한국 농촌지역 노인에서 낙상 경험과 낙상 두려움이 일상활동 제한에 미치는 영향

이주현,안은미,김계은,정유경,김정현,김지혜,이건아,임세진,정소원 대한노인병학회 2009 Annals of geriatric medicine and research Vol.13 No.2

Background: The purpose of this study is to assess the prevalence of falls and to correlate if the fear of falling results in avoidance of activities in a rural community elderly population. Methods: A cross-sectional study was done in 299 rural residents in Korea aged >60 years, between June 19, 2007 and June 21, 2007. Questionnaires about basic demographics, falling events, fear of falling (K-ABC), and limitations of daily activities (K-IADL) were completed. Results: Among the 299 participants, 26.1% had experienced a fall. 197 participants confirmed that they experienced fear of falling (66.9%). This was further broken down to participants who were 'a little concerned’ (31.4%), ‘much concerned’ (20.7%), and ‘very much concerned’ (13.7%). 183 people (61.2%) had limited daily activities caused by a fear of falling. Fallers experienced higher levels of anxiety and fear of falling than non-fallers (p<0.001). Comparing fear of falling with limited daily activities shows that the greater the fear of falling, the larger the limitation in daily activities and the lower the K-IADL score. After adjusting for falling, multiple linear regression showed that fear of falling and limited daily activities were positively correlated (p<0.001). Among groups with fear of falling, non-fallers, exercise group (p=0.024), and good perceived health group (p=0.022) had no limitations in activities compared with the control groups. Conclusion: Modifying drinking habits, diet habits, and social activities associated with perceived health states may improve daily activity levels in the elderly residing in rural communities, even though they have the fear of falling. 연구배경: 최근 노령화가 진행됨에 따라 노인 질환의 증가와 의료비 상승이 중요한 사회문제로 등장하고 있다. 이 연구는 농촌지역 노인의 낙상 경험 유무에 따른 낙상 두려움 정도를 조사하고, 낙상 두려움이 일상활동 제한 여부와 연관성이 있는가를 조사한 연구이다. 방법: 연구 대상자는 2007년 6월 19일에서 2007년 6월 21일까지 춘천시 사북면 5개 리에 거주하는 60세 이상 노인 299명이며, 가정 방문을 통하여 설문조사를 실시하였다. 결과: 연구 대상자 299명 중 지난 1년간 낙상을 경험한 노인은 78명(26.1%)이었고, 낙상 경험 노인과 비경험 노인의 일반적 특성을 비교한 결과, 성별, 배우자 유무, 교육수준, 고혈압, 골절에서 유의한 차이가 있는 것으로 나타났다(p<0.05). 연구 대상자의 낙상에 대한 두려움은 197명(66.9%)에서 있었고, 대상자의 183명(61.2%)에서 낙상에 대한 두려움으로 일상활동을 제한하고 있는 것으로 나타났다. 낙상 경험 유무에 따른 낙상 두려움의 차이를 분석한 결과, 낙상 경험 집단이 주관적 염려도 높고, 균형 자신감이 낮아 낙상에 대한 두려움이 낙상 비경험 집단보다 크게 나타났다(p<0.001). 낙상에 대한 두려움 유무에 따른 노인의 일상활동 제한 정도를 비교한 결과 두려움이 커질수록 주관적 일상활동 제한이 크게 나타나고, K-IADL(도구적 일상활동 수행능력) 점수도 낮아졌다. 낙상 경험을 보정하더라도 낙상에 대한 두려움이 커질수록 일상활동 제한이 높은 것으로 나타났고(p<0.001), 낙상에 대한 두려움이 있더라도 일상활동 제한이 있는 경우와 없는 경우를 비 교 분석하여 관련 요인을 알아본 결과 낙상 비경험집단, 운동을 하는 집단(p=0.024), 주관적 건강수준이 좋은 집단 (p=0.022)에서 낙상 두려움이 있더라도 일상활동 제한이 없는 것으로 나타났다. 결론: 낙상에 대한 두려움은 자신감의 결여이며, 낙상경험과 무관하게 낙상에 대한 두려움 자체로도 일상활동에 부정적 영향을 미쳐서 활동을 억제하게 되는 것을 본 연구를 통해 알 수 있다. 또한 낙상의 두려움이 있더라도 운동을 하고 주관적 건강수준이 좋은 집단에서는 일상활동 제한이 없다는 본 연구 결과에 따라 농촌 노인의 주관적 건강수준에 영향을 미치는 인자들에 대한 교정을 통해 주관적 건강수준을 높인다면 낙상 두려움이 있는 노인일지라도 일상활동을 영위하는 수준을 높일 수 있을 것이다.

양로원 노인에 있어서의 낙상의 발생률과 관련 요인

김민정,조한규,선우성,김성원,조홍준 대한노인병학회 1999 Annals of geriatric medicine and research Vol.3 No.4

Design of Falling Context-aware System based on Notification Service using Location Information and Behavior Data

권태우,이대표,이종용,정계동 한국인터넷방송통신학회 2018 International Journal of Internet, Broadcasting an Vol.10 No.3

The majority of existing falling recognition techniques provide service by recognizing only that the falling occurred. However, it is important to recognize not only the occurrence of falling but also the situation before and after the falling, as well as the location of the falling. In this paper, we design and propose the falling notification service system to recognize and provide service. This system uses the acceleration sensor of the smartphone to recognize the occurrence of a falling and the situation before and after the falling. In order to check the location of falling, GPS sensor data is used in the Google Map API to map to the map. Also, a crosswalk map converted into grid-based coordinates based on the longitude and latitude of the crosswalk is stored, and the locations before and after falling are mapped. In order to reduce the connection speed and server overload for real-time data processing, fog computing and cloud computing are designed to be distributed processing.

Design of Falling Context-aware System based on Notification Service using Location Information and Behavior Data

TaeWoo Kwon,Daepyo Lee,Jong-Yong Lee,Kye-Dong Jung 한국인터넷방송통신학회 2018 International Journal of Internet, Broadcasting an Vol.10 No.3

The majority of existing falling recognition techniques provide service by recognizing only that the falling occurred. However, it is important to recognize not only the occurrence of falling but also the situation before and after the falling, as well as the location of the falling. In this paper, we design and propose the falling notification service system to recognize and provide service. This system uses the acceleration sensor of the smartphone to recognize the occurrence of a falling and the situation before and after the falling. In order to check the location of falling, GPS sensor data is used in the Google Map API to map to the map. Also, a crosswalk map converted into grid-based coordinates based on the longitude and latitude of the crosswalk is stored, and the locations before and after falling are mapped. In order to reduce the connection speed and server overload for real-time data processing, fog computing and cloud computing are designed to be distributed processing.

낙상방지용 신발의 개발과 편마비 환자에서의 임상적 평가

김장환,이정원,유경훈 한국장애인재활협회 2011 재활복지 Vol.15 No.3

The purpose of this study was to develop the anti-falling shoes that assist the balance and prevent falling on hemiplegic patients and elderly people, and to investigate the effect of newly developed anti-falling shoes on the balance scale, test of falling, and gait characteristics of hemiplegic patients clinically. Eleven hemiplegic patients sujects paticipated in this study voluntarily. We provided the anti-falling shoes then asked the subjects to walk on the walkway under the two different shoes conditions. The characteristics of gait in hemiplegic subjects were evaluated using GAITRite system. Additionally Berg balance scale (BBS) and timed up and go (TUG) test for balance and risk of falling were conducted. In the results of this study, the differences of the anti-falling shoes compared with subjects's shoes are as follows: (1) the time-distance parameters of gait were not significant difference except walking speed, (2) BBS score was significantly increased, (3) TUG test score was significantly increased. These findings indicate that the anti-falling shoes compared with subject's shoes have no difference in gait and is effective in enhancing balance and decreasing the falling. 본 연구의 목적은 편마비환자 및 노인들의 균형을 돕고 낙상을 방지하기 위한 신발을 개발하 고, 이를 편마비환자에게 적용하여 균형, 낙상위험도, 그리고 보행특성을 임상적으로 평가하는 것이다. 연구대상자는 총 11명이 자발적으로 참여하였다. 자신의 신발과 낙상방지용 신발을 착용 한 경우의 2가지 신발 조건에서 GAITRite 보행분석장비를 사용하여 보행의 시간-거리 변수를 측 정하였으며, 균형과 낙상위험도 평가를 위하여 버그 균형척도와 timed up and go(TUG) 검사를 실시하였다. 측정결과 연구대상자들은 자신의 신발에 비하여 낙상방지용 신발을 착용했을 때, 보행속도를 제외한 보행의 시간-거리변수에서 유의한 차이를 나타내지 않았으며, 버그 균형척도와 TUG 측정 치는 유의한 차이를 나타내었다. 본 연구의 결과 낙상방지용 신발은 일반신발에 비하여 보행에 큰 차이를 주지 않으며, 균형을 개선시키고 낙상을 방지하는데 효과가 있었다.

Design of Falling Context-aware System based on Notification Service using Location Information and Behavior Data

Kwon, TaeWoo,Lee, Daepyo,Lee, Jong-Yong,Jung, Kye-Dong The Institute of Internet 2018 International Journal of Internet, Broadcasting an Vol.10 No.3

The majority of existing falling recognition techniques provide service by recognizing only that the falling occurred. However, it is important to recognize not only the occurrence of falling but also the situation before and after the falling, as well as the location of the falling. In this paper, we design and propose the falling notification service system to recognize and provide service. This system uses the acceleration sensor of the smartphone to recognize the occurrence of a falling and the situation before and after the falling. In order to check the location of falling, GPS sensor data is used in the Google Map API to map to the map. Also, a crosswalk map converted into grid-based coordinates based on the longitude and latitude of the crosswalk is stored, and the locations before and after falling are mapped. In order to reduce the connection speed and server overload for real-time data processing, fog computing and cloud computing are designed to be distributed processing.

지역 거주 노인의 균형 능력과 낙상 공포감의 관계

정미숙,박지원,Jung, Mi-Suk,Park, Ji-Won 대한물리치료학회 2012 대한물리치료학회지 Vol.24 No.1

Purpose: The purpose of this study was to examine the difference between the faller and the non-faller in the test for balance and fear of falling. This was also done to determine whether the balance and the fear of falling are correlated in the elderly. Method: Forty eight subjects participated in this study, who attended the senior center in Daegu. Prior to the test, demographic data was collected. As for the balance test, Berg Balance Scale (BBS), Timed Up & Go (TUG), Short Physical Performance Battery (SPPB), Functional Reach Test (FRT), and One Leg Stance (OLS) were used. For measuring the fear of falling, Falls Efficacy Scale (FES) and Activities-specific Balance Confidence Scale (ABC) were used. Independent t-test and Pearson's correlation was performed using PASW 18.0 for windows. Result: All balance tests, except OLS, and fear of falling could discriminate between the faller and the non-faller. There existed a significant correlation between some balance test and fear of falling (r=0.64~0.86). Conclusion: The findings indicate that assessing the falling in the elderly, there needs to be a consideration of multiple aspects including the fear of falling and not only the balance test.

여성 고령자의 낙상경험 및 낙상공포 수준에 따른 체력의 차이

김선연(Sun Yeon Kim),윤완영(Wan Young Yoon),이중철(Joong Chul Lee),임승길(Seung Kil Lim) 한국사회체육학회 2010 한국사회체육학회지 Vol.0 No.41

The purpose of this study was to verify the difference in physical fitness according to the experience of falling and intensity of fear of falling in elderly females. The subjects were comprised of 164 elderly women (aged 65-88). Subjects were divided into four groups: 1) have fallen-high K-SAFE group, 2) have fallen -low K-SAFE group, 3) have not fallen-high K-SAFE, 4) have not fallen-low K-SAFE group. Fear of falling was measured with Korean survey of activities and fear of falling (K-SAFE) questionnaire. Physical fitness was assessed by measuring upper and lower extremity strength, aerobic endurance, upper and lower extremity flexibility, agility, and dynamic and static balance. In order to analyze collected data, 2×2 ANCOVA was utilized. The statistical significance was accepted at .05 levels. The results were as follows: Age affect upper and lower extremity strength, aerobic endurance, upper extremity flexibility, agility, and dynamic and static balance(p<.05). Upper and lower extremity strength, aerobic endurance, lower extremity flexibility, agility, and dynamic and the static balance of the low K-SAFE groups were significantly higher than the high K-SAFE groups(p<.05). Upper extremity strength and upper extremity flexibility of the have not fallen groups were significantly higher than the have fallen groups(p<.05). In conclusion, high intensity of fear of falling was associated with a reduction in Upper and lower extremity strength, aerobic endurance, lower extremity flexibility, agility, and dynamic and the static balance. Therefore, if elderly women have an intense fear of falling, even though they did not actually fall, they need countermeasures, education in fall prevention and specific exercises to help strength a balance, which will help ease fears and prevent falls.

Risk Factors Associated with the Fear of Falling in Community-Living Elderly People in Korea: Role of Psychological Factors

JongIl Park,JongChul Yang,Sangkeun Chung 대한신경정신의학회 2017 PSYCHIATRY INVESTIGATION Vol.14 No.6

Little is known about the risk factors for the fear of falling in elderly Korean individuals. Thus, the present study aimed to investigate the risk factors for fear of falling in a representative elderly population of over 10,000 individuals aged 65 years and older. A multivariate multinomial analysis revealed that the risk factors associated with a severe fear of falling were being female [odds ratio (OR)=4.396], older age (OR=5.550 for those aged ≥85 years), lower level of education (OR=0.719 for those with ≥13 years of schooling), chronic illness (OR=2.788 for those with more than three chronic illnesses), poor subjective health (OR=6.268), functional impairments (OR=2.340), a history of falling (OR=7.062), and depression (OR=1.774). The ORs for each of these risk factors were particularly high in participants with a severe fear of falling. Particularly, a history of falling and/or poor subjective health status had strong independent associations with the fear of falling. The present findings may help health care professionals identify individuals that would benefit from interventions aimed at reducing the fear of falling.

낙상 두려움 정도와 주택 내부 공간 계획 요소 분석 - 고령자 및 고령자 진입 층을 중심으로

박성준 한국문화공간건축학회 2016 한국문화공간건축학회논문집 Vol.- No.54

This research aims to suggest the housing design directions for the elderly and the pre-elderly, responding to prevent the falling accidents and to decrease the fear of falling. The fear of falling reduces the possibility of ‘Active Aging’ and impedes the quality of life for the elderly and the pre-elderly. Therefore, the purpose of this study is for the elderly and the pre-elderly to suggest the housing design directions for ‘Active Aging’ through analyzing main factors related to the fear of falls both inside and outside, the scale in the fear of falls, and the housing design elements according to their priority. The methods of this study are literature review and questionnaire survey. By analyzing literatures and previous studies, we deduced the items for investigating the fear of falling and the preference and the importance in housing design elements based on the universal design and barrier-free design. According to the study, firstly, the elderly and the pre-elderly had the fear of fall regarding the outside activities in poor weather condition and the movement of bending over, going up and down the stairs. Secondly, the group experienced in falling had low satisfaction for the housing planning elements. Thirdly, the importance and the satisfaction of the housing planning elements were high overall regardless of their experience of falling. Lastly, the housing planning elements such as non-slip flooring, the accessibility of bedroom and kitchen, and the flexibility of storage space were considered by priority. In this research, the direction of the housing design elements for the elderly and the pre-elderly are proposed, correlating with the scale in the fear of falling, This research can be used as a basis of house remodeling principles in preparation of the population aging.