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치매노인의 낙상위험요인에 관한 메타분석

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Author(s)
박희옥
Alternative Author(s)
Park, Hee Ok
Publication Year
2017
Keyword
FallDementiaMeta-analysis
Abstract
Purpose: The purpose of this study was to provide data about the risk factors related to falls among elderly patients with dementia using meta-analysis. Methods: Key words used for search through electronic database (CINAHL, PubMed, Ovid-MEDLINE, RISS, KISS, DBPIA, National Assembly Library) included ‘dementia’, ‘Alzheimer’, ‘fall’. Twenty studies met the inclusion criteria for the meta-analysis and 'R' version 3.2.2 was used to analyze the correlated effect size. Results: Study results showed that risk factors related to falls were identified as the demographic (age, gender, education), dementia-related (disease duration, cognition), physical (body mass index, walking, balance, activity of daily living, use of walking aids, number of medications including psychotropic drugs, musculoskeletal problems, parkinsonism, comorbidity), psychological (neuropsychiatric symptom, depression), environmental (Physical environment), and fall-related (fall history, high risk group of fall) factors. The effect size of risk factors such as high risk group of fall (r=.35), use of walking aids (r=.33), depression (r=.31), psychotropic drugs (r=.27), Musculoskeletal problems (r=.25) were higher than the other risk factors. Conclusion: Based on the findings of this study, strategies to improve elderly patient's depression, intensive care for high risk group of fall, and adequate training with walking aids are needed for prevention of falls in elderly patients with dementia.
Alternative Title
A meta-analysis of the risk factors related to falls among elderly patients with dementia
Department
Dept. of Nursing (간호학)
Publisher
College of Nursing
Citation
korean Journal of Adult Nursing, Vol.29(1) : 51-62, 2017
Type
Article
ISSN
1225-4886
DOI
10.7475/kjan.2017.29.1.51
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/32495
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