RAI-HC를 이용한 노인의 다면적 재낙상 위험요인 분석-1회 낙상자와 재낙상자 비교- (Analysis of Multi-variate Recurrent Fall Risk Factors in Elderly People Using Residential Assessment Instrument-Home Care - Comparisons between Single and Recurrent Fallers -)

서지정보

· 발행기관 : 한국간호과학회
· 수록지 정보 : Journal of Korean Academy of Nursing / 41권 / 1호 / 119 ~ 128페이지
· 저자명 : 유인영

초록

Purpose: This study was done to determine the risk factors for recurrent fallers (2+falls) compared to single fallers. Methods:Participants were 104 community-dwelling people 65 yr of age or older. The data were collected from June 1, 2008 to June 30,2009 using the Residential Assessment Instrument-Home Care. Results: Over the past 90 days, 55.7% of the 104 participants fell once, and 44.2% experienced recurrent falls (2+falls). In comparison of recurrent fallers with single fallers, there were significant differences in scores on the following factors: gender (χ^2=4.22, p=.040), age (χ^2=5.74, p=.017), educational level (χ^2=5.22,p=.022), living arrangements (χ^2=35.02, p<.001), cardiovascular diseases (χ^2=17.10, p<.001), hypertension (χ^2=4.43, p=.035),diabetes mellitus (χ^2=4.44, p=.035), glaucoma (χ^2=13.95, p<.001), Minimal Data Set (MDS)-Pain (t=-2.56, p=.012), fear of falling (χ^2=4.08, p=.034), reduced vision (t=-3.06, p=.003), MDS-activity of daily living (t=3.46, p=.001), MDS-Instrumental Activities of daily living (t=3.24, p=.002), cognition (MDS-Cognition Performance Scale) (t=3.40, p=.001), and ‘difficulties entering and leaving the house’ (χ^2=4.53, p=.033). Conclusion: It is important to assess the risk factors for recurrent falls and develop differentiated strategies that will help prevent recurrent falls. Additionally, utilizing a standardized tool, such as RAI-HC, would help health professionals assess multi-variate fall risk factors to facilitate comparisons of different community care settings.

영어초록

Purpose: This study was done to determine the risk factors for recurrent fallers (2+falls) compared to single fallers. Methods:Participants were 104 community-dwelling people 65 yr of age or older. The data were collected from June 1, 2008 to June 30,2009 using the Residential Assessment Instrument-Home Care. Results: Over the past 90 days, 55.7% of the 104 participants fell once, and 44.2% experienced recurrent falls (2+falls). In comparison of recurrent fallers with single fallers, there were significant differences in scores on the following factors: gender (χ^2=4.22, p=.040), age (χ^2=5.74, p=.017), educational level (χ^2=5.22,p=.022), living arrangements (χ^2=35.02, p<.001), cardiovascular diseases (χ^2=17.10, p<.001), hypertension (χ^2=4.43, p=.035),diabetes mellitus (χ^2=4.44, p=.035), glaucoma (χ^2=13.95, p<.001), Minimal Data Set (MDS)-Pain (t=-2.56, p=.012), fear of falling (χ^2=4.08, p=.034), reduced vision (t=-3.06, p=.003), MDS-activity of daily living (t=3.46, p=.001), MDS-Instrumental Activities of daily living (t=3.24, p=.002), cognition (MDS-Cognition Performance Scale) (t=3.40, p=.001), and ‘difficulties entering and leaving the house’ (χ^2=4.53, p=.033). Conclusion: It is important to assess the risk factors for recurrent falls and develop differentiated strategies that will help prevent recurrent falls. Additionally, utilizing a standardized tool, such as RAI-HC, would help health professionals assess multi-variate fall risk factors to facilitate comparisons of different community care settings.

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