J Korean Acad Nurs.  2019 Apr;49(2):203-214. 10.4040/jkan.2019.49.2.203.

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

• Park BM
• Ryu HS
• Kwon KE
• Lee CY

• KMID: 2444835
• DOI: http://doi.org/10.4040/jkan.2019.49.2.203

Abstract

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.

Keyword

Long-Term Care; Accidental Falls; Goal; Aged; Patients

MeSH Terms

Accidental Falls
Aged*
Education
Follow-Up Studies
Humans
Long-Term Care*

Figure

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  Figure 1 Flow chart of the study.

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  Figure 2 Conceptual framework of a fringed fall prevention program on the King's goal attainment theory.

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