Research in Community and Public Health Nursing

Original Articles

Factors Associated with Fear of Falling by Fall Experience in the Community-dwelling Elderly: Yeong Mi Seo, Eun Sook Lee; Res Community Public Health Nurs. 2023;34(1):12-21. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00199

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Abstract PDF: Purpose
This study aimed to identify factors associated with fear of falling(FOF) by fall experience in the community-dwelling elderly. Methods: Multivariate logistic regression with complex samples was used to analyze the data of 74,475 elders aged 65 and over from the Community Health Survey in 2019. Results: Factors associated with FOF included gender, age, education level, smoking, high-risk drinking, physical activity, stress, depression, cognitive impairment, subjective health status, hypertension, and diabetes mellitus in the non-fall group. In the single fall group, the associated factors were gender, age, physical activity, stress, depression, cognitive impairment, and subjective health status. Related factors in the recurrent fall group included gender, age, physical activity, cognitive impairment, and subjective health status. Conclusion: The study’s findings suggest that it is necessary to develop different strategies to prevent FOF by understanding the contributing factors of FOF in each group of fall experience.

Predictors of the Fear of Falling among Elderly Women with Mild Cognitive Impairment: Jeong On Moon, Se Hoon Hong; J Korean Acad Community Health Nurs. 2022;33(1):63-73. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.63

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Abstract PDF: Purpose
The purpose of this study was to identify the predictors influencing fear of falling in community-dwelling elderly women with mild cognitive impairment (MCI).
Methods
A secondary data analysis was performed using data of 65 years or older elderly women with MCI participating in the 7th Korea Longitudinal Study of Ageing of the Korea Employment Information Service. The study subjects included 368 elderly women with MCI. For data analysis, descriptive statistics and logistic regression with complex samples were performed using IBM SPSS ver. 23.0.
Results
89.9% of the elderly women with MCI had fear of falling. There were significant factors such as religion (OR=8.85, 95% CI: 3.39~23.15), restriction of activity (OR=6.84, 95% CI: 2.14~21.90), depression (OR=0.75, 95% CI: 0.62~0.90), and MMSE (OR=1.30, 95% CI: 1.03~1.63), predicting fear of falling in community-dwelling elderly women with MCI.
Conclusion
Differentiated strategies should be developed for elderly women with MCI to decrease fear of falling and prevent falls with understanding of contributing factors. This study will provide fundamental information on programming and a policy proposal related to fear of falling for elderly women with MCI.

Predictors of Accidental Falls in the Community-dwelling Elderly by Age: Nan Ju Park, Yong Soon Shin; J Korean Acad Community Health Nurs. 2019;30(2):141-149. Published online June 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.2.141

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8 Citations

Abstract PDF

PURPOSE
The purpose of this study is to identify risk factors of accidental falls by age in the Korean elderly.
METHODS
The study subjects included 10,242 community-dwelling elders aged 65 or over. The data were analyzed by logistic regression analysis.
RESULTS
The risk factors of accidental falls in the younger old group (aged 65~74) include fear of falling (OR=16.28, 95% CI: 12.03~22.03), depression (OR=1.24, 95% CI: 1.06~1.44), and hearing impairment (OR=1.20, 95% CI: 1.01~1.43). The risk factors of accidental falls in the older old group (aged 75~84) include fear of falling (OR=11.54, 95% CI: 7.04~18.93), muscle strength (OR=1.36, 95% CI: 1.15~1.60), number of chronic disease (OR=1.65, 95% CI: 1.09~2.50), and presence of spouse (OR=1.27, 95% CI: 1.06~1.51). The risk factors of accidental falls in the oldest old group (aged 85 years old or older) include fear of falling (OR=8.05, 95% CI: 1.85~34.98) and exercise (OR=2.91, 95% CI: 1.36~6.24). Fear of falling is defined as a common factor in the all age groups.
CONCLUSION
Different strategies should be developed for age groups to prevent elderly falls with understanding of contributing factors of falls in each group.

Citations

Citations to this article as recorded by

Predictors of Depression in Elderly According to Gender during COVID-19: Using the Data of 2020 Community Health Survey
Hye-Jung Jun, Kyoung-Mi Kim
Healthcare.2024; 12(5): 551. CrossRef
Health-related quality of life in older women with injuries: a nationwide study
Yeunhee Kwak, Jung-Won Ahn
Frontiers in Public Health.2023;[Epub] CrossRef
Factors influencing fall in the community-dwelling elderly: Data from the 2020 national survey of older people: A secondary analysis study
Chang Kwan Lee
Journal of Korean Gerontological Nursing.2023; 25(3): 320. CrossRef
Validity of the Morse Fall Scale and the Johns Hopkins Fall Risk Assessment Tool for fall risk assessment in an acute care setting
Young Ju Kim, Kyoung‐Ok Choi, Suk Hyun Cho, Seok Jung Kim
Journal of Clinical Nursing.2022; 31(23-24): 3584. CrossRef
A model for predicting fall experience in the elderly population over 65 years old: Decision tree analysis
Myeunghee Han
Journal of Korean Gerontological Nursing.2022; 24(4): 366. CrossRef
Comparison of factors influencing fall recurrence in the young-old and old-old: a cross-sectional nationwide study in South Korea
Mi Young Kim, Yujeong Kim
BMC Geriatrics.2022;[Epub] CrossRef
Health-Related Quality of Life of Elderly Women with Fall Experiences
Jiyoung Song, Eunwon Lee
International Journal of Environmental Research and Public Health.2021; 18(15): 7804. CrossRef
Factors Associated with the Fear of Falling after Discharge in Older Adults Who had Surgery after Experiencing a Fall Fracture
Jin-Yeong Kim, Gwi-Ryung Son Hong
Journal of Korean Gerontological Nursing.2021; 23(4): 395. CrossRef

Factors Influencing Activities-specific Balance Confidence in Community-dwelling Old Adults: Hee Ryang Kim, Young Ko; J Korean Acad Community Health Nurs. 2018;29(4):520-529. Published online December 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.4.520

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2 Citations

Abstract PDF

PURPOSE
The purpose of this study is to identify factors influencing activities-specific balance confidence in community-dwelling older adults.
METHODS
This is secondary analysis of data from an intervention study for improving cognitive function. The data were collected from March 2 to September 30, 2017 at a senior center. Data of 131 older adults were included for this secondary analysis, and were analyzed by using t-test, ANOVA, and multiple regression.
RESULTS
The mean score of activities-specific balance confidence is 65.08 out of a possible range of 0â€“100. The significant factors affecting activities-specific balance confidence among old adults include â€˜more than 85 years oldâ€™, â€˜waist circumferenceâ€™, â€˜depressive symptomsâ€™, â€˜activity restriction due to fear of fallingâ€™, and â€˜self-rated healthâ€™ which explained 52.8% of the variance.
CONCLUSION
The study results indicate that psychologic factors as well as physical condition should be considered for interventions to increase activities-specific balance confidence.

Citations

Citations to this article as recorded by

Effects of Virtual Reality Program on Glycated Hemoglobin, Static and Dynamic Balancing Ability, and Falls Efficacy for Diabetic Patients: A Systematic Review and Meta-Analysis
Yi-Rang Yim, Myung-Haeng Hur
Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 155. CrossRef
Effects of a Physical Exercise Program on Physiological, Psychological, and Physical Function of Older Adults in Rural Areas
Sunmi Kim, Eun-Jee Lee, Hyeon-Ok Kim
International Journal of Environmental Research and Public Health.2021; 18(16): 8487. CrossRef

The Effects of an Aerobic Exercise Program on Mobility, Fall Efficacy, Balance, and Stress in the Elderly at Senior Centers: Su Kyung Chu, Chung Yul Lee, Jang Hak Yoo; J Korean Acad Community Health Nurs. 2012;23(1):22-30. Published online March 31, 2012; DOI: https://doi.org/10.0000/jkachn.2012.23.1.22

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Abstract PDF: PURPOSE
This study was conducted in order to investigate the effects of an aerobic exercise program on mobility, fall efficacy, balance, and stress in the elderly at senior centers.
METHODS
This research was conducted as a quasi-experimental pretest and posttest control and experimental comparison study. The subjects were 41 senior residents (Exp.=18, Cont.=23) who aged above 65 at senior centers in S City. The period of time for data collection and intervention was from August 25 to December 5, 2008.
RESULTS
Mobility (t=-3.10, p<.01) in the experimental group were significantly higher than those in the control group without an aerobic exercise program. However, fall efficacy (t=1.28, p=.207), balance (t=-.53, p=.602; t=.36, p=.723), stress (t=-1.32, p=.199) in the experimental group was not significantly higher than that in the control group.
CONCLUSION
These findings confirmed that aerobic exercise programs make a contribution to improving mobility in the elderly at senior centers.

The Effects of a Fall Prevention Program on the Low-Income Elderly at Risk of Falls: Il Seon Hyeon, Myong Hwa Park, Kyong Min Park, Chung Nam Kim; J Korean Acad Community Health Nurs. 2010;21(2):200-209. Published online June 30, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.2.200

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15 Citations

Abstract PDF

PURPOSE
This study was conducted to determine the effects of a fall prevention program on knowledge, efficacy, and prevention behavior of falls among the low-income elderly.
METHODS
This study used a nonequivalent control group pre and post test quasi-experimental research design. The study was conducted from August to October, 2008 with 20 subjects in the experimental group and 22 in the control group who were registered at the public health center of S District in D City.
RESULTS
Hypothesis 1 "The experimental group that participated in the fall prevention program will show a higher degree of knowledge about falls than the control group" was supported. Hypothesis 2 "The experimental group will have a higher degree of self-efficacy of falls than the control group" was not supported. Hypothesis 3 "The experimental group will report fall prevention behavior more frequently than the control group" was supported.
CONCLUSION
It was verified that the fall prevention program in this study was an effective intervention to improve knowledge about falls and fall prevention behaviors among the low-income elderly. The results can be used as part of an intervention to prevent falls for the vulnerable elderly such as the low-income elderly.

Citations

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Effects of smartphone mirroring-based telepresence exercise on body composition and physical function in obese older women
Jeeyoung Hong, Suk Wha Kim, Hyunjin Joo, Hyoun-Joong Kong
Aging Clinical and Experimental Research.2022; 34(5): 1113. CrossRef
Risk factors of repeated falls in the community dwelling old people
Jae Soon Yoo, Chul Gyu Kim, Jong Eun Yim, Mi Yang Jeon
Journal of Exercise Rehabilitation.2019; 15(2): 275. CrossRef
Older Adults With Hip Arthroplasty: An Individualized Transitional Care Program
YoungJi Ko, JuHee Lee, EuiGeum Oh, MoNa Choi, ChangOh Kim, KiWol Sung, SeungHoon Baek
Rehabilitation Nursing.2019; 44(4): 203. CrossRef
Understanding and Prevention of Fall-related Injuries in Older Adults in South Korea: A Systematic Review
Ki-taek Lim, Ji-eun Lee, Ha-eun Park, Su-young Park, Woochol Joseph Choi
Physical Therapy Korea.2019; 26(2): 34. CrossRef
Effects of Fall Prevention Education Program on Attitudes, Prevention Behaviors, and Satisfaction among Elderly Inpatients
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Korean Journal of Adult Nursing.2018; 30(1): 49. CrossRef
Effects of a Fall Prevention Program on Physical Fitness, Fall Efficacy and Fall Prevention Behavior among Community-dwelling Older Adults
Hee-Eun Jo, Myung Ja Kim
The Korean Journal of Rehabilitation Nursing.2017; 20(1): 22. CrossRef
Factors influencing falls in the frail elderly individuals in urban and rural areas
Jae Soon Yoo, Chul Gyu Kim, JongEun Yim, Mi Yang Jeon
Aging Clinical and Experimental Research.2016; 28(4): 687. CrossRef
The Mediating Effect of Fall Risk Perception on the Relationship between Fracture Risk and Fall Prevention Behaviors in Women with Osteoporosis
Eun Nam Lee, Eun Jung Choi, Moon Jung Jang, Hyun Ju Hwang
Journal of muscle and joint health.2015; 22(2): 130. CrossRef
A Structural Equation Model of Fall Prevention Behavior among Community-dwelling Older Adults with Osteoarthritis
Keong Sook Jang, Rhayun Song
Korean Journal of Adult Nursing.2015; 27(6): 684. CrossRef
Effects of a Randomized Controlled Recurrent Fall Prevention Program on Risk Factors for Falls in Frail Elderly Living at Home in Rural Communities
JongEun Yim
Medical Science Monitor.2014; 20: 2283. CrossRef
Relations among Fall Efficacy, Perception of Fall Risk and Fall Prevention Behavior in the Frail Elderly at Home
Young-Hee Kim
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(7): 3383. CrossRef
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
Journal of Korean Academy of Nursing.2013; 43(5): 613. CrossRef
Effects of a Comprehensive Lifestyle Improvement Program for Middle-aged Women with Cardio-cerebrovascular Disease-related Risk Factors
Mi-Kyoung Park, Jeong-Hee Kim
Journal of Korean Academy of Community Health Nursing.2013; 24(2): 111. CrossRef
Development of a Knowledge Scale of Fall Risk Factors for Community-dwelling Older Adults
Chong-Min Hong
Korean Journal of Adult Nursing.2012; 24(3): 244. CrossRef
Effects of a Health Diary Program on Fall-Related Outcomes in Low-Income Elderly Women with Osteoarthritis
Myung-Suk Lee
Journal of agricultural medicine and community health.2011; 36(3): 167. CrossRef

Relations among Knowledge, Fear and Efficacy of Fall in the Community Dwelling Elderly: Myung Soon Kwon; J Korean Acad Community Health Nurs. 2010;21(2):139-147. Published online June 30, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.2.139

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10 Citations

Abstract PDF

PURPOSE
This study was to find out knowledge, fear, and efficacy of fall in the community dwelling elderly and to investigate how the factors were connected to one another.
METHODS
Data were collected from June to August, 2009 from 101 aged people who aged 65 or older and agreed to participate in this study sampled among elders at 8 halls of the aged in local communities. The subjects were interviewed by a co-researcher and 3 trained assistants in a way of responding to the questionnaire after being read. The data were analyzed through t-test, ANOVA, Turkey's test and Pearson correlation coefficients.
RESULTS
Knowledge of fall was affected significantly by whether the living cost was provided or not, fear of fall was affected by sex, level of education, hearing impairment and regular exercise, and efficacy of fall was affected by age, sex, marital status, level of education, hearing impairment, vertigo and regular exercise. The results also showed a negative correlation between fear of fall and efficacy of fall.
CONCLUSION
According to this study, regular exercise can build up knowledge and efficacy of fall and diminish fear of fall. Thus it is highly recommended to include regular exercise in an effective fall-prevention program.

Citations

Citations to this article as recorded by

Latent classes based on fall risk factors in community‐dwelling older adults: The 2017 National Survey of Older Persons
Mi Yeon Kim, Jong Sun Ok, Heejung Choi
International Journal of Nursing Practice.2023;[Epub] CrossRef
Factors affecting the use of protective measures of farmers to prevent falling during the walnut collection period in Tuyserkan County
Saeid Bashirian, Salman Khazaei, Maryam Afshari, Ensiyeh Jenabi, Hamid Shokoohi, Zahra Zobdeh, Mehran Biglari, Behzad Gholamaliee
Archives of Trauma Research.2021; 10(3): 141. CrossRef
Understanding and Prevention of Fall-related Injuries in Older Adults in South Korea: A Systematic Review
Ki-taek Lim, Ji-eun Lee, Ha-eun Park, Su-young Park, Woochol Joseph Choi
Physical Therapy Korea.2019; 26(2): 34. CrossRef
The effect of a VR exercise program on falls and depression in the elderly with mild depression in the local community
Jong-Eun Yang, Tac-Young Lee, Jin-Kyung Kim
Journal of Physical Therapy Science.2017; 29(12): 2157. CrossRef
Factors influencing fall prevention nursing performance of hospital nurses
Keong-Sook Jang, Hae-Sook Kim
The Korean Journal of Emergency Medical Services.2016; 20(3): 69. CrossRef
A Structural Equation Model of Fall Prevention Behavior among Community-dwelling Older Adults with Osteoarthritis
Keong Sook Jang, Rhayun Song
Korean Journal of Adult Nursing.2015; 27(6): 684. CrossRef
A Predictive Model of Fall Prevention Behaviors in Postmenopausal Women
Hyun-Jung Jang, Sukhee Ahn
Journal of Korean Academy of Nursing.2014; 44(5): 525. CrossRef
Relations among Fall Efficacy, Perception of Fall Risk and Fall Prevention Behavior in the Frail Elderly at Home
Young-Hee Kim
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(7): 3383. CrossRef
Analysis of Factors Influencing Risk of Fallings among Rehabilitation Patients with Impaired of Mobility: Focusing on Activities-specific Balance Confidence
Dongwook Han, Kyung-Yeon Park
Journal of Korean Academy of Fundamentals of Nursing.2013; 20(3): 220. CrossRef
Prevalence and correlates of fear of falling in Korean community-dwelling elderly subjects
Seonho Kim, Wi-Young So
Experimental Gerontology.2013; 48(11): 1323. CrossRef

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