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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
  • 946 View
  • 77 Download
AbstractAbstract 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.
Factors Influencing Fear of Dementia among Middle-Aged and Older Adults
Bo Ram Kim, Hee Kyung Chang
J Korean Acad Community Health Nurs. 2020;31(2):156-165.   Published online June 30, 2020
DOI: https://doi.org/10.12799/jkachn.2020.31.2.156
  • 758 View
  • 38 Download
  • 4 Citations
AbstractAbstract PDF
Purpose
This study was performed to identify the factors influencing the fear of dementia in middle-aged and older adults.
Methods
Data on the characteristics, dementia knowledge, dementia attitude, dementia health beliefs, and fear of dementia of 156 participants were collected from January 20 to March 22, 2018, using a structured questionnaire. The data were analyzed with the SPSS/WIN 21.0 program for descriptive statistics, using an independent t-test, one-way analysis of variance, Pearson’s correlation coefficient, and stepwise multiple regression.
Results
Significant factors associated with fear of dementia among middle-aged and older adults were subjective life satisfaction (F=3.72, p=.006) and regular exercise (t=6.05, p=.015). Fear of dementia has positive correlations with dementia attitude, perceived susceptibility, perceived severity, and perceived barrier. The determining factors affecting fear of dementia in middle-aged and older adults were perceived severity (β=.46, p<.001), followed by a perceived barrier (β=.20, p=.004) and perceived susceptibility (β=.17, p=.023), and the explanation power was about 47.8%.
Conclusion
The results suggest that perceived severity, perceived barrier, and perceived susceptibility be considered in developing the nursing interventions to increase perceived severity, perceived susceptibility, and to decrease perceived barrier to dementia by evaluating dementia health beliefs to manage the fear of dementia among middle-aged and older adults.

Citations

Citations to this article as recorded by  
  • Factors associated dementia preventive behavior of older adults in a local community: Application of the information-motivation-behavioral skills model: A cross-sectional study
    Eun Hye Ha, Mi Yang Jeon
    Journal of Korean Gerontological Nursing.2023; 25(1): 34.     CrossRef
  • Illness Experiences of People with Young-onset Dementia
    Suyoun Ahn, Yeojin Yi
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(1): 67.     CrossRef
  • Quality of life in bladder cancer: systematic review and meta-analysis
    Sima Rafiei, Golnaz Kheradkhah, Grigorios Kotronoulas, Maryam Doustmehraban, Farnoosh Shafiei, Maryam Masoumi, Elaheh Parnian, Elmira Nosrati Sanjabad, Ahmad Ghashghaee
    BMJ Supportive & Palliative Care.2023; 13(e3): e707.     CrossRef
  • Changes in surface content and crystal structure after fluoride gel or hydroxyapatite paste application on stripped enamel
    Sang-Cheol Kim, Hyun-Sil Hong, Young-Cheol Hwang
    The Korean Journal of Orthodontics.2008; 38(6): 407.     CrossRef
A Concept Analysis of Fear of Dementia
Min Kyung Lee, Dukyoo Jung
J Korean Acad Community Health Nurs. 2018;29(2):206-219.   Published online June 30, 2018
DOI: https://doi.org/10.12799/jkachn.2018.29.2.206
  • 1,016 View
  • 11 Download
  • 3 Citations
AbstractAbstract PDF
PURPOSE
This study tries to identify and clarify the concept of fear of dementia.
METHODS
The hybrid model method was used to perform a conceptual analysis of fear for dementia. Results from both the theoretical review of 35 studies and the field study with 8 community-dwelling older adults were included in the final stage.
RESULTS
Fear for dementia had 4 dimensions with 14 attributes including cognitive factors (direct experience of precursor symptoms of dementia, indirect experience of dementia, preliminary knowledge of dementia, impossibility of cognitive control, and confidence in dementia), emotional factors (negative feelings and pessimistic thoughts), social factors (social isolation, economic instability, embarrassment), and behavioral factors (existing health problems, making efforts to maintain health, impossibility of body control, peripheral autonomic nervous system response) along with 34 indicators.
CONCLUSION
This study is meaningful because it reveals the attributes of Korean elderly adults' fear for dementia. In addition, the results may serve as a basis for the early assessment and management of fear for dementia.

Citations

Citations to this article as recorded by  
  • The relationship between dementia education and preventive behaviors: The mediation of fear and knowledge of dementia
    Jina Han
    Korean Journal of Health Education and Promotion.2023; 40(2): 55.     CrossRef
  • Factors Influencing Fear of Dementia among Middle-Aged and Older Adults
    Bo Ram Kim, Hee Kyung Chang
    Journal of Korean Academy of Community Health Nursing.2020; 31(2): 156.     CrossRef
  • Development and Psychometric Evaluation of a Fear of Dementia Scale for Community-Dwelling Older Adults
    Minkyung LEE, Dukyoo JUNG
    Journal of Nursing Research.2020; 28(3): e94.     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
  • 514 View
  • 0 Download
  • 10 Citations
AbstractAbstract 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
Experience of Falls and Predictors of Falls in the Elderly at Senior Citizens' Centers
In Young Yoo, Jung Hyun Choi
J Korean Acad Community Health Nurs. 2007;18(1):14-22.   Published online March 31, 2007
  • 184 View
  • 1 Download
AbstractAbstract PDF
PURPOSE
The purpose of this study was to investigate the experience of falls, the fear of falling and fall efficacy and identify the predictors of falls in the elderly at senior citizens' centers.
METHOD
The subjects of this study were 106 elders who used senior citizens' centers in Chungcheongbuk-do, Korea. Data were collected from May to June, 2006 through a survey using a structured questionnaire.
RESULT
Of the elderly sampled, 35.8% experienced falls during the last 1 year. Of falls experienced by the elderly, 53% occurred indoors, 47% outdoors, 15.8% in the bathroom or toilet. In addition, 57.8% of the elderly had injuries on the hip and waist related with falls. The fear of falling was higher in those with experience in falls than in those without. Factors affecting the elders' falls were age (OR=1.113, 95% CI=1.012-1.224), the number of chronic disease (OR=2.342, 95% CI=1.365-4.019) and the fear of falling (OR=4.279, 95% CI=1.901-9.634). The predictor of the frequency of falls was fall efficacy (R2=24.9).
CONCLUSION
As a result, it is essential to develop fall prevention programs based on the fear of falling, fall efficacy, chronic diseases and medication state. And in senior citizens' centers, fall prevention safety education should be activated as a health promotion program.

RCPHN : Research in Community and Public Health Nursing