Journal List > J Korean Acad Nurs > v.43(5) > 1002946

Yoo, Jeon, and Kim: Effects of a Fall Prevention Program on Falls in Frail Elders Living at Home in Rural Communities

Abstract

Purpose

This study was conducted to determine the effects of a fall prevention program on falls, physical function, psychological function, and home environmental safety in frail elders living at home in rural communities.

Methods

The design of this study was a nonequivalent control group pre posttest design. The study was conducted from July to November, 2012 with 30 participants in the experimental group and 30 in the control group. Participants were registered at the public health center of E County. The prevention program on falls consisted of laughter therapy, exercise, foot care and education. The program was provided once a week for 8 weeks and each session lasted 80 minutes.

Results

The risk score for falls and depression in the experimental group decreased significantly compared with scores for the control group. Compliance with prevention behavior related to falls, knowledge score on falls, safety scores of home environment, physical balance, muscle strength of lower extremities, and self-efficacy for fall prevention significantly increased in the experimental group compared with the control group.

Conclusion

These results suggest that the prevention program on falls is effective for the prevention of falls in frail elders living at home.

Figures and Tables

Table 1
Contents of the Fall Prevention Program
jkan-43-613-i001

*min=minutes.

Table 2
Homogeneity of General Characteristics and Dependent Variables
jkan-43-613-i002

*Fisher's exact test result.

Exp.=Experimental group; Cont.=Control group.

Table 3
Differences in Dependent Variables between Experimental and Control Groups
jkan-43-613-i003

*Difference=posttest-pretest.

Exp.=Experimental group; Cont.=Control group.

Notes

This study was supported by a grant of Chungcheongbuk-Do in 2012(No. 2012040631).

References

1. American Geriatrics Society, British Geriatrics Society, & American Academy of Orthopaedic Surgeons Panel on Falls Prevention. Guideline for the prevention of falls in older persons. J Am Geriatr Soc. 2001; 49(5):664–672.
2. 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 Unpublished doctoral dissertation.
3. Chungchengbuk-do. 2012 home visiting health care: Development of health management program. Cheongju: Author;2012.
4. Choe MA, Kim J, Jeon MY, Chae YR. Evaluation of the Korean version of physical activity scale for the elderly (K-PASE). Korean J Women Health Nurs. 2010; 16(1):47–59. http://dx.doi.org/10.4069/kjwhn.2010.16.1.47.
5. Choi KW, Park UA, Lee IS. Factors influencing the fear of falling according to gender in frail elderly. J Korean Gerontol Soc. 2011; 31(3):539–551.
6. Faber MJ, Bosscher RJ, Paw MJ, van Wieringen PC. Effects of exercise programs on falls and mobility in frail and pre-frail older adults: A multicenter randomized controlled trial. Arch Phys Med Rehabil. 2006; 87(7):885–896. http://dx.doi.org/10.1016/j.apmr.2006.04.005.
7. Gu MO, Jeon MY, Eun Y. The development and effect of an tailored falls prevention exercise for older adults. J Korean Acad Nurs. 2006; 36(2):341–352.
8. Gu MO, Kang YS, Kim SY, Kim ES, Kim EH, Ahn HR, et al. Growing younger and more active. Seoul: Hyunmoon;2002.
9. Health Quality Ontario. Prevention of falls and fall-related injuries in community-dwelling seniors: An evidence-based analysis. Ont Health Technol Assess Ser. 2008; 8(2):1–78.
10. Hintze J. PASS 11. Kaysville, Utah, USA: NCSS, LLC;2012. www.ncss.com.
11. Hwang SY. Knowledge, efficacy, and prevention behavior related to fall of older people in a hospital. Asan: Soonchunhyang University;2011. Unpublished master's thesis.
12. Hyeon IS, Park M, Park KM, Kim CN. The effects of a fall prevention program on the low-income elderly at risk of falls. J Korean Acad Community Health Nurs. 2010; 21(2):200–209.
13. Jeon MY, Choe MA. Effect of the fall prevention program(FPP) on gait, balance and muscle strength in elderly women at a nursing home. J Korean Biol Nurs Sci. 2002; 4(1):5–23.
14. Kim S, So WY. Factors associated with falling in older, community-dwelling adults in Korea. J Korean Gerontol Nurs. 2011; 13(2):91–100.
15. Kim SM, Choi G. Effects of a fall prevention program on physical functions and psychological functions in rural elderly women. Korean J Rehabil Nurs. 2012; 15(1):63–71.
16. Kim SN. Effects of a multifactorial fall prevention program on physical psychological function and home environmental hazards in community dwelling low-income elderly. J Korean Gerontol Nurs. 2012; 32(2):377–395.
17. Korea Centers for Disease Control and Prevention. 2007 discharge injury survey and operation statistics. Cheongwon: Author;2010.
18. Kwon MS. Effects of a fall prevention program on physical fitness and psychological functions in community dwelling elders. J Korean Acad Nurs. 2011; 41(2):165–174. http://dx.doi.org/10.4040/jkan.2011.41.2.165.
19. Lee IS, Ko Y, Lee KO, Yim ES. Evaluation of the effects of a frailty preventing multi-factorial program concentrated on local communities for high-risk younger and older elderly people. J Korean Acad Community Health Nurs. 2012; 23(2):201–211. http://dx.doi.org/10.12799/jkachn.2012.23.2.201.
20. Lee SG, Kam S. Incidence and estimation of socioeconomic costs of falls in the rural elderly population. J Korean Geriatr Soc. 2011; 15(1):8–19. http://dx.doi.org/10.4235/jkgs.2011.15.1.8.
21. Miller KL, Magel JR, Hayes JG. The effects of a home-based exercise program on balance confidence, balance performance, and gait in debilitated, ambulatory community-dwelling older adults: A pilot study. J Geriatr Phys Ther. 2010; 33(2):85–91.
22. Ministry of Health and Welfare. 2008 survey of elderly state. Seoul: Author;2009.
23. Ministry of Health and Welfare. 2011 survey of elderly state. Seoul: Author;2012a.
24. Ministry of Health and Welfare. 2012 manual of home visiting health care. Seoul: Author;2012b.
25. Ross JE, Watson CA, Gyldenvand TA, Reinboth J. Potential for trauma: Falls. In : Maas M, Buckwalter KC, Hardy M, editors. Nursing diagnosis and interventions for the elderly. Redwood City, CA: Addison-Wesley;1991. p. 18–31.
26. Rubenstein LZ, Josephson KR. Falls and their prevention in elderly people: What does the evidence show? Med Clin North Am. 2006; 90(5):807–824. http://dx.doi.org/10.1016/j.mcna.2006.05.013.
27. 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.
28. Song MS. Construction of a functional status prediction model for the elderly. Seoul: Seoul National University;1991. Unpublished doctoral dissertation.
29. SunWoo D, Lee S, Park JS, Bae SS, Cho YH, Kim CB, et al. Analysis of the effects of muscle strength exercises on physical function and quality of life in the frail elderly. J Korean Soc Health Educ Promot. 2008; 25(1):39–53.
30. Yoo IY. Fall and housing environmental problem of the couple and single elderly. J Korean Soc Living Environ Syst. 2005; 12(3):199–205.
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