• 한국안전학회지
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• 제28권5호
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• pp.83-89
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• 2013

Occupational Safety and Health Act provides that industrial safety helmets are personal protective equipment(PPE) to protect heads against falls from a height. Relevant domestic regulations are distinguished and different from other countries' cases. This study investigated industrial safety helmet's protective purposes and characteristics related to falls and the notion of fall prevention. A comparative analysis of regulations on safety helmets and fall prevention as well as standards on safety helmet's impact test requirements is followed by a literature review. It is also suggested that the term "fall" related to safety helmets should be changed to "impact on the upper part of head" in domestic regulations and standards.

• 임상간호연구
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• 제16권3호
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• pp.5-23
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• 2010

Purpose: This study was conducted to determine the validity and reliability of performance measurement tools based on the nursing process for prevention and management of pressure ulcers, falls and pain. Methods: The performance measurement tools were reviewed by a panel of experts and refined on the basis of the panel's suggestions. The validity of the performance measurement tools was measured by surveying hospital nurses. The reliability of these tools was tested by having nursing experts use the tools in five nursing units to assess nursing performance in prevention and management of pressure ulcers, falls and pain. Results: The performance measurement tools in this study were found to be acceptable as tools to evaluate quality of nursing care in pressure ulcers, falls and pain. The reliability of the performance measurement tools was acceptable. Conclusion: These results indicate that the performance measurement tools developed in this study are valid and reliable instruments to monitor and improve quality of nursing care in prevention and management of pressure ulcers, falls and pain.

• 동서간호학연구지
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• 제27권1호
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• pp.61-69
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• 2021

Purpose: This study aims to determine the association between fear of falling, falls efficacy, and fall prevention behaviors in older adults in outpatient and identify the factors affecting fall prevention behaviors. Methods: This was a descriptive study. A total of 137 older adults aged 60 or older with more than one disease in an outpatients setting were recruited from a university hospital in Seoul. Data were collected from March 11 through April 8, 2016. Results: The experience of a fall was significantly associated with age (t=-2.71, p=.008), gender (𝛘²=14.32, p<.001), education (𝛘²=6.05, p=.049), income (𝛘²=9.93, p=.019), physical activity status (𝛘²=16.84, p<.001), and the number of diseases (t=-2.89, p=.004). Fall experience was not significantly associated with marital status (𝛘²=3.79, p=.285). Multiple regression analysis revealed that the most influential factor of fall prevention behaviors was the fear of falls (β=-.37, p<.001), followed by the number of diseases (β=-.20, p=.013). Conclusion: It is necessary to provide preventive fall education with older adults in outpatients settings considering the fear level of falling and the numbers of accompanying diseases.

• 한국실내디자인학회논문집
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• 제25권4호
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• pp.60-67
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• 2016

Falls are accidents that can happen throughout the overall period of human life and their results are very fatal and have a serious negative effect on individuals and society. In case of aged people, even though they live in places where dangerous risks of falls are prevalent, they cannot improve their residential environment for themselves. Therefore, this study intends to prove the effects of fall prevention education by providing fall prevention education to spatial design majoring students in order to improve their perception about the falls and fall prevention environments and their social responsibility as a designer. This study was designed as Quasi-experimental study, and 121 beginners to spatial design received the education. As a result, the effects of education was proved by showing improvements on their awareness about the fall risks, the importance of fall prevention environment and social responsibility as a designer. In addition, after the education students could know more about spatial elements for fall prevention and they specified the details of important environmental factors for fall prevention. Generally, fall prevention education has been given to aged people and this is a first example of fall prevention education that was given to younger generation. It is meaningful that fall prevention education has changed the awareness of the students to help them work in spatial environment design with a strong sense of responsibility as an expert of spatial designer in future.

• 대한간호학회지
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• 제34권6호
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• pp.1081-1091
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• 2004

Purpose: This study was done to identify the risk factors associated with falls among patients with Parkinson's Disease(PD). Method: A retrospective study design was used through the collection of physiological and physical health, and psychosocial functions. Results: Of the 100 participants, fifty-nine(59%) reported one or more falls and seventy-one(71%) reported one or more near-falls. Anaverage 34.7 falls and 150.3 near-falls were reported in the previous year per person. Stage of PD, foot problems, balance, fear of falling, and activities of daily living were significantly associated with an increased risk of falls. Conclusion: The findings confirm the high risk of falling in PD patients. Also these results have implications for developing fall prevention programs for PD patients.

• 대한간호학회지
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• 제38권5호
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• pp.730-738
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• 2008

Purpose: The purpose of this study was to identify the mediating effect of depression in the relationship between muscle strength of extremities and falls among community-dwelling elderly. Methods: Two hundred forty-seven participants were recruited from a public health center, a hall for the aged and a school for the aged in B city. Face-to-face interviews were conducted using questionnaires from May to September of 2007. Data was analyzed with descriptive statistics, Pearson correlation, and multiple regression using the SPSS WIN 14.0 program. Results: There was a significantly negative relationship between muscle strength of lower extremities and falls, muscle strength of left upper extremity and falls, and muscle strength of right upper extremity and falls. Depression positively correlated with falls. Depression showed mediating effects between muscle strength of extremities and falls. Weakness of muscle strength of extremities increased depression and the increased depression increased the frequencies of falls. Conclusion: For the effective management and prevention of community-dwelling older adults' falls, exercise programs including depression-decreasing strategies should be established. These exercise programs can decrease depression which is the mediator role between the degrees of muscle strength of extremities and falls.

• 한국전자통신학회논문지
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• 제13권4호
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• pp.887-896
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• 2018

본 예비연구는 낙상예방 프로그램이 종합병원 입원환자의 낙상발생에 미치는 영향을 조사하고자 하였다. 중재 전, 인천에 위치한 I병원에 입원하여 재활치료를 받는 환자 190명의 낙상발생빈도를 확인하였다. 낙상의 원인은 환자 보호자 및 치료사의 부주의, 치료사의 업무 부담의 가중, 침상의 높이, 보호자의 부재와 같은 치료실 환경의 문제로 나타났다. 저자들은 PDCA 모델을 통하여 문제점을 인식한 후 낙상예방 프로그램을 개발하였다. 낙상예방 프로그램의 구성은 낙상예방교육 동영상을 제작하여 환자 및 보호자에게 교육하였고, 환경개선 및 치료사교육을 2개월 간 수행하였다. 중재 후, 낙상 발생률의 분석은 220명의 환자를 대상으로 하였다. 그 결과, 낙상발생률은 중재 전과 비교하여 통증치료실은 34.1~66.7%가 줄었으며, 운동/작업치료실은 21.3~40.8%가 감소하였다. 본 연구의 결과는 낙상예방 프로그램이 입원환자의 낙상 감소에 긍정적인 효과를 나타내고 있으며, 낙상예방 모델 중 하나의 방법이 될 것이다.

• 기본간호학회지
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• 제25권4호
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• pp.269-281
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• 2018

Purpose: The purpose of this study was to build a model to predict the fall prevention behavior of nurses in small and medium sized hospitals. Methods: Participants were 382 nurses from 13 hospitals who responded to the structured self-reported questionnaire. The research model was based on previous study of fall prevention, theory of planned behavior, and the health belief model. Results: The modified model generally showed higher levels than recommended level of model fit indices and acceptable explanation. Of 17 hypothetical paths, 14 were supported. Predicting variables explained 51.6% of fall prevention behavior. The fall prevention behavior of nurses showed a direct influence of fall prevention expectations, fall prevent threats, perceived behavioral control for fall prevention, and intention to prevent falls and an indirect of influence of patient safety culture, attitude toward fall prevention, and the subjective norm. Conclusion: Findings show a need to identify a range of barrier factors to increase the benefits of fall prevention behavior and enhance the perceived control of fall prevention so that nurses will be able to promote fall prevention behavior in hospitals. Also, it is critical to increase awareness of patient safety culture among nurses.

• 근관절건강학회지
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• 제26권1호
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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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• 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.