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Research Papers
Psychometric Properties of the Fall Risk Perception Questionnaire-Short Version for Inpatients in Acute Care Hospitals
Choi, Jeeeun , Lee, Sujin , Park, Eunjin , Ku, Sangha , Kim, Sunhwa , Yu, Wonhye , Jeong, Eunmi , Park, Sukhee , Park, Yusun , Kim, Hye Young , Kim, Sung Reul
J Korean Acad Nurs 2024;54(2):151-161.   Published online May 31, 2024
DOI: https://doi.org/10.4040/jkan.23127
AbstractAbstract PDF
Purpose
Patients’ perception of fall risk is a promising new indicator for fall prevention. Therefore, a fall risk perception questionnaire that can be used rapidly and repeatedly in acute care settings is required. This study aimed to develop a short version of the fall risk perception questionnaire (Short-FRPQ) for inpatients.
Methods
For the psychometric measurements, 246 inpatients were recruited from an acute care hospital. The construct (using confirmatory factor analysis and discriminant validity of each item), convergent, and known-group validities were tested to determine the validity of the Short-FRPQ. McDonald’s omega coefficient was used to examine the internal consistency of reliability.
Results
In the confirmatory factor analysis, the fit indices of the Short-FRPQ, comprising 14 items and three factors, appeared to be satisfactory. The Short-FRPQ had a significantly positive correlation with the original scale, the Korean Falls Efficacy Scale-International, and the Morse Fall Scale. The risk of falls group, assessed using the Morse Fall Scale, had a higher score on the Short-FRPQ. McDonald’s omega coefficient was .90.
Conclusion
The Short-FRPQ presents good reliability and validity. As patient participation is essential in fall interventions, evaluating the fall risk perception of inpatients quickly and repeatedly using scales of acceptable validity and reliability is necessary.
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Development and Effects of a Person-Centered Fall Prevention Program for Older Adults with Dementia in Long-Term Care Hospitals: For Older Adults with Dementia and Caregivers in LongTerm Care Hospitals
Lim, Jeong Ok , Gu, Mee Ock
J Korean Acad Nurs 2022;52(3):341-358.   Published online June 30, 2022
DOI: https://doi.org/10.4040/jkan.21230
AbstractAbstract PDF
Purpose
This study examined the effects of a person-centered fall prevention program for older adults with dementia in long-term care hospitals.
Methods
A nonequivalent control group pretest-posttest design was used. The study sample included 42 older adults with dementia (experimental group: 21, control group: 21) and 42 caregivers (experimental group: 21, control group: 21). The program comprised 48 sessions held over 12 weeks and included exercise intervention with resistance and balance, dance walking (45~60 min, three times/week), cognitive and emotional intervention (35~50 min, once per week), and person-centered fall prevention education (10 min, once per week). The program for caregivers consisted of six educational sessions (i.e., fall prevention competency enhancement and person-centered care strategy education, 80 min, once per week) for six weeks. Data were collected before participation and 12 weeks after program completion from February 18 to May 12, 2019. Data analysis was conducted using the chi-square test, t-test, and Mann―Whitney U test with SPSS/WIN 21.0.
Results
The experimental group of older adults with dementia showed significant improvement in physical and cognitive functions, and a decrease in depression, and behavioral and psychological symptoms, when compared with the control group. caregivers in the experimental group exhibited significant improvement in fall-related knowledge and person-centered care of older adults with dementia compared to the control group.
Conclusion
The study findings indicate that this program was effective as a nursing intervention for fall prevention among older adults with dementia in long-term care hospitals.

Citations

Citations to this article as recorded by  
  • Current Trends of Exercise Programs for Improving Cognitive Function in Older Adults
    Jae-Hyun Lee, Wooyeon Jo, Jaeho Jin, Yaxiong Zheng, Soyoon Lee, Se-Yeon Jang, Minseo Kim, Young-Jin Moon, Hye Gwang Jeong, Sang Ki Lee
    Exercise Science.2024; 33(3): 254.     CrossRef
  • Factors Influencing Dementia Care Competence among Care Staff: A Mixed-Methods Systematic Review Protocol
    Jinfeng Zhu, Jing Wang, Bo Zhang, Xi Zhang, Hui Wu
    Healthcare.2024; 12(11): 1155.     CrossRef
  • Falls in Patients of Medical Institutions in South Korea: A Literature Review
    Jongwon Choi, Woochol Joseph Choi
    Physical Therapy Korea.2023; 30(1): 1.     CrossRef
  • A Study on Emotions to Improve the Quality of Life of South Korean Senior Patients Residing in Convalescent Hospitals
    Aeju Kim, Yucheon Kim, Jongtae Rhee, Songyi Lee, Youngil Jeong, Jeongeun Lee, Youngeun Yoo, Haechan Kim, Hyeonji So, Junhyeong Park
    International Journal of Environmental Research and Public Health.2022; 19(21): 14480.     CrossRef
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Comparison of the Effects of Education Only and Exercise Training Combined with Education on Fall Prevention in Adults Aged 70 Years or Older Residing in Elderly Residential Facilities
Hong, Chahwa , Lee, Haejung , Lee, Misoon
J Korean Acad Nurs 2021;51(2):173-187.   Published online April 30, 2021
DOI: https://doi.org/10.4040/jkan.20203
AbstractAbstract PDF
Purpose
To compare the effects of education only and exercise training combined with education on fall knowledge, fall efficacy, physical activity, and physical function in adults aged 70 years or older residing in elderly residential facilities.
Method
A three-group pre- and posttest design was utilized: education only (EO; n = 23), education and TheraBand (ET; n = 22), and education and walking (EW; n = 22). Fall education was provided for all three groups. In addition, TheraBand exercise training was provided for the ET and a walking exercise for the EW. Data were collected from November 1st, 2017 to February 15th, 2019 and analyzed with χ2 test, paired t-test, and one-way ANOVA using IBM SPSS/WIN ver. 22.0.
Results
Compared with the EO, the ET and the EW were more effective in terms of fall efficacy, physical activity, and lower extremity muscle strength. The EW showed higher improvement in walking abilities than the EO and the ET.
Conclusion
Exercise training combined with education is more effective in preventing falls among community-dwelling adults aged 70 years or older. When considering fall prevention programs for older adults, both TheraBand and walking exercise training combined with education can be chosen based on the participant’s physical status. Aggressive strategies to improve daily walking are required to maintain walking abilities among community-dwelling adults aged 70 years or older.

Citations

Citations to this article as recorded by  
  • Falls caused by balance disorders in the elderly with multiple systems involved: Pathogenic mechanisms and treatment strategies
    Liwei Xing, Yi Bao, Binyang Wang, Mingqin Shi, Yuanyuan Wei, Xiaoyi Huang, Youwu Dai, Hongling Shi, Xuesong Gai, Qiu Luo, Yong Yin, Dongdong Qin
    Frontiers in Neurology.2023;[Epub]     CrossRef
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  • 21 Download
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  • 1 Crossref
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Original Articles
Development and Effect of a Fall Prevention Program Based on the King's Goal Attainment Theory for Fall High-Risk Elderly Patients in Long-Term Care Hospital
Bom Mi Park, Ho Sihn Ryu, Kyeung Eun Kwon, Chun Young Lee
J Korean Acad Nurs 2019;49(2):203-214.   Published online April 30, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.2.203
AbstractAbstract PDF
Purpose

The purpose of this study to develop a fringed fall prevention program based on King's goal attainment theory and education. This study is applied to the personal, interpersonal, and social systems of fall high-risk patients to test its effects.

 Methods

This study was a nonequivalent control group pre- and post-test design. There were 52 fall high-risk patients in the experimental group and 45 in the control group. The experimental group received six sessions, with the group sessions lasting 60 minutes and the individual sessions lasting 20~30 minutes. Data were analyzed using descriptive statistics, an χ2-test, a paired sample t-test, and a Wilcoxon signed-ranks test utilizing IBM SPSS software.

 Results

For the 3-month intervention period, the fall prevention program was found to be particularly effective for patients in the experimental group (from 3.38 to 1.69 per 1000 patient days; p=.044), as opposed to the control group (from 1.94 to 1.49 per 1000 patient days; p=.300). For the 6-month follow up period, the fall prevention program was again found to be effective for patients in the experimental group (from 3.26 to 0.76 per 1000 patient days; p=.049) compared to the control group (from 1.98 to 1.01 per 1000 patient days; p=.368).

 Conclusion

These results indicate that the fringed fall prevention program is very effective in reducing falls, not only during the intervention period, but also after the intervention period has ended. We can therefore recommend this program for use concerning fall high-risk patients in long-term care hospitals.

Citations

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  • Recent advances in the identification of related factors and preventive strategies of hip fracture
    Yaohui Yu, Yudan Wang, Xiaoli Hou, Faming Tian
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • Falls in Patients of Medical Institutions in South Korea: A Literature Review
    Jongwon Choi, Woochol Joseph Choi
    Physical Therapy Korea.2023; 30(1): 1.     CrossRef
  • Effects of a Fall Prevention Program Based on Goal Attainment Theory for Homebound Older Adults With Osteoarthritis of the Lower Extremities
    Chunhee Lee, Heeok Park
    Orthopaedic Nursing.2022; 41(6): 414.     CrossRef
  • Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
    Bom-Mi Park
    Healthcare.2021; 9(6): 699.     CrossRef
  • EFFECTIVENESS OF EDUCATIONAL INTERVENTIONS FOR FALL PREVENTION: A SYSTEMATIC REVIEW
    Maria Aline Moreira Ximenes, Maria Girlane Sousa Albuquerque Brandão, Thiago Moura de Araújo, Nelson Miguel Galindo Neto, Lívia Moreira Barros, Joselany Áfio Caetano
    Texto & Contexto - Enfermagem.2021;[Epub]     CrossRef
  • Application Value of Rehabilitation Nursing in Patients with Stroke Based on the Theory of Interactive Standard: A Randomized Controlled Study
    Ningning Li, Jun Wang, Mei Zheng, Qunying Ge, Mozaniel Oliveira
    Evidence-Based Complementary and Alternative Medicine.2021; 2021: 1.     CrossRef
  • A prospective cohort study of the risk factors for new falls and fragility fractures in self-caring elderly patients aged 80 years and over
    Jian Zhou, Bo Liu, Ming-Zhao Qin, Jin-Ping Liu
    BMC Geriatrics.2021;[Epub]     CrossRef
  • Development and Effect of a Fall Prevention Program Based on King’s Theory of Goal Attainment in Long-Term Care Hospitals: An Experimental Study
    Bom-Mi Park
    Healthcare.2021; 9(6): 715.     CrossRef
  • Development of Fall Inducement System based on Pedestrian Biological Data for Fall Reproduction
    Jong-il Lee, Jong-Boo Han, Jae Wan Koo, Seokjae Lee, Dong-Seop Sohn, Kap-Ho Seo
    Journal of Korea Robotics Society.2020; 15(3): 286.     CrossRef
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The Degree of ZMother's Accident Prevention Practices for Their Children
Shin Jeong Kim, Hwan Seok Choi
Journal of Korean Academy of Nursing 1999;29(3):656-664.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.3.656
AbstractAbstract PDF

Accidents are the leading cause of death in children worldwide. The purpose of this study is to use basic data of safety education, counseling, and information available regarding accident prevention to examine the degree of mother's accident prevention practices for their children. Data were collected from June to October, 1998 from 587 mothers including 2 University hospitals located in Seoul and KyoungKi-Do. By using the 30 item questionnaire, which was created by researchers through literature review, the degree of mothers' accident prevention practices for their children was measured. The degree of accident prevention practices of mothers shown ranged 70-118 and averaged 3.19. Compared to the composit area average score, drug keeping had the highest score of 3.57. The next highest scores and traffic safety(3.41), and super vision of child(3.30). Prevention against burning was the lowest point at 2.58. With the respect to the demographic characteristics, there were statistically significant differences in the mothers' education(F=4.291, p=.014), type of residence(F=3.979, p=.008), and child developmental age(F=5.275, p=.001). The degree of accident prevention practices of mothers were relatively high. But the area which showed the low degree of accident prevention practices, required nurses' active education, counseling, social interest and support, and mass media participation.

Citations

Citations to this article as recorded by  
  • Development and Evaluation of a Safety Education Program for Injury Prevention in Elementary School Students
    Shin-Jeong Kim
    Journal of Korean Academy of Child Health Nursing.2010; 16(1): 20.     CrossRef
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A Study on the Occurrences and Causes of Accidents I Lower Grade Elementary School Children
So Sun Kim, Eun Sook Lee
Journal of Korean Academy of Nursing 1999;29(1):117-126.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.1.117
AbstractAbstract PDF

Accidents involving children are an important cause of death and disability. They also have enomorous financial implication. In order to prevent childhood accidents, research and education for safety should be strengthened. The purpose of this study was to determine how often young children have accidents and what factors affect the accident rate. The sample consisted of 771 children who were in the second, third and forth grades of two elementary schools located in Kyung-gi Province. One school had students from middle class families living in apartment complexes and the other, students from lower income families mainly living in single house. The questionnaires included items on the occurrence of accidents and the parents' attitudes regarding accidents during the academic year from March 1997 to February 1998. The questionnaires were distributed to conveniently selected students to be completed by their parents and collected during the period of May 28, to June 6, 1998. The data were analyzed using SAS PC statistical package. The results of the study are as follows : 1. Of 771 student subjects, 393 had 887 accidental injuries during the study period. 2. The month, the day and the time with the highest accident rate were May, Sunday, and between 1 and 4 p.m. each. 3. In the analysis of the location where the injury took place, the most frequent place was on around their homes followed by school and, then, inside the home. 4. Most of the accidents were caused by carelessness on the part of the children and the most frequent type of injury was an abrasion. 5. Children most injured their legs. 6. They were treated at home most often and usually emergency treatment was performed by family members with, disinfection being the main type of first aid. Cost of the treatment ranged from 8,000 to 20,000 won in most cases. 7. House type and parents' education level were statistically significant in chi-square analysis. 8. Parents educate their children about traffic safety most frequently followed by fire safety and, then, prevention of violence. 9. Parents think that prevention of violence should be the most important part of injury prevention education both at school and home. 10. To identify factors related to accident occurrence, multiple logistic regression was performed and the main factors were birth order and house type.

Citations

Citations to this article as recorded by  
  • Correlation analysis between the occurrence of safety accidents and land cover ratio: focused on 119 emergency activity data for Ulsan metropolitan city in South Korea
    Jin-Young Won, Jin-Dong Shin, Jong-Seol Lee
    Spatial Information Research.2017; 25(4): 535.     CrossRef
  • The Degree of Injury Risk Perception in Preschool Children
    Shin-Jeong Kim, Kyung-Ah Kang, Sung-Hee Kim, Jung-Eun Lee
    Journal of Korean Academy of Child Health Nursing.2012; 18(2): 68.     CrossRef
  • Development of a Web‐based child safety education program for Busan Safe City WHO Certification Project
    Jeongyee Bae, Rosel L. Panuncio, Haesook Sohn
    Nursing & Health Sciences.2009; 11(4): 362.     CrossRef
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Accident Proneness Prospect in Preschooler
Ja Hyoung Lee, Shin Jeong Kim, Jung Eun Lee
Journal of Korean Academy of Nursing 1998;28(3):662-675.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.3.662
AbstractAbstract PDF

The purpose of this study was to provide basic data on preschool children of accident prevention and to improve their health through a sound, safe living environment with safety education established through more systematic methods. Data were collected from 516 preschoolers from 4 to 6 years old using APP paper test which consists of a question and drawing. The children's general characteristics and accident proneness prospect were investigated. The relationship between the children's general characteristics and the accident proneness prospect were analyzed. The findings of the study are as follows: 1. The institution which children attended had a significant difference in accordance with the living safety(p=.015) and behavior character(p=.033). 2. The housing pattern in which children lived had a significant difference in accordance with the movement speed(p=.027). 3. The children's age had a significant difference in accordance with the living safety(p=.002), traffic safety(p=.001), the reasoning power(p=.000), movement speed(p=.00), movement stability(p=.000) and attentional power (p=.000). 4. The children's sex had a significant difference in accordance with the movement stability and behavioral character(p=.003, p=.008). 5. The children's past accidental experience had a significant difference in accordance with the behavior character(p=.001). 6. General assessment of the APP test had a significant difference in accordance with the children's age(p=.000) and children's past accidental experience(p=.020).

Citations

Citations to this article as recorded by  
  • The Degree of Injury Risk Perception in Preschool Children
    Shin-Jeong Kim, Kyung-Ah Kang, Sung-Hee Kim, Jung-Eun Lee
    Journal of Korean Academy of Child Health Nursing.2012; 18(2): 68.     CrossRef
  • The Validity and Reliability of Injury Risk Perception in Preschool Children
    Shin-Jeong Kim, Kyung-Ah Kang, Sung-Hee Kim, Yae-Young Kim, Jung-Eun Lee
    Journal of Korean Public Health Nursing.2012; 26(2): 258.     CrossRef
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Effects of Muscle Strengthening Exercises Using a Thera Band on Lower Limb Function of Hemiplegic Stroke Patients
Sang Sook Han, Jeong Ja Her, Youn Jung Kim
Journal of Korean Academy of Nursing 2007;37(6):844-854.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.6.844
AbstractAbstract PDF

PURPOSE: This study was to verify the effect of muscle strengthening exercises using a Thera-Band on the lower limbs. METHODS: The design utilized for this study was a nonequivalent control group pretest-posttest design. A control group (16) and experimental group (16) were selected from stroke patients of K Oriental Medicine Hospital who were hospitalized for 5 months from December 2005 through April 2006. While only acupuncture therapy and physical therapy were used on the control group, acupuncture, physical therapy and additional muscle strengthening exercises using a red thera band were used on the experimental group. Muscle strengthening was performed 20 minutes per session, more than one session a day for 4 weeks. Hypotheses for this study were verified using Two-way repeated ANOVA and ANCOVA using a pre test score as a covariate. RESULTS: The experimental group with thera band muscle strengthening exercises showed a decrease in asymmetry weight loading percentage(F=14.704, P= .010), range of knee (Z=-3.15, P= .001) & deep tendon reflex score(Z=-2.52, P= .012) and moving performance(F=12.328, P= .001)compared to the control group. CONCLUSION: It is confirmed that muscle strengthening exercises using a Thera-Band can be used as an effective nursing intervention to improve the function of the lower limb of hemiplegic stroke patients.

Citations

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  • Effects of Resistance Exercise using Elastic Band on Range of Motion, Function and Shoulder Pain among Patients with Rotator Cuff Repair
    Jae Ok Sim
    Korean Journal of Adult Nursing.2016; 28(5): 491.     CrossRef
  • Effects of a Thera-Band Exercise Program on Pain, Knee Flexion ROM, and Psychological Parameters Following Total Knee Arthroplasty
    Ji Yeong Yun, Jong Kyung Lee
    Journal of Korean Academy of Nursing.2015; 45(6): 823.     CrossRef
  • Effects of a Muscle Strengthening Exercise Program on Muscle Strength, Activities of Daily Living, Health Perception, and Depression in Post-stroke Elders
    Gi-Yon Kim, Bo-Eun Kwon, Hea-Kung Hur, Young-Sook Roh, Myoung-Jin Shin
    Korean Journal of Adult Nursing.2012; 24(3): 317.     CrossRef
  • The Effect of Thera Band Exercise on Muscle Flexibility, Balance Ability, Muscle Strength in Elderly Women
    Hee Gerl Kim, Hye Kyung Nam
    Journal of Korean Academy of Community Health Nursing.2011; 22(4): 451.     CrossRef
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An Explanatory Model for Health-Promoting Behaviors in Patients Living at Home who have Post Stroke Hemiplegia
Mi Hee Kim
Journal of Korean Academy of Nursing 2006;36(6):1065-1075.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.6.1065
AbstractAbstract PDF
Purpose

A structural equation model was analyzed to explore the determinants of health-promoting behaviors in patients living at home in Korea who had post stroke hemiplegia.

 Method

Demographic characteristics, activities of daily living, religiosity, family support, self-efficacy, acceptance of disability, perceived barriers to health-promoting activities, depression, and health-promoting behavioral data was collected from 239 patients using self-report questionnaires.

 Result

Variables that have a direct effect on health-promoting behaviors were self-efficacy and family support. Depression, acceptance of disability, perceived barriers, activities of daily living and religiosity also influenced health-promoting behaviors in an indirect way.

 Conclusion

It is imperative to explore strategies for patients with post stroke hemiplegia to identify and maximize their resources, develop their self-efficacy, improve their emotional state, and enhance their physical activity and spiritual growth, which would maximize health-promoting behaviors.

Citations

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  • A Prediction Model of Rehabilitation Motivation in Middle-Aged Survivors of Stroke in Rehabilitation Facilities in Korea
    Soo Yong Oh, Seon Young Hwang, Misook L. Chung, Terry A. Lennie
    Journal of Cardiovascular Nursing.2020; 35(5): 475.     CrossRef
  • Health Knowledge, Health Promoting Behavior and Factors Influencing Health Promoting Behavior of North Korean Defectors in South Korea
    Myoung-Ae Choe, Myungsun Yi, Jung-An Choi, Gisoo Shin
    Journal of Korean Academy of Nursing.2012; 42(5): 622.     CrossRef
  • Development and Evaluation of a Web-based Education Program to Prevent Secondary Stroke
    Chul-Gyu Kim, Hyeoun-Ae Park
    Journal of Korean Academy of Nursing.2011; 41(1): 47.     CrossRef
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A Comparison of Interventions Recorded in Nursing Notes between Actue and Subacute Stage after a Cerebrovascular Accident
Ja Yun Choi, Soon Joo Park
Journal of Korean Academy of Nursing 2006;36(2):227-235.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.2.227
AbstractAbstract PDF
Purpose

This study aimed to: 1) determine the core nursing interventions, and 2) compare acute interventions with subacute interventions recorded in the nursing notes of patients with cerebrovascular accidents (CVA).

 Methods

The nursing records covering the first 10 days of 30 patients with a CVA who were admitted from January to December 2004 at C University Hospital in Korea were examined. Data was collected using the nursing interventions classification (NIC) from January to April 2005. Finally, data analysis was carried out using mean, SD, and paired t-test according to domains, classes, and interventions.

 Results

The most frequent nursing intervention at both stage was “Neurologic monitoring”. There were differences in interventions belonging to the “Physiological: complex,” “Behavioral,” “Safety,” and “Health system” domains between the acute and subacute stages. The frequency of interventions belonging to the “Immobility management,” “Neurological management,” “Tissue perfusion management,” “Patient education,” “Risk management,” “Health system mediation,” and “Information management” classes at the acute stage was higher compared to the subacute stage.

 Conclusions

This study found out that nurses relatively recorded more nursing interventions during the acute stage hence the unsuccessful documentation of the subacute stage particularly in describing the specific nursing interventions at this stage.

Citations

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  • A study on the Prevention of Deep Vein Thrombosis and Skin Response of Patients after Intracranial Surgery : By Boots and Calf Intermittent Pneumatic Compression Device
    Moo-Yong Cho, Boon-Han Kim, Ki-Sook Kim
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(5): 203.     CrossRef
  • ICF Core Sets for Measuring Functional Status of Acute Stroke Patients
    Mi-Jin Park, Ji-Yeon Kang
    Journal of muscle and joint health.2012; 19(2): 107.     CrossRef
  • Effects on Changes in Femoral Vein Blood Flow Velocity with the Use of Lower Extremity Compression for Critical Patients with Brain injury
    Jung Sook Kim, Hye Jung Kim, Yun Hee Woo, Ji Young Lym, Chul Hyung Lee
    Journal of Korean Academy of Nursing.2009; 39(2): 288.     CrossRef
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Influencing Factors that Affect the Psychological Well-being in Family Caregivers of Stroke Patients
Jung Hee Kim, Ok Soo Kim
Journal of Korean Academy of Nursing 2005;35(2):399-406.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.2.399
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the factors that affect the psychological well-being in family caregivers of stroke patients.

 Method

The General Health Perception, short form 36, Health Survey Questionaire was used to measure health perception. The Caregiving Mastery Scale was used to assess the mastery, while the Psychological General Well-Being Index was used to examine the level of well-being.

 Result

Subjective health, caregiving mastery, patient's ADL and caregiving duration influenced on caregiver's psychological well-being. Subjective health had effect on psychological well-being both directly and indirectly. Caregiving duration and patient's ADL had indirect effect on psychological well-being through caregiving mastery.

 Conclusion

It is need to develop a health program for the caregivers of stroke patient's and to provide nursing intervention to improve the caregiver's ability, thereby improving the well-being of the family caregivers.

Citations

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  • Associations among disability, depression, anxiety, stress, and quality of life between stroke survivors and their family caregivers: An Actor‐Partner Interdependence Model
    Sri Yuliana, Erica Yu, Yohanes Andy Rias, Nur Atikah, Hsiu Ju Chang, Hsiu Ting Tsai
    Journal of Advanced Nursing.2023; 79(1): 135.     CrossRef
  • Personality and Psychological Well-Being among Cancer Caregivers at the Uganda Cancer Institute and Mbarara Regional Referral Hospital
    Rachel K., Milton M., Godfrey Z.R., Nixon N., Jackson O., Simon K.
    African Journal of Social Sciences and Humanities Research.2022; 5(3): 62.     CrossRef
  • Influencing Factors on Stress in Caregivers of Stroke Patients Being Admitted in Rehabilitation Centers
    Nam-Hee Kim, Young-Sook Tae, Yooun-Sook Choi, Joo-Hee Bae
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(2): 188.     CrossRef
  • Effects of a Patient Educational Video Program on Bowel Preparation Prior to Colonoscopy
    You Young Cho, Hyeon Ok Kim
    Journal of Korean Academy of Nursing.2015; 45(5): 704.     CrossRef
  • Effects of a web-based stroke education program on recurrence prevention behaviors among stroke patients: a pilot study
    J.-I. Kim, S. Lee, J.-H. Kim
    Health Education Research.2013; 28(3): 488.     CrossRef
  • Factors Influencing the Burden Felt by Main Family Caregivers of Elderly Patients with Brain and Spinal Diseases
    Hee Kyung Park, Kyung Min Park
    Journal of Korean Academy of Community Health Nursing.2011; 22(4): 389.     CrossRef
  • Effects of Moxibustion on Physiological Indices and Autonomic Nervous Symptoms in Adults with Prehypertension
    Soon Hee Cho
    Journal of Korean Academy of Nursing.2010; 40(5): 686.     CrossRef
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Development and Effect Analysis of Web-Based Instruction Program to Prevent Elementary School Students from Safety Accidents
Eun Soon Chung, Ihn Sook Jeong, Mi Gyoung Song
Journal of Korean Academy of Nursing 2004;34(3):485-494.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.3.485
AbstractAbstract PDF
Purpose

This study was aimed to develop a WBI(Web Based Instruction) program on safety for 3rd grade elementary school students and to test the effects of it.

 Method

The WBI program was developed using Macromedia flash MX, Adobe Illustrator 10.0 and Adobe Photoshop 7.0. The web site was http://www.safeschool. co.kr. The effect of it was tested from Mar 24, to Apr 30, 2003. The subjects were 144 students enrolled in the 3rd grade of an elementary school in Gyungju. The experimental group received the WBI program lessons while each control group received textbook-based lessons with visual presenters and maps, 3 times. Data was analyzed with descriptive statistics, and χ2 test, t-test, and repeated measure ANOVA.

 Result

First, the WBI group reported a longer effect on knowledge and practice of accident prevention than the textbook-based lessons, indicating that the WBI is more effective. Second, the WBI group was better motivated to learn the accident prevention lessons, showing that the WBI is effective. As a result, the WBI group had total longer effects on knowledge, practice and motivation of accident prevention than the textbook-based instruction.

 Conclusion

We recommend that this WBI program be used in each class to provide more effective safety instruction in elementary schools.

Citations

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  • Effectiveness of mHealth–Safe Kids Hospital for the prevention of hospitalized children safety incidents: A randomized controlled trial
    Il Tae Park, Won‐Oak Oh, Gwang‐Cheon Jang, Jihee Han
    Journal of Nursing Scholarship.2021; 53(5): 623.     CrossRef
  • Effects of a Structure-centered Cooperative Learning Safety Education Program based on Blended Learning for Elementary School Students
    Jeong Hye Seong
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    Young-Mi Jung
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Characteristics and Risk Factors for Falls in Tertiary Hospital Inpatients
Eun-Ju Choi, Young-Shin Lee, Eun-Jung Yang, Ji-Hui Kim, Yeon-Hee Kim, Hyeoun-Ae Park
J Korean Acad Nurs 2017;47(3):420-430.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.3.420
AbstractAbstract PDF
Abstract Purpose

The aim of this study was to explore characteristics of and risk factors for accidental inpatient falls.

 Methods

Participants were classified as fallers or non-fallers based on the fall history of inpatients in a tertiary hospital in Seoul between June 2014 and May 2015. Data on falls were obtained from the fall report forms and data on risk factors were obtained from the electronic nursing records. Characteristics of fallers and non-fallers were analyzed using descriptive statistics. Risk factors for falls were identified using univariate analyses and logistic regression analysis.

 Results

Average length of stay prior to the fall was 21.52 days and average age of fallers was 61.37 years. Most falls occurred during the night shifts and in the bedroom and were due to sudden leg weakness during ambulation. It was found that gender, BMI, physical problems such elimination, gait, vision and hearing and medications such as sleeping pills, antiarrhythmics, vasodilators, and muscle relaxant were statistically significant factors affecting falls.

 Conclusion

The findings show that there are significant risk factors such as BMI and history of surgery which are not part of fall assessment tools. There are also items on fall assessment tools which are not found to be significant such as mental status, emotional unstability, dizziness, and impairment of urination. Therefore, these various risk factors should be examined in the fall risk assessments and these risk factors should be considered in the development of fall assessment tools.

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Application and Developmental Strategies for Community-Based Injury Prevention Programs of the International Safe Communities Movement in Korea
Jeongyee Bae, Joonpil Cho, Seong-il Cho, Minyeong Kwak, Taehyen Lee, Christina Aram Bae
J Korean Acad Nurs 2015;45(6):910-918.   Published online December 15, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.6.910
AbstractAbstract PDF
Abstract Purpose

Safety of humans is an important factor that affects health overall, and injuries are one of the major public-health problems in the world. The purposes of this study were to describe the International safe Community movement which contributes to the injury prevention and safety promotion all over the world, and to identify out the application and developmental strategies for Korea.

 Methods

A review was done of previous research, reviews, and reports on the history, concepts, basic principles, and recommendations for actions of the Safe Community.

 Results

For this study, the application strategies of the International Safe Community movement in Korea were examined to deduce the strengths of the safe Community program. Community-based injury prevention work according to the International Safe Community model is a successful and cost-effective way of reducing injuries in the community.

 Conclusion

Through the International Safe Community program, communities are able to realize a healthy community and achieve improved quality of lives for the people, which is the ultimate objective of the Safe Community model. In addition, it will contribute to the economic vitalization and gain through energy and enhancement of productivity of people.

Citations

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  • Classifying strategies for building community health movements: a guide for implementers
    Felicia Jia Hui Chan, Alyssa Yenyi Chan, Wen Xi Zhuang, Priyanka Rajendram, Joseph Jie Hui Quek, Weng Mooi Tan, Yoek Ling Yong, Clarice Liying Song, Zoe Jane-Lara Hildon
    BMC Public Health.2025;[Epub]     CrossRef
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    Birutė Strukčinskienė, Sabine Distl, Sigitas Griškonis
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    Jafar Sadegh Tabrizi, Homayoun Sadeghi Bazargani, Reza Mohammadi, Mohammad Saadati
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Review Article
Effects of Nursing Interventions for Fall Prevention in Hospitalized Patients: A Meta-analysis
Yoon Lee Kim, Seok Hee Jeong
J Korean Acad Nurs 2015;45(4):469-482.   Published online August 31, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.4.469
AbstractAbstract PDF
Purpose

The purpose of this study was to identify which nursing interventions are the most effective in fall prevention for hospitalized patients.

 Methods

From 3,675 papers searched, 34 were selected for inclusion in the meta-analysis. Number of fallers, falls, falls per 1,000 hospital-days, and injurious falls, fall protection activity, knowledge related to falls, and self-efficacy about falls were evaluated as outcome variables. Data were analyzed using the Comprehensive Meta Analysis (CMA) 2.2 Version program and the effect sizes were shown as the Odd Ratio (OR) and Hedges's g.

 Results

Overall effect size of nursing interventions for fall prevention was OR=0.64 (95% CI: 0.57~0.73, p <.05) and Hedges's g= - 0.24. The effect sizes (OR) of each intervention ranged from 0.34 to 0.93, and the most effective nursing intervention was the education & environment intervention (OR=0.34, 95% CI: 0.28~0.42, p <.001), followed by education intervention (OR=0.57, 95% CI: 0.50~0.67, p =.001). Subgroup analyses showed that multifaceted interventions (OR=0.76, 95% CI: 0.73~0.79, p <.001) were more effective than unifactorial interventions, and that activities for prevention of falls (OR=0.08, 95% CI: 0.05~0.15, p <.001) showed the largest effect size among outcome variables.

 Conclusion

Falls in hospitalized patients can be effectively prevented using the nursing interventions identified in this study. These findings provide scientific evidence for developing and using effective nursing interventions to improve the safety of hospitalized patients.

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Original Articles
Effects of Community-based Comprehensive Fall Prevention Program on Muscle Strength, Postural Balance and Fall Efficacy in Elderly People
Jeongyee Bae, Seong-il Cho
J Korean Acad Nurs 2014;44(6):697-707.   Published online December 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.6.697
AbstractAbstract PDF
Purpose

The purposes of this study was to develop a comprehensive community-based fall prevention program and to test the effects of the program on the muscle strength, postural balance and fall efficacy for elderly people.

 Methods

The design of this study was a nonequivalent control group pretest-posttest design. There were 28 participants in the experimental group and 29 in the control group. The program consisted of balance exercises, elastic resistance exercises and prevention education. The program was provided five times a week for 8 weeks and each session lasted 90 minutes. Data were analyzed using χ2-test, independent t-test and paired t-test using the SPSS program.

 Results

Muscle strength of the lower extremities, postural balance and fall efficacy scores significantly improved in the experimental group compared to the control group.

 Conclusion

These results suggest that this program can improve lower extremity muscle strength, postural balance and fall efficacy in elders. Therefore, this program is recommended for use in fall prevention programs for elders living in the community.

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  • The Impact of a Fall Prevention Education Program on Falls-related Knowledge, Prevention Behavior, and Falls Efficacy
    Jieun Oh, Taeyoung Lee, Joohyun Kim, Hyeonsuk Park, Suyeong Park, Jihye Jeong, Yeongeun Lee, Sujin Son, Ju Young Park
    Quality Improvement in Health Care.2024; 30(2): 62.     CrossRef
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    Jeong Ha Park, Hee Ju Kim
    Journal of Korean Gerontological Nursing.2022; 24(1): 65.     CrossRef
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    Bom-Mi Park
    Healthcare.2021; 9(6): 715.     CrossRef
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    Sung Min Son, Kyung Woo Kang
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    Bom Mi Park, Ho Sihn Ryu, Kyeung Eun Kwon, Chun Young Lee
    Journal of Korean Academy of Nursing.2019; 49(2): 203.     CrossRef
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    Sangwan Han
    Archives of Orthopedic and Sports Physical Therapy.2019; 15(2): 1.     CrossRef
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    Dong-Suk Yang, Da-Young Lee, Sun-Young Oh, Ji-Yun Park
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    KiHoon Han, Kang-Ho Bae
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    Sung Kyun Kim, Gi Jung Im
    Research in Vestibular Science.2017; 16(1): 10.     CrossRef
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    Sung Kyun Kim, Sung Ho Lee, Seon Heui Lee, Jae Jun Song, Mi Jung Gwak, Hee Seon Lee, Gi Jung Im
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    Hyun-Ok Lee, Byung-Hwa Lee, Chang-Hee Lee
    Journal of Health Informatics and Statistics.2017; 42(4): 338.     CrossRef
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Effects of a Fall Prevention Program on Falls in Frail Elders Living at Home in Rural Communities
Jae-Soon Yoo, Mi Yang Jeon, Chul-Gyu Kim
J Korean Acad Nurs 2013;43(5):613-625.   Published online October 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.613
AbstractAbstract PDF
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.

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    Maureen Romanow Pascal, Barbara Lawrence, Stephanie Pires, Elton Newton, Deoranie Babulall, Kelly Saroka, Megan Shaver, Mackenzie Schanzlin, Kristi Pearage
    Physical Therapy.2024;[Epub]     CrossRef
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    Gwang Suk Kim, Namhee Kim, Mi-So Shim, Jae Jun Lee, Min Kyung Park, Qing-Wei Chen
    Health & Social Care in the Community.2023; 2023: 1.     CrossRef
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    Eun-Lee Lee, Myoung-Hwan Ko, Myung-Jun Shin, Byeong-Ju Lee, Da Hwi Jung, Kap-Soo Han, Jin Mi Kim
    Journal of the American Medical Directors Association.2022; 23(3): 373.     CrossRef
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    Yeunsook Lee, Min-Gi Kim, Eun-Jung Jung, Mi-Seon Jang
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    YoungJi Ko, JuHee Lee, EuiGeum Oh, MoNa Choi, ChangOh Kim, KiWol Sung, SeungHoon Baek
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    Gyeong Ran Kim, Mi Sook Song
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    Hyun-Ok Lee, Byung-Hwa Lee, Chang-Hee Lee
    Journal of Health Informatics and Statistics.2017; 42(4): 338.     CrossRef
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    In Sook Lee, Kwang Ok Lee
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    Hee Gerl Kim
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    Han Suk Lee, Jeung Hun Park
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    Jeongyee Bae, Seong-il Cho
    Journal of Korean Academy of Nursing.2014; 44(6): 697.     CrossRef
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Risk Factors for Pediatric Inpatient Falls
Myung Sook Cho, Mi Ra Song, Sun Kyung Cha
J Korean Acad Nurs 2013;43(5):595-604.   Published online October 15, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.5.595
AbstractAbstract PDF
Abstract 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.

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    Lan Wang, Mao-Lin Qian, Xiao Shan, Xiao-Qin Liu
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    Eun Joo Kim, Anna Lee
    Journal of Pediatric Nursing.2021; 61: 136.     CrossRef
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    Eun-Joo Kim, Geun-Myun Kim, Ji-Young Lim
    International Journal of Environmental Research and Public Health.2021; 18(11): 5853.     CrossRef
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    Eun Joo Kim, Ji Young Lim, Geun Myun Kim, Junghyun Min
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    Ching-Mei Chang, Cheng-Fan Wen, Hsien-Feng Lin
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    Journal of Pediatric Nursing.2017; 32: 25.     CrossRef
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Effects of Carbonated Water Intake on Constipation in Elderly Patients Following a Cerebrovascular Accident
Jae-Hee Mun, Seong Sook Jun
J Korean Acad Nurs 2011;41(2):269-275.   Published online April 30, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.2.269
AbstractAbstract PDF
Purpose

This study was done to identify effects of carbonated water intake on constipation in elders who have experienced a cerebrovascular accident (CVA) and are bed-ridden.

 Methods

Forty elderly patients with CVA were randomly assigned to one of two groups in a double-blind study. Patients in the experimental group drank carbonated water and those in the control group drank tap water for two weeks. Six patients dropped out during the study period. Data were analyzed by repeated measured ANCOVA and the covariance was the dose of laxatives used for the two weeks.

 Results

Frequency of defecation increased significantly and symptoms of constipation decreased significantly for patients in the experimental group.

 Conclusion

The study results suggest that the intake of carbonated water is an effective method for the intervention of constipation in elderly patients with CVA.

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Effects of a Fall Prevention Program on Physical Fitness and Psychological Functions in Community Dwelling Elders
Myung Soon Kwon
J Korean Acad Nurs 2011;41(2):165-174.   Published online April 30, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.2.165
AbstractAbstract PDF
Purpose

This study was done to identify effects of a fall prevention program on physical fitness and psychological functions in community dwelling elders.

 Methods

A quasi-experimental study was carried out with a nonequivalent control group pre & post-test design. The program, which included exercises and education, consisted of a 12-week group program and an 8-week self-management program using a health calendar. An experimental group (32) and a control group (21) participated.

 Results

There were significant differences in SPPB (t=-3.92, p<.001), TUG test (t=4.94, p<.001), standing with right leg (t=-3.60, p=.001), standing with left leg (t=-3.74, p<.001), front and rear maximum step length test (t=-4.34, p<.001), right-left maximum step length test (t=-2.65, p=.011), and fall efficacy (t=-2.42, p=.019). Fall efficacy, fear of falling and depression showed significant differences following the 12-week exercise program and 8-week self-management program in the experimental group.

 Conclusion

Study findings indicate that the fall prevention program is an effective nursing intervention to enhance physical fitness and psychological functions for elders. Using a health calendar, the self-management program was more effective for psychological functions compared to only the group program. Therefore, health providers should develop diversified fall prevention programs which include motivation plans to encourage clients in participating.

Citations

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    Ji-Yeon Sim, Jung-Wan Koo, Yeon-Gyu Jeong
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    Eric Lenouvel, Phoebe Ullrich, Waldemar Siemens, Dhayana Dallmeier, Michael Denkinger, Gunver Kienle, G A Rixt Zijlstra, Klaus Hauer, Stefan Klöppel
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    Eun Joo Kim, Hidenori Arai, Piu Chan, Liang-Kung Chen, Keith D. Hill, Bernard Kong, Philip Poi, Maw Pin Tan, Hyung Joon Yoo, Chang Won Won
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    Denise Kendrick, Arun Kumar, Hannah Carpenter, G A Rixt Zijlstra, Dawn A Skelton, Juliette R Cook, Zoe Stevens, Carolyn M Belcher, Deborah Haworth, Sheena J Gawler, Heather Gage, Tahir Masud, Ann Bowling, Mirilee Pearl, Richard W Morris, Steve Iliffe, Kim
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    Jeongyee Bae, Seong-il Cho
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    JongEun Yim
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    Young Hee Kim, Kyung Hee Yang, Kum Sook Park
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    Mi-Yang Jeon, Sun Hee Yang
    Journal of the Korea Academia-Industrial cooperation Society.2013; 14(12): 6353.     CrossRef
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    In Kyoung Lee, Ja Yun Choi
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    Jae-Soon Yoo, Mi Yang Jeon, Chul-Gyu Kim
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    Sung-Min Kim, Go-Ya Choi
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    In Sook Park, Hee Young So, Rhayun Song, Hyunli Kim, Sukhee Ahn
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    Myung-Suk Lee
    Journal of agricultural medicine and community health.2011; 36(3): 167.     CrossRef
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Fall Risk in Low-Income Elderly People in One Urban Area
Kyung Won Choi, In-Sook Lee
J Korean Acad Nurs 2010;40(4):589-598.   Published online August 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.4.589
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the factors that increase of the risk for falls in low-income elders in urban areas.

 Methods

The participants were elderly people registered in one of public health centers in one city. Data were collected by interviewing the elders, assessing their environmental risk factors, and surveying relevant secondary data from the public health center records. For data analysis, descriptive statistics and multiple logistic regression were performed using SPSS version 14.

 Results

Stroke, diabetes, visual deficits, frequency of dizziness, use of assistive devices and moderate depression were statistically significant risk factors. The comorbidity of chronic diseases with other factors including depression, visual deficit, dizziness, and use of assistive devices significantly increased the risk of falls. From multiple logistic regression analysis, statistically significant predictors of falls were found to be stroke, total environmental risk scores, comorbiditiy of diabetes with visual deficits, and with depression.

 Conclusion

Fall prevention interventions should be multifactorial, especially for the elders with stroke or diabetes, who were identified in this study as the high risk group for falls. A fall risk assessment tool for low-income elders should include both the intrinsic factors like depression, dizziness, and use of assistive devices, and the extrinsic factors.

Citations

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    Beomryong Kim, Kwangsun Do, Jongeun Yim
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    Zhang Yue, Hang Liang, Xuyao Gao, Xigang Qin, Huwei Li, Nan Xiang, Erpeng Liu
    Journal of Affective Disorders.2022; 301: 300.     CrossRef
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    Taekyoung Kim, Sang D. Choi, Shuping Xiong, Kyoung-Sae Na
    PLOS ONE.2020; 15(6): e0234787.     CrossRef
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    Korean Journal of Sport Science.2017;[Epub]     CrossRef
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    Jin-Won Noh, Kyoung-Beom Kim, Ju Hyun Lee, Byeong-Hui Lee, Young Dae Kwon, Seon Heui Lee
    Archives of Gerontology and Geriatrics.2017; 73: 279.     CrossRef
  • Falls among the non-institutionalized elderly in northern Minas Gerais, Brazil: prevalence and associated factors
    Jair Almeida Carneiro, Gizele Carmen Fagundes Ramos, Ana Teresa Fernandes Barbosa, Élen Débora Souza Vieira, Jéssica Santos Rocha Silva, Antônio Prates Caldeira
    Revista Brasileira de Geriatria e Gerontologia.2016; 19(4): 613.     CrossRef
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    Soo-Min Kim
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    Chung-uk Oh
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    Eun-Suk Yun, Jisook An
    Journal of the Korea Academia-Industrial cooperation Society.2014; 15(10): 6242.     CrossRef
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    Eun-Suk Yun
    Journal of the Korea Academia-Industrial cooperation Society.2014; 15(4): 2142.     CrossRef
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    Chong Mi Lee, Bok-Hee Cho
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    Chul-Gyu Kim, Yungeong Park, Seungmi Park
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    Youngsil Kang, Sun Jae Jung
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  • The Prevalence and Factors of Falls among the Community-Dwelling Elderly
    Insun Jang, Eunok Park
    Journal of Korean Public Health Nursing.2013; 27(1): 89.     CrossRef
  • Fall Experience and Risk Factors for Falls among the Community-dwelling Elderly
    Young Hee Kim, Kyung Hee Yang, Kum Sook Park
    Journal of muscle and joint health.2013; 20(2): 91.     CrossRef
  • Fear of Falling and Related Factors in Elderly Living Alone Based on Fall Experience
    Myungsuk Lee, Yunbok Lee
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    In Sook Park, Hee Young So, Rhayun Song, Hyunli Kim, Sukhee Ahn
    Journal of muscle and joint health.2012; 19(3): 282.     CrossRef
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    Young Mi Lim, Mi Hae Sung
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    Myung-Suk Lee
    Journal of agricultural medicine and community health.2011; 36(3): 167.     CrossRef
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Falls Risk Factors of Inpatients
Eun-Kyung Kim, Jae Chang Lee, Mi-Ran Eom
J Korean Acad Nurs 2008;38(5):676-684.   Published online October 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.5.676
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the risk factors for falls and to suggest data for developing a program for preventing falls.

 Methods

This was a case-control study in five university hospitals and a general hospital. In total, 216 patients over the age of 18 yr admitted from January 1 to December 31, 2007 participated. One hundred eight patients with experience of falling were matched by gender, age level, diagnosis, and length of stay with 108 patents with no experience of falling admitted on the same unit. A quality assurance coordinator nurse in each hospital examined 35 fall risk factors developed by researchers.

 Results

In acute hospitals, history of falls, orientation ability, dizziness or vertigo, general weakness, urination problems, transfer/mobility difficulty, walking dependency, impatience, benzodiazepines, diuretics, and vasodilators showed significance on adjusted-odds ratios for fall. Logistic regression analysis was performed to elucidate the factors that influence falls. The probability of falls was increased by dizziness/vertigo, general weakness, and impatience/agitation.

 Conclusion

This finding can be used as a useful resource in developing nursing intervention programs to predict and prevent the falls of inpatients.

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A Study on Health Behavior in People at Risk for a Cerebrovascular Accident
Mi Sook Song, Young Soon Byeon, Kyoung Sook Lim, Ji Won Oak
Journal of Korean Academy of Nursing 2007;37(7):1091-1097.   Published online December 31, 2007
DOI: https://doi.org/10.4040/jkan.2007.37.7.1091
AbstractAbstract PDF
Purpose

This study was done to survey health behaviors in people at risk for a Cerebrovascular Accident(CVA).

 Method

From November 21 to December 29, 2005, a questionnaire survey was conducted with 171 people at risk for a Cerebrovascular Accident(LDL of above 130 mg/dl & homocysteine of above 15.0 micromol/L). Their physical composition was measured and blood was collected.

 Results

1. Of the subjects, 34.5% were smokers, 61.4% were drinkers, 56.7% did not exercise regularly, 57.3% did not control their weight, 26.9% preferred eating meat, and 32.2% preferred salty food. 2. The gender was different between smoking status(χ2=10.734, p=.001), and drinking status(χ2=7.185, p=.007), and the age was different between smoking statusχ2=6.656, p=.010), and drinking status(χ2=10.722, p=.001). The HbA1C level was different for regular exercise(χ2= 4.824, p=.028) and the HDL-cholesterol was different for meat-eating preference(χ2=7.928, p=.005). The observance of troubling signs was different for a salty food preference(χ2=4.313, p=.038).

 Conclusion

It is necessary to develop programs for taking care of people at risk for a Cerebrovascular Accident and test the effects of the programs in order to reduce the risk factors of CVA and enhance health behavior promotion.

Citations

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    Su Ho Park, Sul Hee Lee, Eun Mi Ham
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