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KMID : 0388320230300010024
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Journal of Korean Academy of Fundamental Nursing
2023 Volume.30 No. 1 p.24 ~ p.34
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Influence of Fall-related Perception on Behavioral Intention of Fall Prevention among Hospitalized Older Patients
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Kim Young-Ju
Kim Su-Hyun
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Abstract
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Purpose: This study aimed 1) to identify hospitalized older patients' fall-related perceptions (including subjectivefall risk assessment, confidence in performing fall risk behavior, fear of falling, and recognition of fallconsequences) and behavioral intention for fall prevention, and 2) to investigate the influence of fall-relatedperceptions on the behavioral intention for fall prevention.
Methods: A cross-sectional survey was conductedamong 150 hospitalized older patients admitted to a large general hospital. A structured questionnaire wasadministered from October 1, 2020 to January 31, 2021. Cohen's kappa and multiple linear regression analysiswere utilized to analyze the data.
Results: The average scores were 1.43±0.65 for the subjective fall riskassessment, 4.08±0.44 for confidence in performing fall risk behavior, and 2.04±0.61 for the behavioral intentionfor fall prevention, on a 1~5 scale, with higher scores indicating higher levels of the attributes. They had an averageof 1.48±0.56 for fear of falling and 2.43±0.35 for the recognition of fall consequences, on a 1~4 scale. Lowagreement was found between the subjective fall risk assessment by hospitalized elderly patients and the objectivefall risk assessment by nurses using the Morse Fall Scale. The hospitalized elderly patients' subjective fall riskassessment, confidence in performing fall risk behavior, and fear of falling were significant factors influencingbehavioral intention for fall prevention.
Conclusion: The approach to preventing falls among hospitalized olderpatients should include assessing fall-related perceptions and providing education to correct inappropriateperceptions about falls.
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KEYWORD
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Accidental falls, Aged, Risk assessment, Risk reduction behavior
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