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Development and Effects of Fall Prevention Program for Older Adults with Dementia in Long-term Care Hospitals based on Person-Centered Nursing Theory - For Older Adults with Dementia and Care Workers in Long-term Care Hospitals

Journal of Korean Academy of Nursing 2022³â 52±Ç 3È£ p.341 ~ 358
KMID : 0806120220520030341
ÀÓÁ¤¿Á ( Lim Jeong-Ok ) - Kyongbuk Science College Departement of Nursing

±¸¹Ì¿Á ( Gu Mee-Ock ) - Gyeongsang National University College of Nursing

Abstract

Purpose: In this study, the effects of a fall prevention program for older adults with dementia in long-term care hospitals were tested based on the person-centered nursing theory.

Method: A nonequivalent control group pretest-posttest design was used. The study sample included 42 older adults with dementia (experimental group: 21, control group: 21) and 42 care workers (experimental group: 21, control group: 21). The program consisted of 48 sessions held over 12 weeks and included exercise intervention with resistance and balance, dance walking (45?60 minutes, three times/week), cognitive and emotional intervention (35?50 minutes, once per week), and person-centered fall prevention education (10 minutes, once per week). The program for care workers consisted of six educational sessions (i.e., fall prevention competency enhancement and person-centered care strategy education, 80 minutes, once per week) for six weeks. Data were collected before participation and 12 weeks after program completion from February 18 to May 10, 2019. Data were analyzed using the chi-square test, t-test, and Mann-Whitney U test with SPSS/WIN 21.0.

Results: The experimental group of older adults with dementia showed significant improvement in physical and cognitive functions, depression, and behavioral and psychological symptoms when compared with the control group. Care workers in the experimental group exhibited significant improvement in fall-related knowledge and person-centered care of older adults with dementia compared to the control group.

Conclusion: The study findings indicate that this program was effective as a nursing intervention for fall prevention among older adults with dementia in long-term care hospitals.
KeyWords
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Dementia, Accidental Falls, Care worker, Long-term Care
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