Home Environmental Hazards of Falling Accident in the Elderly

노인가정의 낙상사고 위험 환경요인

  • 박영혜 (가톨릭대학교 의정부 성모병원) ;
  • 문정순 (가톨릭대학교 간호대학)
  • Published : 2005.12.30

Abstract

Purpose: To assess the environmental hazards of falling accident in the homes of the elderly. Method: 222 homes of the elderly were assessed by the home environmental Checklist from May to July in 2003. Results: The mean score of home environmental hazards for fall were 13.19 with the highest score being 49, ranging from 4 to 24. The bathroom was the most hazardous place in the home, porch came next bedroom, kitchen, living room and stair followed them. The floor surface such as finishes and non-skid mats was the most hazardous interior factor in the home, using bathroom came next furniture and illumination followed them. The floor surface such as finishes and non-skid mats in the bathroom, kitchen, living room and porch, illumination of bedroom and stair were the most prevalent hazards in the home of interior. Of the 49 potential hazards, bathroom grab bar was the most prevalent one with 89.9%, and non-skid rugs in the porch, bathroom and kitchen, safety of dinner table, the threshold and furniture of porch, and illumination of bedroom were prevalent more than half of the home under assessing. Men, living in the separate house or villa with stairs were in more hazardous environments. Conclusion: To reduce the potential hazards of fall accident in the home, improving hazards relating to floor surface such as slip resistance surface and mats is important specially those of the separate house or villa with stairs.

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References

  1. 박영혜. 지역사회 재가노인의 낙상위험 요인 사정[석사학위논문]. 서울: 가톨릭대학교 대학원, 2004.
  2. 백경원, 송현종, 조준필. 화장실에서의 노인 낙상 예방을 위한 안전 손잡이 효과. 한국노년학회지 2002;22(3):85-98
  3. 보건복지부. 보건복지통계연보. 경기: 보건복지부,2004
  4. 송경애, 문정순, 강성실, 최정현. 지역사회 재가 노인들의 낙상공포에 관한 연구. 한국보건학회지 2001; 15(2): 324-333
  5. 이해각. 가정 내 노인 안전 실태조사 결과. 한국소비자보호원 소비자 안전국,2000
  6. 정영호. 사고사로 인한 손실소득액 추계. 보건복지 포럼, 2002;65:83-90
  7. 조경환. 낙상. 가정의학회지 1997;18(11):1201-1204
  8. Carter SE. Environmental hazards in the homes of older people, Age Ageing 1997;26:195-201 https://doi.org/10.1093/ageing/26.3.195
  9. Gill TM, Robison JT, Williams CS, Tinetti ME. A population-based study of environmental hazards in the homes of older persons. Am J Public Health 1999; 89(4):553-556 https://doi.org/10.2105/AJPH.89.4.553
  10. Northridge ME, Nevitti MC, Link B. Home Hazards and Falls in the elderly; The role of health and functional status. Am J Public Health 1995;85(4):509-515 https://doi.org/10.2105/AJPH.85.4.509
  11. Norton R, Campbell AJ. Lee-Joe T, Robinson E, Butler M. Circumstances of falls resulting in hip fractures among older people. J Am Geriatr Soc 1997;45(9):1108-1112
  12. Ray WA et al. A randomized trial of a consultation service to reduce falls in nursing homes. JAMA 1997;278(7): 557-562 https://doi.org/10.1001/jama.278.7.557
  13. Sattin RW, Rodriguez JG, DeVito CA, Wingo PA Home Environmental Hazards and the Risk of Fall Injury Events Among Community-Dwelling Older Persons. Am Geriatr Soc 1998;46(6):669-76
  14. Rubenstein LZ, Josephson KR. The Epidermiology of falls and syncope. Clin Geriatr Med 2002;18(2):141-158 https://doi.org/10.1016/S0749-0690(02)00002-2
  15. Stevens M, Holman CD. A, Bennett N. Preventing Falls in older people: impact of an intervention to reduce environmental hazards in the home. J Am Geriatr Soc 2001;49(11):1442-1447 https://doi.org/10.1046/j.1532-5415.2001.4911235.x
  16. Tideiksaar R. Fall in older persons. Mt Sinai J Med 1993;60(6):515-21
  17. World Health Organization. 2002 World Health Statistics