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KMID : 0123520140210010036
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Journal of muscle and joint health
2014 Volume.21 No. 1 p.36 ~ p.45
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Fall Risk in the Community-dwelling Elderly who Received Home Care Services - Focused on Residential Environment and Perception of Fall Risk -
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Lee Chong-Mi
Cho Bok-Hee
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Abstract
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Purpose: The purpose of this study was to investigate the factors increasing fall risk in the residential environment risk and the perceived fall risk among the older adults who received home care services to provide information for developing a comprehensive falls intervention program.
Methods: The subjects were 227 community-dwelling elderly aged 65 years and over who were taken care of by home-visiting nurses of the national health centers. The data were collected from July to August in 2012 using the Choi"s residential environmental risk scale (2010) and the Hong"s fall risk scale (2011).
Results: Requires an assistive devices to walk, modified residential environment, health security, approval certificate of LTC, residential safety perception, residential environment risk, and perception of fall risk were statistically significant risk factors. A multiple logistic regression analysis showed that room & kitchen, physical perception, medication & ADL perception, floor-related environmental perception, and daily living tool-related perception were statistically significant predictors of fall.
Conclusion: The results showed that the residential environment and the perceived fall risk were associated with fall experiences among the elderly. It is necessary to develope multifactorial intervention programs considering both environmental and perceived risk factors as well as physical risk factors to reduce and prevent falls among the elderly.
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KEYWORD
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Home care services, Accidental falls, Elderly,
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