Myung Soon Kwon

doi:10.4040/jkan.2011.41.2.165

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

Associate Professor, Department of Nursing, Hallym University, Chuncheon, Korea.

Address reprint requests to: Kwon, Myung Soon. Department of Nursing, Hallym University, 39 Hallimdaehak-gil, Chuncheon 200-702, Korea. Tel: +82-33-248-2719, Fax: +82-33-248-2734, kwon1314@hallym.ac.kr

• Received: June 21, 2010 • Accepted: April 15, 2011

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Abstract
NOTES
REFERENCES

Abstract

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.
Keywords: Accidental falls; Physical fitness; Depression; Aged

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (2009-0068282).

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Table 1

Homogeneity Test for General Characteristics and Health related Characteristics

^*Fisher's exact test; Exp.=experimental; Cont.=control; BP=blood pressure; PP2hrs=postprandial blood sugar.

Table 2

Homogeneity Test for Physical Fitness & Psychological Functions

Exp=experimental; Cont=control; SPPB=short physical performance battery; TUG test=timed up & go test.

Table 3

Differences of Physical Fitness and Psychological Functions

Pre=pre-test; Post=post-test; Exp=experimental group; Cont=control group; SPPB=short physical performance battery; TUG test=timed up & go test.

Table 4

Differences of Physical Fitness and Psychological Functions according to Time in the Experimental Group

SPPB=short physical performance battery; TUG test=timed up & go test.

Figure & Data

REFERENCES

Citations

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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. Published online April 30, 2011

DOI: https://doi.org/10.4040/jkan.2011.41.2.165

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Effects of a Fall Prevention Program on Physical Fitness and Psychological Functions in Community Dwelling Elders

Table 1

Homogeneity Test for General Characteristics and Health related Characteristics

^*Fisher's exact test; Exp.=experimental; Cont.=control; BP=blood pressure; PP2hrs=postprandial blood sugar.

Table 2

Homogeneity Test for Physical Fitness & Psychological Functions

Exp=experimental; Cont=control; SPPB=short physical performance battery; TUG test=timed up & go test.

Table 3

Differences of Physical Fitness and Psychological Functions

Pre=pre-test; Post=post-test; Exp=experimental group; Cont=control group; SPPB=short physical performance battery; TUG test=timed up & go test.

Table 4

Differences of Physical Fitness and Psychological Functions according to Time in the Experimental Group

SPPB=short physical performance battery; TUG test=timed up & go test.

Table 1 Homogeneity Test for General Characteristics and Health related Characteristics

^*Fisher's exact test; Exp.=experimental; Cont.=control; BP=blood pressure; PP2hrs=postprandial blood sugar.

Table 2 Homogeneity Test for Physical Fitness & Psychological Functions

Exp=experimental; Cont=control; SPPB=short physical performance battery; TUG test=timed up & go test.

Table 3 Differences of Physical Fitness and Psychological Functions

Pre=pre-test; Post=post-test; Exp=experimental group; Cont=control group; SPPB=short physical performance battery; TUG test=timed up & go test.

Table 4 Differences of Physical Fitness and Psychological Functions according to Time in the Experimental Group