낙상예방 프로그램이 양로원 여성노인의 보행, 균형 및 근력에 미치는 영향

서지정보

ㆍ발행기관 : 기초간호학회 ㆍ수록지정보 : 기초간호자연과학회지 / 4권 / 1호
ㆍ저자명 : 전미양, 최명애

목차

Abstract
Ⅰ. 서론
Ⅱ. 연구방법
Ⅲ. 연구결과
Ⅳ. 논의
Ⅴ. 결론 및 제언
Reference

영어 초록

Purpose : To determine the effect of the Fall Prevention Program(FPP) on gait, balance and muscle strength of elderly women at a nursing home.
Methode : The subjects of this study consisted of 38 elderly women between the ages of 70 to 89 years living at a nursing home located in Seoul. Each of the experimental group and control group was composed of 19 subjects. The subjects in experimental group have participated in FPP for the 8 weeks which consisted of exercise, education and foot care. They started to exercise for 40 minutes per session, 3 sessions a week during the 1st week at 40% of age adjusted maximum heart rate. From the 2nd week to the 4th week, they increased the duration of exercise to 50 minutes per session and the intensity to 60% of age-adjusted maximum heart rate. They participated in 50 minutes at 60% of age-adjusted maximum heart rate from the 5th week to the 8th week. Each exercise session consisted of 10 minutes of warming-up exercise, 30 minutes of conditioning exercise and 10 minutes of cooling-down exercise. They participated in education for 20 minutes per week from the 1st week to the 4th week. Then they participated in a 30-minute foot care program per week from the 5th week to the 8th week. Gait, balance and muscle strength for each subject were measured before and after FPP. Gait was evaluated by step length, step width, gait speed and walking distance. Balance was measured by the duration of standing on one leg with their eyes dosed and open each, and a get-up and go test. Grip strength was measured by hand dynamometer. Hip extensor and flexor strength, knee extensor and flexor strength and ankle plantarflexor and dorsiflexor strength were measured by manual muslce tester. Data was analyzed using SPSS from Windows. t-test and Chi square test were utilized as a homogeneity test. Repeated measure ANOVA was used to test the effect of FPP.
Result : 1) Step width significantly decreased, and step length, gait speed and walking distance significantly increased in the experimental group compared with the control group after FPP(p<.005). 2) There was no significant change in standing time on one leg with their eyes dosed after FPP. The standing time on one leg with their eyes open and the time of "get-up and go" significantly decreased in the experimental group compared with the control group after FPP(p<.005). 3) Muscle strength-grip strength, hip extensor and flexor strength, knee extensor and flexor strength and ankle plantarflexor and dorsiflexor strength-significantly increased in the experimental group compared with the control group after FPP(p<.005). 4) There was no significant difference of frequency of fall between the experimental group and control group during the period of FPP.
Conclusion : These results suggest that FPP can increase gait, balance and muscle strength of elderly women at a nursing home.

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