Evaluation of a Fall Prevention Education Intervention for Elderly Inpatients in Taipei County Hospital

• Main Authors: Hsi-Che Shen, 沈希哲
• Other Authors: Cheng-Yu Chen
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/55850326979781052834

博士 === 國立臺灣師範大學 === 健康促進與衛生教育學系 === 98 === The purpose of this study is to explore the effect of “health education of falling prevention for aged hospitalized patients”. In this study, we adopted “quasi-experiment design”--- the experimental group is the 50 patients of internal medicine who are over 65 in Sanchung Branch of Taipei County, while the control group is the 50 patients of internal medicine who are over 65 in Banqiao Branch of Taipei County. The involving teaching materials for the experimental group include health education of falling prevention DVD and manual based theoretically on the model of health belief with the contents of 3 parts such as1.attentions for living（attention for footwear, attention before sleeping, attention for getting on and off bed）2.arrangement for hospitalizing environment（settings of daily utensils, ground, lights）3. attentions for actions（attentions for walking and using assistives like wheelchairs, canes and walking-assisting device）, and the health educational personnel are the trained researchers and nurses in hospital; as for the control group, it adopted the previous health education. Both experimental group and control group accepted pre-test and post-test of the survey of “questionnaires for the involving effect of health education of falling prevention for aged hospitalized patients”. The important results of this study are as follows: I. After the involvement of health education of falling prevention for aged hospitalized patients, through the analysis of covariance, we find experimental group’ scores in “knowledge of falling prevention”, “health belief of falling prevention”, “action clue of falling prevention”, “self-efficacy of falling prevention” and “behavior of falling prevention” are all better than those of control group showing that the involvement of health education of falling prevention for aged hospitalized patients created effects the validity variables of “knowledge of falling prevention”, “health belief of falling prevention”, “action clue of falling prevention”, “self-efficacy of falling prevention” and “behavior of falling prevention”. II. After the involvement of health education of falling prevention for aged hospitalized patients, through the analysis of covariance, we find there is no salient deviation in “frequency of falling” between experimental group and control group. In this study, though “frequency of falling” doesn’t have effect, but according to the average after frequency adjustment, we find the post-test frequency of falling is fewer than that of control group; this is possibly because the short time of observation didn’t create effect, so its effect needs longer time of observation. We suggest, in the future researches, they can prolong time of observation and increase such health education content as muscle force training to enhance its effect.