio(28.1%), cultivated acreage(12.48%), agricultural production surrounding (12.40%), the farm family number change(5.58%) and household number rise and fall(5.54%) were finding. And rurality factors were cultivated acreage, agricultural production surrounding, the farm family number change and household number rise and fall, and urbanity factors were city surrounding and non-farmer household population ratio. Based on the first and second factor loaded amount, four type regional classification was followed.

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인삼의 수분생리 III. 토양수분, 생리장해, 병해충과 품질 (Water Physiology of Panax ginseng III. Soil moisture, physiological disorder, diseases, insects and quality)

  • 박훈
    • Journal of Ginseng Research
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    • 제6권2호
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    • pp.168-203
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    • 1982
  • Effects of soil moisture on growth of Panax ginseng, of various factors on soil moisture, and of moisture on nutrition, quality, physiological disorder, diseases and insect damage were reviewed. Optimum soil moisture was 32% of field capacity with sand during seed dehiscence, and 55-65% for plant growth in the fields. Optimum soil moisture content for growth was higher for aerial part than for root and higher for width than for length. Soil factors for high yield in ginseng fields appeared to be organic matter, silt, clay, agreggation, and porosity that contributed more to water holding capacity than rain fall did, and to drainage. Most practices for field preparation aimed to control soil moisture rather than nutrients and pathogens. Light intensity was a primary factor affecting soil moisture content through evaporation. Straw mulching was best for the increase of soil moisture especially in rear side of bed. Translocation to aerial part was inhibited by water stress in order of Mg, p, Ca, N an Mn while accelerated in order of Fe, Zn and K. Most physiological disorders(leaf yellowing, early leaf fall, papery leaf spot, root reddening, root scab, root cracking, root dormancy) and quality factors were mainly related to water stress. Most critical diseases were due to stress, excess and variation of soil water, and heavy rain fall. The role of water should be studied in multidiciplinary, especially in physiology and pathology.

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지역사회 재가 노인의 낙상에 영향을 미치는 요인 (Prevalence and Associated Factors of Falls in the Elderly Community)

  • 백경원;송현종;정윤석;문혜원;조준필
    • Journal of Preventive Medicine and Public Health
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    • 제34권1호
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    • pp.47-54
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    • 2001
  • Objectives : To analyze factors associated with elderly falls in a community dwelling, a comparatively important, but somewhat neglected, health mailer. Methods : Data came from personal interview surveys using a questionnaire of 552 people aged 65 or older living in a community. Socioeconomic, and health related characteristics were investigated as independent variables and experiences of falling in the previous year as the dependent variable. Results : 118(21.4%) of the elderly subjects experienced a fall in the previous year. 24 subjects experienced more than two falls, accounting for 20.3% of the elderly fall victims studied. Factors affecting the falls were families living together, level of daily activity, heart disease, and aconuresis;, therefore an elderly person who lives alone, lives independently, has heart disease, or suffers urinary incontinence had a demonstrated increased chance of failing. Conclusion : Groups at risk for luting included elderly persons living alone, living independently, suffering heart disease, or experiencing urinary incontinence. When an elderly fall prevention program is developed and implemented, these results should be considered.

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노인의 낙상과 균형 (Fall-Related Injury and Balance of the Elderly)

  • 김은주;김태숙;배성수
    • The Journal of Korean Physical Therapy
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    • 제10권2호
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    • pp.161-171
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    • 1998
  • 낙상은 노인에서 중요한 건강문제와 직결된다. 노인의 활동력 저하와 노화로 인한 생리학적 변화는 균형과 기능적 가동성 감소를 초래하고 낙상의 주요 요인이 된다. 노년기의 신체활동은 근력유지뿐만 아니라 균형감각 같은 신경계의 기능유지를 위해서도 필요하다. 노화 되어감에 따라 활동이 줄어들고 대근의 활동보다는 소근의 활동을 중심으로 소일하는 경우가 대부분이다. 따라서 신체의 운동범위가 좁아짐에 따라 활동할 때 신체균형감각이 둔화되어 낙상을 일으키게 되고 심각한 사회적 문제를 초래하게 된다. 그러므로 노인의 낙상방지와 생활의 질적 향상을 위해 적당한 강도의 운동과 균형수행력을 향상시키는 훈련이 필요하다.

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낙상 사고에 의한 골절로 입원한 노인 환자에 대한 조사 연구 (A Study on the Elderly Patients Hospitalized by the Fracture from the Fall)

  • 전미양;정현철;최명애
    • 대한간호학회지
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    • 제31권3호
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    • pp.443-453
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    • 2001
  • Purpose: To identify age, gender, medication, seasons and place of fall, and areas of the fractures from the fall among the hospitalized elderly patients in order to provide the basic data for future fall prevention program for the elderly. Methods: This study was conducted for 106 elderly patients admitted into a university hospital by fractures from the fall during the period from January 1, 1999 to December 31, 1999. Data on the age, gender, medication, season and place of the fall, areas of the fracture were collected based on their medical records. Result: The age range of the subjects were from 60 to 96 years old. The subjects were aged between 60-69 years old 49(46.2%), between 70-79 years old 31(29.2%), between 80-89 years old 24(22.6%), and over 90 years old 2(1.9%). Male patients comprised was 34(28.3%), while female patients comprised 76(71.7%). The fall occurred in Winter most frequently 34(32%). The place of the fall included room 81(76.4%), streets 13(12.3%), bathroom 6(5.7%), stair 4(3.8%), and mountain 2(1.9%). Twenty-two subjects (20.8%) had medication regularly, while 84 subjects (79.2%) had no medication. The areas of the fracture from the fall included upper extremities 20(18.9%) and lower extremities 86(81.1%). Radius fracture (7.5%) was the area where the fracture occurred most frequently in upper extremities and femur fracture (52.8%) was the area where the fracture occurred most frequently in lower extremities. A significant difference was found in the fracture area by age, season and place of the fall (p<.05). No significant difference was found in the fracture area by gender and medication. In all age groups, seasons and places of the fall, occurrence of fracture in lower extremity was significantly higher than that in upper extremity.

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노인을 대상으로 한 율동 운동 프로그램 실시 효과: 낙상 위험 요인과 관련하여 (Effect of Rhythmic Exercise Program to Elderly on Risk Factors of Fall Injury)

  • 이인숙;진영란;이동욱;김윤아;백경애
    • 지역사회간호학회지
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    • 제12권3호
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    • pp.600-608
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    • 2001
  • Accidents are the fourth-leading causal factor of death among the elderly, and fall is a major type of accident (53.17%). Many cases of falls in the elderly result in delayed discovery and loss of quality of life. As the number of the elderly grows, falls will be a more important health problem. Most previous research on falls investigated prevalence. mortality, and the related factors. There are many studies proving the effect of rhythmic movements. But few researches considered linking risk factors of fall with rhythmic movements. Purpose: We want to show the changes after performing rhythmic movement program, in risk factors of falls and mobility such as flexibility, balance, muscle power and persistency in the elderly, in order to provide basic information needed for the development of fall injury prevention program for the elderly. Method: The design of this study is quasi-experimental, the equivalent control group, pretest-posttest. The subjects consist of 124 people who lived in Do-Bong-Qu. Seoul, agreed to participate in this study, and were able to follow this rhythmic movement program. About 93 % of them are from 65 to 84 years (Mean${\pm}$sd: $73.7{\pm}5.7$): 64% are female. The rhythmic movement program was designed. and performed by two community health nurses working in the Do-Bong-Gu Public Health Center, regularly twice a week from May, 4 to December, 17. in 10 senior citizens' community centers. Risk factors of fall were measured with RAFS- II (Risk Assessment for Falls Scale II) by asking about each item: mobility was measured by observing their specific movements asked by investigators. Results: 1. After performing the program during 7 months, risk factors score of falls were decreased significantly (paired-t = 4.77. p<0.01). 2. After performing the program during 7 months, flexibility (paired-t = 2.26. p=0.03) and mobility were improved (paired-t = 4.98. p<0.01). but muscle power and persistency did not change (paired-t = 0.33. p=0.74). Overall, mobility affecting the occurrence of falls was improved significantly (paired-t = 5.15. p<0.01). Conclusions: A regular rhythmic movement program can be helpful in preventing falls in the elderly. Further. we can develop a fall injury prevention program using rhythmic movement.

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