• 대한물리의학회지
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• 제15권2호
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• pp.65-73
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• 2020

PURPOSE: This study examined the effects of coordinative locomotor training on the physical factors for falls in the elderly with mild cognitive impairment. METHODS: This study examined thirty subjects diagnosed with mild cognitive impairment by the radiologic findings, history, and physical examination. The subjects were assigned to a control group (n = 15) or experimental group (n = 15, coordinative locomotor training). The experimental group underwent coordinative locomotor training for four weeks, with training sessions two times per week. The control group was given a fall-prevention education for 60 minutes without coordinative locomotor training. To evaluate the physical factors for falls, the lower extremity strength and the Korean version of the Fullerton advanced balance scale and biorescue were measured for balance. These tests were conducted before and after training. RESULTS: Significant differences were observed between the two groups after the four weeks of coordinative locomotor training for the elderly with mild cognitive impairment the experimental group had a greater degree of improvement in the physical factors for falls. CONCLUSION: These findings suggest that coordinative locomotor training may have a functional effect on fall-prevention and the mobility of the elderly with mild cognitive impairment. In addition, it is expected to provide systematic and effective data that can be used as a fall prevention program for the elderly with mild cognitive impairment in each institution.

• 임상간호연구
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• 제23권2호
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• pp.202-210
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• 2017

Purpose: In this study an investigation was done of injuries from inpatient falls and diagnostic tests and treatment after falls to identify what factors affect the occurrence of injury from inpatient falls in a tertiary hospital. Methods: Data for this cross-sectional study were retrieved for 428 fall events from data reported between January 1 and December 31, 2015 and were retrieved from the patient-safety reporting system in the hospital's electronic health records. A multivariate logistic regression model was developed with STATA 13.0. Results: Of the patients, 197 (46.0%) had physical injuries due to falls, 119 (27.8%) were given further diagnostic tests, and 358 (83.6%) received treatment including close observation after inpatient falls. Logistic-regression results identified that age, department, and risk factors had significant impact on injuries from falls. Conclusion: Findings indicate that to reduce the severity of injury after inpatient falls, each hospital should regularly evaluate identified factors, design fall-prevention practices specialized for elders and vulnerable patients, and initiate environmental and equipment innovations.

• 성인간호학회지
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• 제22권4호
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• pp.430-437
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• 2010

Purpose: The purpose of this study was to investigate the balance confidence and balance ability among community-residing stroke patients. Methods: The sample for this study was a convenience sample obtained from patients who visited welfare centers for the disabled in three cities from October to December in 2009. The Activities-specific Balance Confidence Scale and Berg Balance Scale were used to measure confidence in task performance and balance ability. Results: The level of balance confidence and balance ability were low in these subjects. There was a significant relationship between balance confidence and balance ability (r=.424, p=.000). Subjects with less balance ability felt less balance confidence. Conclusion: Among community-residing stroke patients, falls are common. Falls prevention which may contribute to the incidence of fall and fall related injury should be part of stroke rehabilitation plan. Also, it is necessary that an intervention for falls prevention after stroke should take into account factors such as the balance confidence and balance ability.

• 대한간호학회지
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• 제43권5호
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• pp.595-604
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• 2013

Purpose: The purpose of this study was to identify risk factors for pediatric inpatients falls. Methods: The study was a matched case-control design. The participants were 279 patients under the age of 6 who were admitted between January 1, 2004 and December 31, 2009. Through chart reviews, 93 pediatric patients who fell and 186 ones who did not fall were paired by gender, age, diagnosis, and length of stay. Five experts evaluated the 38 fall risk factors selected by the researchers. Results: In a general hospital, pediatric patients with secondary diagnosis, tests that need the patient to be moved, intravenous lines, hyperactivity, anxiolytics, sedatives and hypnotics, and general anesthetics showed significance for falls on adjusted-odds ratios. Conditional logistic regression analysis was performed to elucidate the factors that influence pediatric inpatient falls. The probability of falls increased with hyperactivity and general weakness. Patients who didn't have tests that required them to be moved and intravenous line had a higher risk of falls. Conclusion: These findings provide information that is relevant in developing fall risk assessment tools and prevention programs for pediatric inpatient falls.

• 한국노년학
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• 제29권1호
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• pp.259-273
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• 2009

본 연구의 목적은 지역사회 재가노인을 대상으로 Home Support Exercise Program(HSEP)을 적용한 다면적 낙상예방프로그램 실시 후 노인의 신체균형과 보행정도, 하지근력, 낙상공포 및 낙상효능감에 미치는 영향을 파악하기 위한 것이다. 연구 설계는 비동등성 대조군 사전, 사후 유사 실험연구이다. 연구대상자는 충북 지역 내 일개 시의 2개 경로당을 이용하는 65세 이상 노인을 대상으로 하였다. 최종연구대상자는 실험군 20명, 대조군 21명으로 총 41명이었다. 자료수집은 일대일 면담 측정을 통하여 수집하였으며 사전조사, 실험처지, 사후조사 순으로 진행하였다. 낙상예방프로그램은 HSEP와 낙상예방 교육으로 구성되어 있으며, 경로당에서 8주간 주 1회 1시간씩 HSEP 운동과 함께 낙상예방 지식을 교육하였고, 가정에서 주 2회 자가 운동을 수행하도록 하여 총 3회/1주의 HSEP 운동을 하도록 하였다. 낙상예방프로그램 실시 후 실험군이 대조군보다 신체균형감과 보행정도, 하지근력(대퇴신전근과 굴곡근, 무릎 굴곡근, 발목관절 족저굴곡근과 족배굴곡근), 낙상효능감이 통계적으로 유의하게 증진되었다. 결론적으로 HSEP를 적용한 낙상예방프로그램은 재가노인의 낙상예방을 위해 효과적이었으므로 경로당, 노인복지관, 노인시설 등 다양한 낙상위험 환경에 처해있는 노인을 대상으로 낙상 예방 프로그램을 적용하여 효과를 검증하는 연구가 확대되어야 할 것이다.

• 한국산학기술학회논문지
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• 제14권12호
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• pp.6353-6363
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• 2013

본 논문은 농촌지역 재가 노인의 낙생재발과 관련된 위험요인을 분석함으로써 낙상재발 방지 프로그램을 개발하는데 근거자료로 제공하고자 시도하였다. 본 연구의 대상자는 낙상 횟수에 따라 비낙상자, 1회 낙상자, 낙상재발자로 구분하였으며 대상자는 329명이었고 자료수집은 2010년 2월 5일부터 2월 14일까지 실시하였다. 329명 노인 중 1회 낙상자는 14.3%, 낙상재발자 4.0%이었다. 세 군간에 정적 균형(한발서기 시간)(F=5.86, p=.003), 동적 균형(3m 걸어갔다 돌아오는 시간)(F=24.32, p<.001), 낙상 위험도(F=9.94, p<.001), 낙상예방행위이행도(F=3.09, p=.047)는 유의한 차이가 있었다. 상관관계 분석에서 낙상 횟수와 슬관절 굴곡근 근력(r=-.15, p=.008), 정적 균형(r=-.16, p=.004), 낙상예방행위이행도(r=-.12, p=.030)는 역상관관계가, 동적 균형(r=.26, p<.001), 우울(r=.13, p=.019), 낙상위험도(r=.30, p<.001)는 순상관관계가 있었다. 낙상 횟수와 유의한 상관관계가 있는 변수를 활용하여 투입식 회귀분석을 실시한 결과 설명력 36.0%로 유의한 것으로 나타났다. 이와 같은 본 연구결과를 근거로 농촌지역 재가 노인의 낙상재발을 방지하기 위해서는 노인의 균형을 증진시킬 수 있는 신체활동과 우울을 감소시킬 수 있는 심리적 중재 및 낙상예방행위를 이행할 수 있는 행동요법 등이 포함된 복합 낙상재발 방지 프로그램을 제안한다.

• 한국콘텐츠학회논문지
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• 제15권5호
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• pp.426-435
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• 2015

1대 1 낙상 예방 교육이 뇌졸중 성인의 낙상과 낙상 요인에 미치는 영향을 알아보고자 하였다. 뇌졸중 성인 17명을 대상으로 낙상에 대한 4개의 다른 주제(낙상의 소개, 낙상 예방 운동, 낙상 예방 보조도구, 낙상예방 환경 수정)에 대하여 주 1회, 총 4회기에 걸쳐서 하는 뇌졸중 성인의 인지 능력을 고려한 1대 1 낙상예방 교육 프로그램을 개발하여 시행하였다. 종속변인으로 최근 한 달간의 낙상횟수 및 낙상위험횟수, 버그균형척도, 낙상공포, 낙상 효능감, Beck 우울증 척도를 측정하였다. 4회의 1대 1 낙상예방교육에 참여한 결과, 대상자들은 버그균형척도를 제외한 모든 종속변인에서 통계학적으로 유의미한 수준의 긍정적 변화가 있었다(p<.05). 본 연구의 결과로 뇌졸중 성인에게 1대1 낙상예방교육을 적용하였을 때, 낙상횟수 및 낙상위험횟수, 낙상공포, 우울증세가 감소하고 낙상 효능감의 긍정적인 변화를 일으킨다는 것을 알 수 있었다. 뇌졸중을 가진 성인들이 지역사회 및 병원에서 낙상의 위험에서 보다 더 안전하기 위해서는 그들의 인지수준을 고려해서 개발된 1대 1 낙상예방교육이 필요하다.

• 한국보건간호학회지
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• 제27권1호
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• pp.89-101
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• 2013

Purpose: The purpose of this study was to investigate the prevalence, characteristics, and factors related to falls occurring among the community-dwelling elderly. Methods: The subjects were 299 community-dwelling-elderly in Jeju Province. Data were collected via in-person interviews by five visiting nurses in October, 2012. Fall risk assessment tools developed by the CDC, K-ADL, HDS-K, and GDS were used for data collection. Results: A significant number of subjects (34.1%) had experienced a fall at least once within the last six months. Living arrangements, strokes, urinary incontinence, main daily activities, and depression were significant factors related to these falls. Other risk factors included heavy use of medications, difficulties in walking and standing, needing arms to stand up from a chair, and hearing loss. Conclusion: The results reveal critical factors related to falls among the community-dwelling elderly. These information should be used to develop and implement fall prevention programs in communities.

• 대한의용생체공학회:의공학회지
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• 제28권6호
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• pp.811-816
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• 2007

The social activities of the elderly have been increasing as our society progresses toward an aging society. As their activities are increased, the occurrence of falls that could lead to fractures are increased. Falls are serious health hazards to the elderly and we need more thorough understanding of falls including the progress of falls and the impact area in various fall directions. Many of the traditional methods of falls research dealt with voluntary falls by younger subject since older subject can easily get fracture from voluntary falls. So, it has been difficult to get exact data about falls of the elderly. Here, we tried to capture the characteristics of the movements of major joints using three dimensional motion capture system during falls experiments using a moving mattress that can safely induce unexpected falls. Healthy younger subjects participated in the actual falls experiment and the moving mattress was actuated by a pneumatic system. The kinematic parameters such as velocities and accelerations of major segments were imported to a computer simulation environment and falls to hard surfaces were simulated in a computational environment using a realistic human model of aged persons. The simulation was able to give approximations to contact forces which can occur during actual falls.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제24권1호
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• pp.33-40
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• 2018

Purpose: The main objective of this paper is, to assess environment, care process, and patient-related factors associated with patient falls. The study also aims at identifying various factors that would affect inpatient falls and, therefore, helping both caregivers and designers contribute to better prevent inpatient falls in their own areas of expertise. Methods: A retrospective analysis of inpatient falls that occurred in the unit of General Medicine in the United States has been conducted and environment, care process, patient-related factors associated with those falls have been analyzed at the same time. Results: The study identified several factors associated with inpatient falls. They range from environmental factors to care process- and patient-related factors. Patient visibility and patient accessibility can matter to patient falls and where those falls occur, along with patient days per room, the percentage of patient days with high fall risk patients per room, the percentage of high fall risk patients per room. Implications: The findings of the study can provide design implications that can be incorporated into design process and design decisions to promote fall prevention in inpatient care units. Inpatient falls can be effectively reduced when caregivers and designers work together to understand the complex nature of inpatient falls and the importance of multidisplinary efforts among various experts in the areas of healthcare.