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NTIS 바로가기지역사회간호학회지 = Journal of korean academy of community health nursing, v.30 no.2, 2019년, pp.141 - 149
박난주 (한양대학교 간호학과) , 신용순 (한양대학교 간호학과)
Purpose: The purpose of this study is to identify risk factors of accidental falls by age in the Korean elderly. Methods: The study subjects included 10,242 community-dwelling elders aged 65 or over. The data were analyzed by logistic regression analysis. Results: The risk factors of accidental fall...
핵심어 | 질문 | 논문에서 추출한 답변 |
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낙상의 위험요인은 어떻게 분류될 수 있는가? | 낙상의 위험요인은 크게 인구학적 특성, 신체적 건강 특성, 인지 ․ 정서적 특성 등으로 분류될 수 있으며[2], 최근에는 다양한 건강 관련 생활양식과의 관련성도 중요시되고 있다[3]. 인구학적 특성 중 연령[6,10], 성별[11,12], 소득 수준, 교육 수준, 배우자 유무[5]가 낙상의 위험요인으로 알려져 있다. | |
한국노인의 낙상과 관련 있는 요인들로는 무엇이 있는가? | 특히, 한국 노인은 후기 노인의 뚜렷한 증가 및 초기 노인의 감소 경향 등의 인구구조적 변화를 보이는데[18], 2014년도 노인실태 조사분석[19]에 따르면 한국노인의 건강수준은 85세를 전후로 신체 활동성이 급격히 저하되면서 연령과 역U자형의 안전사고율을 보이며, 독거 비중이 다소 낮아지고, 공적 소득이 85세를 기점으로 급격히 저하되는 등의 변화를 보여 연령 군별 차이를 분명히 나타낸다고 하였다. 이러한 변화요인들은 낙상과 관련 있는 요인으로 알려져 있다[9]. | |
낙상 두려움은 어떤 역할을 하는가? | 28배와 비교해서도 상당히 높은 결과인데 [5,10,26], 특히 보다 낮은 연령군에서 예측 강도가 높은 특성을 보였다. 또한 낙상 두려움은 노인의 활동을 저해하는 심적 장벽과 같은 역할을 하며, 이는 낙상 가능성을 증가시키고 낙상으로 인한 경험은 또한 활동을 억제시키는 순환적 개념으로 이해되고 있다[13,24,27]. 낙상 두려움은 낙상 및 재낙상, 노인의 신체 기능과 긴밀하게 관련되어 있을 뿐 아니라[8,24], 불안[24], 우울, 외로움, 삶의 만족도, 자기효능감 등[25] 다양한 심리적 요인과 매우 강한 관련성을 가지는 것으로 알려져 있다. |
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