Effects of Fall Prevention Education Program on Attitudes, Prevention Behaviors, and Satisfaction among Elderly Inpatients

Young Ok Kang; Rhayun Song

doi:10.7475/KJAN.2018.30.1.49

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Kang and Song: Effects of Fall Prevention Education Program on Attitudes, Prevention Behaviors, and Satisfaction among Elderly Inpatients

Original Research

Korean J Adult Nurs 2018;30(1):49-59.

Published online: 18 February 2018

DOI: https://doi.org/10.7475/KJAN.2018.30.1.49

Effects of Fall Prevention Education Program on Attitudes, Prevention Behaviors, and Satisfaction among Elderly Inpatients

Young Ok Kang¹, Rhayun Song^2,

^¹Chungnam National University Hospital, Daejeon, Korea

^²College of Nursing, Chungnam National University, Daejeon, Korea

Corresponding author: Song, Rhayun https://orcid.org/0000-0001-9461-4246 College of Nursing, Chungnam National University, 266 Munhwa-ro, Jung-gu, Daejeon 35015, Korea. Tel: +82-42-580-8331, Fax: +82-42-580-8309, E-mail: songry@cnu.ac.kr

Received 7 October 20171 January 2018 Accepted 18 February 2018

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The aim of the study was to examine effects of a fall prevention education program among inpatients over 65 years old.

Methods

A quasi- experimental study with two intervention groups and a comparison was used. One hundred and forty-three participants recruited from one university hospital were assigned to one of three groups: Video-only education (n=49), video plus leaflet education (n=45), and a comparison group who received a routine education (n=49). The data collection period was from March to August 2016.

Results

The two intervention groups reported higher scores in fall prevention behaviors than the comparison group (F=19.83, p<.001). Participants who viewed the video and received the leaflet education reported higher scores than those with video only education. The scores of attitudes toward falls (F=16.05, p<.001), and satisfaction with education (F=40.02, p<.001) in both intervention groups were also significantly higher than the comparison group, with no significant difference between the two intervention groups.

Conclusion

The fall prevention program was effective in improving fall-related attitude and satisfaction among elderly inpatients. Since the video plus leaflet education was most effective in improving prevention behaviors, it might be included in routine orientation on admission for the elderly.

Keywords: Accidental falls, Inpatients, Education, Attitude, Behavior

REFERENCES

1.Statistics Korea. 2017 Statistics for elders [Internet]. Seoul: Statistics Korea;2017. [Cited 2017 September 26]. Available from. http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=363362.

2.Statistics Korea. Fall experience by general characteristics of the elderly [Internet]. Seoul: Statistics Korea;2014. [Cited 2016 December 7]. Available from. http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117071_2014N041&conn_path=I2.

3.Lee JH., Kim HA., Park SW. Prevention of fall in the hospital. Journal of the Korean Medical Association. 2015. 58(2):123–30. https://doi.org/10.5124/jkma.2015.58.2.123.

4.Miller CA. The connection between drug and falls in elders. Geriatric Nursing. 2002. 23(2):109–10. https://doi.org/10.1067/mgn.2002.123794.

5.Coussement J., Paepe LD., Schwendimann R., Denhaerynck K., Dejaeger E., Milisen K. Interventions for preventing falls in acute-and chronic-care hospitals: a systematic review and meta- analysis. Journal of the American Geriatrics Society. 2008. 56(1):29–36. https://doi.org/10.1111/j.1532-5415.2007.01508.x.

6.Cumming RG., Sherrington C., Lord SR., Simpson JM., Vogler C., Cameron ID, et al. Cluster randomised trial of a targeted mul-tifactorial intervention to prevent falls among older people in hospital. British Medical Journal. 2008. 336(7647):758–60. https://doi.org/10.1136/bmj.39499.546030.BE.

7.Hendrich AL., Bender PS., Nyhuis A. Validation of the Hendrich II fall risk model: a large concurrent case/control study of hospitalized patients. Applied Nursing Research. 2003. 16(1):9- 21.https://doi.org/10.1053/apnr.2003.016009.

8.Kim YS., Chio-Kwon S. Fall risk factors and fall risk assessment of inpatients. Korean Journal of Adult Nursing. 2013. 25(1):74–82. https://doi.org/10.7475/kjan.2013.25.1.74.

9.Bergland A., Wyller TB. Risk factors for serious fall related injury in elderly women living at home. Injury Prevention. 2004. 10(5):308–13. https://doi.org/10.1136/ip.2003.004721.

10.Oliver D., Daly F., Martin FC., McMurdo MET. Risk factors and risk assessment tools for fall in hospital inpatients: a systematic review. Age and Ageing. 2004. 33(2):122–30. https://doi.org/10.1093/ageing/afh017.

11.Kim YJ. Nurses' experience of inpatient's falls. Journal of Korean Academy of Fundamentals of Nursing. 2017. 24(2):106–17. .S. https://doi.org/10.7739/jkafn.2017.24.2.106.

12.Mores JM. Enhancing the safety of hospitalization by reducing patient falls. American Journal of Infection Control. 2002. 30(6):376–80. https://doi.org/10.1067/mic.2002.125808.

13.Kim SR., Yoo SH., Shin YS., Jeon JY., Kim JY., Kang SJ, et al. Comparison of the reliability and validity of fall risk assessment tools in patients with acute neurological disorders. Korean Journal of Adult Nursing. 2013. 25(1):24–32. https://doi.org/10.7475/kjan.2013.25.1.24.

14.Haines TP., Hill KD., Bennell KL., Osbone RH. Patient education to prevent falls in subacute care. Clinical Rehabilitation. 2006. 20(11):970–9. https://doi.org/10.1177/0269215506070694.

15.Hur JY., Kim HJ. Relationship of risk factors, knowledge and attitude to falls in elderly inpatients. Journal of Korean Gerontological Nursing. 2009. 11(1):38–50.

16.Cha KS., Beak SM., Cho OH. Effects of fall prevention education on the variables related to using orthosis and fear of falling in fracture patients wearing the leg orthosis. Journal of Muscle Joint Health. 2012. 19(2):131–41. https://doi.org/10.5953/JMJH.2012.19.2.131.

17.Hyeon IS., Park MH., Park KM., Kim CN. The effects of a fall prevention program on the low-income elderly at risk of falls. Journal of Korean Academy Community Health Nursing. 2010. 21(2):200–9. https://doi.org/10.12799/jkachn.2010.21.2.200.

18.Kim MY. Fall-related knowledge and prevention behavior among hospitalized elderly inpatients [master's thesis]. Daegu: Keimyung University;. 2008.

19.Jeong HC., Seong KM., Jeog MY. The effect of a hospital life guidance movie for elderly in-patients. Journal of Korean Academy of Fundamentals of Nursing. 2010. 17(2):142–8.

20.Kook MJ. A study on the effect and application of motion picture materials in geography subject. The Journal of The Kore-an Association of Geographic and Environmental Education. 2003. 11(3):119–32.

21.Hill AM., McPhai S., Hoffmann T., Hill K., Oliver D., Beer C, et al. A randomized trial comparing digital video disc with written delivery of falls prevention education for older patients in hospital. Journal of the American Geriatrics Society. 2009. 57(8):1458–63. https://doi.org/10.1111/j.1532-5415.2009.02346.x.

22.Chong KJ. Effects of the video-based education for foot care on the self-care behaviors and foot condition of elderly patients with diabetes [master's thesis]. Seoul: The Catholic University of Korea;. 2014.

23.Kang YO., Song RY. Identifying characteristics of fall episodes and fall-related risks of hospitalized patients. Journal of Muscle Joint Health. 2015. 22(3):149–59. https://doi.org/10.5953/JMJH.2015.22.3.149.

24.Lach HW. Incidence and risk factors for developing fear of falling in older adults. Public Health Nursing. 2005. 22(1):45–52. .SS. https://doi.org/10.1111/j.0737-1209.2005.22107.x.

25.Kim YJ., Lee GE. Evaluation of readability of health leaflets and health literacy of elderly inpatients in a medical center. Journal of Korea Gerontological Nursing. 2014. 16(1):9–17. https://doi.org/10.17079/jkgn.2014.16.1.9.

26.Jung KI., Park JS. The effect of audiovisual information with videotape on knowledge, attitude and practice of pap smear of cervical cancer. Journal of Korean Society of Maternal Child Health. 2004. 8(2):211–33.

27.Hwang SY., Shin SJ. Predictors of fall prevention behaviors in elderly inpatients. Korean Journal of Health promotion. 2013. 13(2):76–85.

28.Chung MS. The effects of fall prevention education on the fall-related knowledge and prevention activity of the elderly hospitalized in internal medicine department. Journal of Muscle Joint Health. 2013. 20(2):102–11. https://doi.org/10.5953/JMJH.2013.20.2.102.

29.Kim JH. The effects of a memory training program for adults depression and memory self-efficacy. The Korean Journal of Rehabilitation Nursing. 2002. 5(1):60–70.

30.Kim YM., Kim MY., Kwon WK., Kim HS., Park SH., Chun MS, et al. Effects of a discharge education program using compu-terized animation video for post-operative colon cancer patients. The Korean Journal of Rehabilitation Nursing. 2013. 16(1):37–46. https://doi.org/10.7587/kjrehn.2013.37.

Figure 1.

Video and leaflets.

Figure 2.

Study flow.

Table 1.

Homogeneity Test of General Characteristics among Groups (N=143)

Variables	Categories	Comparison (n=49)	Intervention I (n=49)	Intervention II (n=45)	x² or F	p
Variables	Categories	n (%) or M± SD	n (%) or M± SD	n (%) or M± SD	x² or F	p
Age (year)	65~70	15 (30.6)	19 (38.8)	14 (31.1)	3.02	.554
	71~80	29 (59.2)	24 (49.0)	22 (48.9)
	≥81	5 (10.2)	6 (12.2)	9 (20.0)
		73.6±5.02	73.5±5.80	74.8±6.66	0.71	.492
Gender	Male	21 (42.9)	23 (46.9)	18 (40.0)	0.47	.792
Gender	Female	28 (57.1)	26 (53.1)	27 (60.0)
Education level	≤ Junior high school	36 (73.5)	33 (67.3)	33 (73.3)	0.58	.749
Education level	≥ High school	13 (26.5)	16 (32.7)	12 (26.7)
Spouse	Yes	39 (79.6)	37 (75.5)	37 (82.2)	1.65	.722
Spouse	No	10 (20.4)	12 (24.5)	8 (17.8)
Caregiver	Spouse	17 (34.7)	17 (34.7)	14 (31.1)	0.70	.951
	Others	21 (42.9)	19 (38.8)	13 (26.5)
	Alone	1 (22.4)	13 (26.5)	10 (22.2)
Using bed at home	Yes	22 (44.9)	28 (57.1)	20 (44.4)	2.00	.367
Using bed at home	No	27 (55.1)	21 (42.9)	25 (55.6)

Comparison=routine education; Intervention I=video only education; Intervention II=video plus leaflets education.

Table 2.

Homogeneity Test of Disease Characteristics among Groups (N=143)

Variables	Categories	Comparison (n=49)	Intervention I (n=49)	Intervention II (n=45)	x²	p
Variables	Categories	n (%) or M± SD	n (%) or M± SD	n (%) or M± SD	x²	p
Past experience of fall	Yes	18 (36.7)	17 (34.7)	10 (22.2)	2.65	.266
Past experience of fall	No	31 (63.3)	32 (65.3)	35 (77.8)
On IV therapy	Yes	39 (79.6)	35 (71.4)	28 (62.2)	3.46	.177
On IV therapy	No	10 (20.4)	14 (2836)	17 (37.8)
Nursing unit	Medicine	27 (55.1)	27 (55.1)	27 (60.0)	0.30	.860
Nursing unit	Surgery	22 (44.9)	22 (44.9)	18 (40.0)
Disease^†	Hypertension	30 (62.1)	26 (53.1)	29 (64.4)	1.40	.507
	Diabetes	14 (28.6)	12 (24.5)	15 (33.3)	0.90	.638
	Cancer	14 (28.6)	14 (28.6)	16 (35.6)	0.71	.703
	Heart disease	8 (16.3)	8 (16.3)	9 (20.0)	0.29	.866
	Spinal problem	8 (16.3)	4 (8.2)	7 (15.6)	1.71	.425
	Respiratory disease	6 (12.2)	2 (4.1)	4 (8.9)	2.14	.335^‡
	Osteoporosis	4 (8.2)	2 (4.1)	3 (6.7)	2.52	.811^‡
Number of medications taking that affects fall	≤1	32 (65.3)	38 (77.6)	26 (57.8)	5.72	.217
	2~3	14 (28.6)	8 (16.3)	17 (37.8)
	≥4	3 (6.1)	3 (6.1)	2 (4.4)
MFS score	No risk	12 (24.5)	24 (49.0)	14 (31.1)	7.17	.127
	Low risk	26 (53.1)	19 (38.8)	23 (51.1)
	High risk	11 (22.4)	6 (12.2)	8 (17.8)

Comparison=routine education; Intervention I=video only education; Intervention II=video plus leaflets education; IV=Intravenous;

MFS=Morse Fall Scale;

^† Multiple response,

^‡ Fisher's exact test.

Table 3.

Effects of Fall Prevention Education Program on Outcome Variables among Groups (N=143)

Variables	Comparison (n=49)^a	Intervention I (n=49)^b	Intervention II (n=45)^c	F	p	Scheffé
Variables	M± SD	M± SD	M± SD	F	p	Scheffé
Fall attitude	2.73±0.59	3.11±0.59	3.17±0.62	16.05^†	＜.001	a＜ b, c
Fall prevention behavior	2.52±0.87	2.97±0.09	3.30±0.90	19.83^†	＜.001	a＜ b＜ c
Satisfaction with education	3.15±1.12	4.46±0.12	4.40±0.12	40.02^†	＜.001	a＜ b, c

Comparison=routine education; Intervention I=video only education; Intervention II=video plus leaflets education;

^† F score after controlling age and education.

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