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Abstract #48045 Published in IGR 13-4
Analysis of multi-variate recurrent fall risk factors in elderly people using residential assessment instrument-home care - comparisons between single and recurrent fallers -
Yoo I-YJournal of Korean Academy of Nursing 2011; 41: 119-128
Purpose: This study was done to determine the risk factors for recurrent fallers (2+falls) compared to single fallers. Methods: Participants were 104 community-dwelling people 65 yr of age or older. The data were collected from June 1, 2008 to June 30, 2009 using the Residential Assessment Instrument-Home Care. Results: Over the past 90 days, 55.7% of the 104 participants fell once, and 44.2% experienced recurrent falls (2+falls). In comparison of recurrent fallers with single fallers, there were significant differences in scores on the following factors: gender ((chi)(2)=4.22, p=.040), age ((chi)(2)=5.74, p=.017), educational level ((chi)(2)=5.22, p=.022), living arrangements ((chi)(2)=35.02, p<.001), cardiovascular diseases ((chi)(2)=17.10, p<.001), hypertension ((chi)(2)=4.43, p=.035), diabetes mellitus ((chi)(2)=4.44, p=.035), glaucoma ((chi)(2)=13.95, p<.001), Minimal Data Set (MDS)-Pain (t=-2.56, p=.012), fear of falling ((chi)(2)=4.08, p=.034), reduced vision (t=-3.06, p=.003), MDS-activity of daily living (t=3.46, p=.001), MDS-Instrumental Activities of daily living (t=3.24, p=.002), cognition (MDS-Cognition Performance Scale) (t=3.40, p=.001), and 'difficulties entering and leaving the house' ((chi)(2)=4.53, p=.033). Conclusion: It is important to assess the risk factors for recurrent falls and develop differentiated strategies that will help prevent recurrent falls. Additionally, utilizing a standardized tool, such as RAI-HC, would help health professionals assess multi-variate fall risk factors to facilitate comparisons of different community care settings (copyright) 2011 Korean Society of Nursing Science.
I.-Y. Yoo. Department of Nursing, Jeonju University, Jeonju, South Korea. Email: yiny@jj.ac.kr
Classification:
1.4 Quality of life (Part of: 1 General aspects)
9.4.15 Glaucoma in relation to systemic disease (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
