입원 노인환자의 낙상에 대한 지식 및 예방 행위

Other Titles
Fall-related Knowledge and Prevention Behavior among Hospitalized Elderly Inpatients
Authors
김민영
Issue Date
2008-06
Awarded Date
2008
Abstract
The purpose of this descriptive study was to investigate fall-related knowledge and prevention behavior among elderly patients in a general hospital The compiling of data was made during the period from March 14 to April 13, 2008. The research design was descriptive study.. The subjects were 241 elders over 65 years old who were hospitalizing in one of university hospitals in Daegu. Data were collected by using structured questionnaire. Data were analyzed by SPSS WIN 14.0 program, and frequency, percentage, the mean, standard deviation, Pearson correlation coefficient, ANOVA, Scheffe were used for analysis of relationship among variables. The results of the study are summarized as follows: 1. Of all subject, 29.5% had fallen once or more during the last twelve months. Of those, who had an incidence of falls while hospitalizing accounted for 4.6%. 2. On the basis of 15 points, the mean score for knowledge towards falls was 7.36±3.55. It states how little those were educated. In general characteristic, the variables which was significant about falls knowledge were generation(t=2.12, p=0.035), educational background(F=6.14, p=0.000), the married(single) state(t=3.26, p=0.001), and major care-giver(F=3.25, p=0.022). The scores for knowledge towards falls were significantly high for those who usually sleep on bed(t=2.10 p=0.037), and low for those who had an incidence of falls while hospitalizing(t=7.62, p=0.006) 3. On the basis of 40 points, the mean score for prevention behavior towards falls was 27.27±4.98. In general characteristic, the variable which was significant about prevention act towards falls was educational background(F=5.67, p=0.001). The score for prevention behavior towards falls was significantly low for those who had an incidence of falls while hospitalizing (t=4.23, p=0.041). 4. 72.7% of those who had an incidence of falls had comorbid diagnosis, including self-perceived risk of falls, taking medication in relation to falls. 63.6% of those who had an incidence of falls had usually occurred at bed in patient room. Those who had an incidence of falls during night duty of nurse for 29.5%. As a result of this study, it says that the elder patients hospitalizing in general hospital got lower in score for knowledge and prevention behavior towards falls. Fall-related is multifactorial charactors. Also, of those, who had an incidence of falls while hospitalizing is multifactorial charactors. Therefore, it's necessary to develop multifactorial preventive programmes including simultaneous assesment and reduction of many of the indivisual's predisposing and situational risk factors to prevent falls of elders, and imminent to adopt education methods that are easy for elders to understand.
본 연구는 종합병원에 입원한 노인 환자를 대상으로 하여 낙상에 대한 지식 및 예방행위를 파악하기 위하여 실시하였다. 자료수집은 2008년 3월 14일부터 2008년 4월 13일까지 이루어졌으며, 연구설계는 서술적 조사연구이다. 연구대상은 D광역시 소재 1개 대학병원에 입원중인 65세 이상 노인환자 241명을 대상으로 하여 구조화된 설문지를 사용하여 조사하였다. 자료분석은 SPSS WIN 14.0 program을 이용하여 빈도, 백분율, 평균, 표준편차, ANOVA, Scheffe, Pearson correlation coefficient로 분석하였다. 본 연구결과를 요약하면 다음과 같다. 1. 최근 1년 이내에 낙상을 경험한 대상자는 29.5%이었고, 입원기간 중 낙상을 경험한 대상자는 4.6%이었다. 2. 낙상에 대한 지식은 15점 만점에, 평균 7.36±3.55점으로 지식정도가 낮게 나타났다. 일반적인 특성에서 낙상 지식에 유의한 차이가 있었던 변수로는 성별(t=2.12, p=0.035), 최종학력(F=6.14, p=0.000), 결혼상태(t=3.26, p=0.001), 주돌봄자(F=3.25, p=0.022)이었다. 평소 침대생활을 경험한 대상자에서 낙상 지식점수가 유의하게 높았다(t=2.10 p=0.037). 입원기간 중 낙상을 경험한 대상자가 낙상 지식점수가 유의하게 낮았다(t=7.62, p=0.006). 3. 낙상에 대한 예방행위는 40점 만점에, 평균 27.27±4.98점으로 낮게 나타났다. 일반적인 특성에서 낙상 예방행위에 유의한 차이가 있었던 변수로는 최종학력이었다(F=5.67, p=0.001). 입원기간 중 낙상을 경험한 대상자가 낙상예방행위점수가 유의하게 낮았다(t=4.23, p=0.041). 4. 입원기간 중 낙상을 경험한 대상자 중 동반질환을 가진 경우는 72.7%이었으며, 100% 모두 낙상위험증상이 있었고 낙상과 관련이 있는 약물을 복용하고 있었다. 낙상 발생시간은 밤번 근무시간이 72.7%이었고, 낙상 발생 상황은 병실 침대에 오르내리다가 발생한 경우가 63.6%이었다. 본 연구의 결과를 종합해 보면, 종합병원에 입원한 노인 환자들의 낙상 지식과 예방행위가 낮았고 이와 관련 있는 특성은 다양하였다. 또한 입원 중 낙상 경험자의 특성과 낙상발생시의 상황도 다양하였다. 따라서 노인 입언 환자의 낙상을 예방하려면 개인의 내적요인과 상황적 위험요인을 동시에 사정하고 지식과 예방행위를 높일 수 있는 다양한 요인을 포함한 예방프로그램을 개발하고, 교육의 효과를 높이기 위해 노인의 학습효과를 고려한 적절한 교육방법을 적용할 필요가 있다고 하겠다.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/11085
Appears in Collections:
3. 학위논문 > 2. College of Nursing (간호대학) > 석사
Full Text
http://dcollection.kmu.ac.kr/jsp/common/DcLoOrgPer.jsp?sItemId=000000007255
File in this Item
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE