Journal List > J Korean Acad Community Health Nurs > v.21(2) > 1058164

Hyeon, Park, Park, and Kim: The Effects of a Fall Prevention Program on the Low-Income Elderly at Risk of Falls

Abstract

Purpose

This study was conducted to determine the effects of a fall prevention program on knowledge, efficacy, and prevention behavior of falls among the low-income elderly.

Methods

This study used a nonequivalent control group pre and post test quasi-experimental research design. The study was conducted from August to October, 2008 with 20 subjects in the experimental group and 22 in the control group who were registered at the public health center of S District in D City.

Results

Hypothesis 1 "The experimental group that participated in the fall prevention program will show a higher degree of knowledge about falls than the control group" was supported. Hypothesis 2 "The experimental group will have a higher degree of self-efficacy of falls than the control group" was not supported. Hypothesis 3 "The experimental group will report fall prevention behavior more frequently than the control group" was supported.

Conclusion

It was verified that the fall prevention program in this study was an effective intervention to improve knowledge about falls and fall prevention behaviors among the low-income elderly. The results can be used as part of an intervention to prevent falls for the vulnerable elderly such as the low-income elderly.

Figures and Tables

Table 1
Overview of Fall Prevention Program
jkachn-21-200-i001
Table 2
Homogeneity Test of General Characteristics (N=42)
jkachn-21-200-i002

Exp.=experimental group; Cont.=control group.

Table 3
Homogeneity Test of Health Related Characteristics (N=42)
jkachn-21-200-i003

Exp.=experimental group; Cont.=control group.

Table 4
Homogeneity Test of Fall Risk (N=42)
jkachn-21-200-i004

Exp.=experimental group; Cont.=control group.

Table 5
Homogeneity Test in Knowledge, Self-efficacy, and Prevention behavior of Falls (N=42)
jkachn-21-200-i005

Exp.=experimental group; Cont.=control group.

Table 6
Differences in Fall Knowledge, Self-efficacy, and Prevention behavior between Experimental and Control Group (N=42)
jkachn-21-200-i006

References

1. Bergland A, Wyller TB. Risk factors for serious fall related injury in elderly women living at home. Inj Prev. 2004; 10(5):308–313.
crossref
2. Campbell AJ, Robertson MC, Gardner MM, Norton RN, Tilyard MW, Buchner DM. Randomized controlled trial of a general practice programmer of home based exercise to prevent falls in elderly women. BMJ. 1997; 315(25):1065–1069.
3. Chang CM. A structural model for falls and quality of life in elderly people living at home. Seoul: Kyung Hee University;2005. Unpublished doctoral dissertation.
4. Choe JH. The effects of tai chi exercise on physiologic physiological functions and fail in fall prone elderly. Seoul: Catholic University;2002. Unpublished doctoral dissertation.
5. Choe MA, Jeon MY, Choe JA. Effect of walk training on physical fitness for prevention of fall in a home bound elderly. J Korean Acad Nurs. 2000; 30(5):1318–1331.
6. Deery HA, Day LM, Fildes BM. An impact evaluation of a fall prevention program among olderpeople. Accid Anal Prev. 2000; 32(2000):427–433.
7. Downton J, Falls N, Tallis R. Brocklehurst's textbook of geriatric medicine and gerontology. 5th ed. London: Churchill Livingstone;1998.
8. Fuller GF. Falls in the elderly. Am Fam Physician. 2000; 61(7):2159–2168.
9. Gill TM, Williams CS, Tinetti ME. Environmental hazards and the risk of nonsyncopal falls in the homes of community-living older person. Med Care. 2000; 38(12):1174–1183.
10. Gu MO, Gang YS, Kim SY, Kim ES, Kim EH, Ahn HR, et al. Younger and more active. Seoul: Hyeon moon sa;2002.
11. Hur JY. Knowledge and attitude toward falls among the elderly inpatients. Seoul: Yonsei University;2007. Unpublished master s thesis.
12. Jeon MY, Choe MA, Choe YR. Effect of Korean traditional dance movement training on balance gait and leg strength in home bound elderly women. J Korean Acad Nurs. 2001; 30(3):647–658.
crossref
13. Kannus P, Sievanen H, Palvanen M, Jarvinen T, Parkkari J. Prevention of falls and consequentinjuries in elderly people. Lancet. 2005; 366(9500):1885–1893.
14. Kim MY. Fall-related knowledge and prevention behavior among hospitalized elderly inpatients. Daegu: Keimyung University;2008. Unpublished master's thesis.
15. Kim SJ. Risk factors of falling in the elderly in urban cities. Seoul: Ewha Womans University;2004. Unpublished master's thesis.
16. Lee SJ. A study of long term care for non-institutionalized elderly, and nursing need in discharge for elderly patients in hospital. Seoul: Ministry for Health, Welfare and Family Affairs Press;2001.
17. Mills EM. The effect of low-intensity aerobic exercise on muscle strength, flexibility, and balance among sedentary elderly persons. Nurs Res. 1994; 43(4):207–211.
crossref
18. Ministry of Health and Welfare. Tailored home health management-FMTP. Seoul: Ministry of Health and Welfare;2007.
19. National Statistical Office. Statistics of the aged. Seoul: National Statistical Office Press;2009.
20. Pack HS. Study on the direction of health care policies for the aged with low income in urban areas. Seoul: Yonsei University;2003. Unpublished master's thesis.
21. Ruchinskas R. Clinical prediction of falls in the elderly. Am J Phys Med Rehabil. 2003; 82:273–278.
crossref
22. Ryan JW, Spellbring AM. Implementing strategies to decrease risk of falls in older women. J Gerontol Nurs. 1996; 22(12):25–31.
crossref
23. Schoenfelder DP. A fall prevention for elderly individuals exercise in long-term care settings. J Gerontol Nurs. 2000; 26(3):43–51.
24. Shin KR, Kim JS, Shin SJ. The effects of exercise program on knowledge and attitude of excercise and depression in low-income elderly women. J Korean Acad Nurs. 2005; 35(1):104–112.
crossref
25. Shin KR, Shin SJ, Kim JS, Kim JY. The effects of fall prevention program on knowledge, self-efficacy, and preventive activity related to fall and depression of low-income elderly women. J Korean Acad Nurs. 2005; 35(1):104–112.
crossref
26. Tinetti ME, Richman D, Powell L. Fall efficacy as measure of fear of falling. J Gerontol. 1990; 45(6):P239–P243.
27. You MS. A study on related factors of the hospitalized elderly by falls. Seoul: Seoul National University;2006. Unpublished master's thesis.
TOOLS
Similar articles