Effects of Telling older adults about the Home Safety Assessment for Elderly to Fall Prevention

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chonyitree sangwijit
Benyapha Sripanya
Kannikar Tappakit

Abstract

The objective of this study aimed to examine the effectiveness of telling older adults about the home safety self-assessment to prevent falls in community-dwelling. This study was quasi-experimental research. The population was elderly, aged 65 years and over who lived in Nakhamin sub-district, Phon Sawan district, Nakhon Phanom province for 927 persons in total. Calculate the sample size using G*Power, a sample size of at least 30 persons per group. The sample group was selected by purposive sampling based on inclusion and exclusion criteria. Data were collected using questionnaires for evaluate the effectiveness of telling in the experimental group received a home safety self-assessment and was given advice on improving the safe environment every week for a period of eight weeks. Falls data were collected every week until the end of eight weeks, while the control group received usual care. Data were analyzed using descriptive statistics. Wilcoxon signed-rank test was used to compare falls before and after the experiment. Repeated measure analysis of variance was used to compare results between experiments The results of the study found that 1) The area where falls were most common within the home in the bathroom area. The cause of the fall was due to the wet floor 2) The average number of falls in the experimental group, there was a statistically significant difference (p < 0.05) between before and after the experiment period. The average number of falls in the control group and the experimental group was a statistically significant difference (p < 0.05) at weeks 4, 5, 6, 7 and 8. Therefore, encouraging family members to use guidelines for evaluating the environment and improving it to be an age-friendly environment will increase safety and prevent falls in the elderly.

Article Details

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บทความวิจัย (Research article)

References

Abd-Elaziz, N. M., Elshiekh, O., Mohamed, O. and Awad, S. A. (2022). Effect of Environmental Management Guidelines on Home Safety level among Elderly People. NILES journal for Geriatric and Gerontology. 5(1),1-15. doiI: 10.21608/niles.2022.187686.

Campani, D., Caristia, S., Amariglio, A., Piscone, S., Ferrara, L. I., Barisone, M. and IPEST Working Group. (2021). Home and environmental hazards modification for fall prevention among the elderly. Public health nursing (Boston, Mass). 38(3),493-501. doi:10.1111/phn.12852.

Chomchaipon, J., Phoolawan, P., Insin, N., Vongsawat, K., Detsuttikorn P. and Ouppawongsapat, D. (2023). Kānpramœ̄n saphāpwǣtlō̜m læ thīyūʻāsai khō̜ng phūsūngʻāyu nai khē mư̄ang Sakon Nakhō̜n čhangwat Sakon Nakhō̜n [Environment and Housing for the Elderly Assessment in Muang SakonNakhon district, Sakon Nakhon Province]. Academic Journal of Health and Environment. 1(1),1-13.

Clemson, L. and Pighills, A. (2021). Environmental interventions to prevent falls at home and in the community Cambridge. UK : Cambridge University Press.

Department of Medical services, Ministry of Public Health. (2019). Khūmư̄ kān khat krō̜ng læ pramœ̄n sukkhaphāp phūsūngʻāyu Phō̜.Sō̜. 2564 [Geriatric screening and assessment 2022]. Bankok : Najanta creation Co.,Ltd.

Dimitrow, M., Saarenmaa, R., Airaksinen, M., Hassan, G., Puumalainen, E. and Pitrová, M. et al. (2023). Medication risk checklist for older adults (LOTTA)–development and validation of a self-assessment tool. Annals of medicine. 55(2),2287707. doi:10.1080/07853890.2023.2287707.

Dye, M., Hudson, S. and Pettersen, T. (2020). Occupation-Based Education for Fall Prevention in Community-Dwelling Older Adults : A Critically Appraised Topic Paper. America : University of North Dakota.

Ganz, D. A. and Latham, N. K. (2020). Prevention of falls in community-dwelling older adults. New England

Journal of medicine. 382(8),734-743.

Institute of Geriatric Medicine Department of Medical Services, Ministry of Public Health. (2019). Nǣothāng kāndūlǣ raksā klum ʻākān sūngʻāyu [Geriatric syndromes]. Nonthaburi : Is august Co., Ltd.

Institute of Geriatric Medicine. (2019). Nǣothāng wēt patibatkān pō̜ngkan læ pramœ̄n phāwa hoklom nai phūsūngʻāyu [Guidelines for medical practice to prevent and evaluate falls in the elderly]. Bangkok : Sinthavee printing Co.,Ltd.

International Health Policy Program. (2019). Rāingān phāra rōk čhāk patčhai yong khō̜ng prachākō̜n Thai Phō̜.Sō̜. sō̜ngphanhārō̜ihoksipsō̜ng [Burden of disease attributable to risk factors in Thailand 2019]. Nonthaburi : Handy press Co., Ltd.

Lektip, C., Chaovalit, S., Wattanapisit, A., Lapmanee, S., Nawarat, J. and Yaemrattanakul, W. (2023). Home hazard modification programs for reducing falls in older adults: a systematic review and meta- analysis. PeerJ, 11,e15699. doi:10.7717/peerj.15699.

Kenny, R. A., Romero-Ortuno, R. and Kumar, P. (2017). Falls in older adults. Medicine. 45(1),28-33.

Montero-Odasso, M., Van Der Velde, N., Martin, F. C., Petrovic, M., Tan, M. P., Ryg, J. and Masud, T. (2022). World guidelines for falls prevention and management for older adults: a global initiative. Age and ageing. 51(9),afac205. doi:10.1093/ageing/afac205.

Office of Ministry of Social Development and Human Security. (2021). Rāingān sathānakān thāng sangkhom čhangwat Nakhō̜n Phanom pračham pī Phō̜.Sō̜. sō̜ngphanhārō̜ihoksiphā. [Situation of the Nakhon Phanom Province older persons in 2022]. Retrieved December 2022, from https://nakhonphanom. m-society.go.th/.

Ponglitkailert, S., Singwee, C. and Sawangsopakul B. (2022). Kānčhatkān singwǣtlō̜m phư̄a pō̜ngkan kān hoklom kān prap tūa kān rūthao than sư̄ læ khunnaphāp chīwit khō̜ng phūsūngʻāyu nai khēha chumchon dindǣng Krung Thēp Mahā Nakhō̜n [Environmental Arrangement for Fall Prevention, Adaptation, Media Literacy and Quality of Life of the Elderly at Dindaeng Community Housing, Bangkok Metropolitan]. Lampang Rajabhat University Journal. 10(1),132-142.

Rogers, E. M. and Keller, F. F. (2006). Marketing Management. (12th ed). Upper Saddle River, NJ : Prentice- Hall.

Rungratchatchawan, P. and Nathapindhu, G. (2021). Health Problems and Factors Contributing to Accident in Elderly, Makha Sub-District, Nontai District, Nakhon Ratchasima Province. Journal of Health Science and Community Public Health. 4(2),145-159.

Suankool, P. and Intayos, H. (2023). Prasitthiphon khō̜ng rūpbǣp kān pō̜ngkan kān phlat tok hoklom khō̜ng phūsūngʻāyu thī ʻāsai yū nai chumchon [The effectiveness of the fall prevention model among the elderly dwelling]. Journal of the Phrae Hospital. 31(1),27-42.

Salari, N., Darvishi, N., Ahmadipanah, M., Shohaimi, S. and Mohammadi, M. (2022). Global prevalence of falls in the older adults: a comprehensive systematic review and meta-analysis. Journal of orthopaedic surgery and research. 17(1),334. doi:10.1186/s13018-022-03222-1.

Sawa, R., Tanaka, B., Yamamoto, J. and Yamada, M. (2022). Environmental hazards as risk factors for trips andslips at home among Japanese older people: A pilot study toward the development of a self‐assessment tool for the home environment. Geriatrics & Gerontology International. 22(4),305-310. doi:10.1111/ggi.14365.

Tomita, M. (2011). Home Safety Self Assessment tool. Occupational Therapy Geriatric Group. Department of Rehabilitation Science. America : University at Buffalo.

Zhao, X. and Hu, F. (2021). Effect of telling older adults their predictive physical fitness age on physical activity: A quasi-experimental study. Health and social care in the community. 30(5),e2940-e2949. doi:10.1111/hsc.13738.