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Development and Effect of a Fall Prevention Program Based on the King's Goal Attainment Theory for Fall High-Risk Elderly Patients in Long-Term Care Hospital
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Bom Mi Park, Ho Sihn Ryu, Kyeung Eun Kwon, Chun Young Lee
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J Korean Acad Nurs 2019;49(2):203-214. Published online April 30, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.2.203
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 Abstract
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Purpose
The purpose of this study to develop a fringed fall prevention program based on King's goal attainment theory and education. This study is applied to the personal, interpersonal, and social systems of fall high-risk patients to test its effects.
Methods
This study was a nonequivalent control group pre- and post-test design. There were 52 fall high-risk patients in the experimental group and 45 in the control group. The experimental group received six sessions, with the group sessions lasting 60 minutes and the individual sessions lasting 20~30 minutes. Data were analyzed using descriptive statistics, an χ2-test, a paired sample t-test, and a Wilcoxon signed-ranks test utilizing IBM SPSS software.
Results
For the 3-month intervention period, the fall prevention program was found to be particularly effective for patients in the experimental group (from 3.38 to 1.69 per 1000 patient days; p=.044), as opposed to the control group (from 1.94 to 1.49 per 1000 patient days; p=.300). For the 6-month follow up period, the fall prevention program was again found to be effective for patients in the experimental group (from 3.26 to 0.76 per 1000 patient days; p=.049) compared to the control group (from 1.98 to 1.01 per 1000 patient days; p=.368).
Conclusion
These results
indicate that the fringed fall prevention program is very effective in reducing falls, not only during the intervention period, but also after the intervention period has ended. We can therefore recommend this program for use concerning fall high-risk patients in long-term care hospitals.
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Citations
Citations to this article as recorded by  - Recent advances in the identification of related factors and preventive strategies of hip fracture
Yaohui Yu, Yudan Wang, Xiaoli Hou, Faming Tian
Frontiers in Public Health.2023;[Epub] CrossRef - Falls in Patients of Medical Institutions in South Korea: A Literature Review
Jongwon Choi, Woochol Joseph Choi
Physical Therapy Korea.2023; 30(1): 1. CrossRef - Effects of a Fall Prevention Program Based on Goal Attainment Theory for Homebound Older Adults With Osteoarthritis of the Lower Extremities
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Orthopaedic Nursing.2022; 41(6): 414. CrossRef - Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
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Healthcare.2021; 9(6): 699. CrossRef - EFFECTIVENESS OF EDUCATIONAL INTERVENTIONS FOR FALL PREVENTION: A SYSTEMATIC REVIEW
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Texto & Contexto - Enfermagem.2021;[Epub] CrossRef - Application Value of Rehabilitation Nursing in Patients with Stroke Based on the Theory of Interactive Standard: A Randomized Controlled Study
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Evidence-Based Complementary and Alternative Medicine.2021; 2021: 1. CrossRef - A prospective cohort study of the risk factors for new falls and fragility fractures in self-caring elderly patients aged 80 years and over
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BMC Geriatrics.2021;[Epub] CrossRef - Development and Effect of a Fall Prevention Program Based on King’s Theory of Goal Attainment in Long-Term Care Hospitals: An Experimental Study
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Healthcare.2021; 9(6): 715. CrossRef - Development of Fall Inducement System based on Pedestrian Biological Data for Fall Reproduction
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Journal of Korea Robotics Society.2020; 15(3): 286. CrossRef
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