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[预防跌倒项目对农村社区居家体弱老年人跌倒的影响]

[Effects of a fall prevention program on falls in frail elders living at home in rural communities].

作者信息

Yoo Jae-Soon, Jeon Mi Yang, Kim Chul-Gyu

机构信息

Department of Nursing, Chungbuk National University, Cheongju, Korea.

College of Nursing, Gyeongsang National University, Jinju, Korea.

出版信息

J Korean Acad Nurs. 2013 Oct;43(5):613-25. doi: 10.4040/jkan.2013.43.5.613.

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.

摘要

目的

本研究旨在确定一项预防跌倒计划对农村社区居家生活的体弱老年人的跌倒、身体功能、心理功能及家庭环境安全的影响。

方法

本研究采用非等效对照组前后测设计。研究于2012年7月至11月进行,实验组30名参与者,对照组30名参与者。参与者在E县公共卫生中心登记。跌倒预防计划包括欢笑疗法、运动、足部护理和教育。该计划每周提供一次,共8周,每次课程持续80分钟。

结果

与对照组相比,实验组的跌倒风险评分和抑郁评分显著降低。与对照组相比,实验组与跌倒相关的预防行为依从性、跌倒知识得分、家庭环境安全得分、身体平衡、下肢肌肉力量以及预防跌倒的自我效能均显著提高。

结论

这些结果表明,跌倒预防计划对预防居家生活的体弱老年人跌倒有效。

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