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題名：12週預防跌倒課程對機構老人成效之探討
書刊名：臺灣老人保健學刊
作者：萬彝芬／高毓秀 引用關係／林淑芬 引用關係／王國明
作者(外文)：Wan, Yi-fen／Kao, Yu-hsiu／Lin, Shue-fen／Wang, Kuo-ming
出版日期：2010
卷期：6:1
頁次：頁20-36
主題關鍵詞：預防跌倒；機構老人；衛生教育；運動指導；Fall prevention；Residential care home；Elderly；Exercise training
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:55
  • 點閱點閱:267
本研究旨在探討安養機構老人接受預防跌倒課程介入的成效。研究採用前後測(pre-post test)以及類實驗設計(quasi-experimental design)。以立意取樣台北縣三所私立安養機構之老年人，每組有效樣本各30人共90人，全程參與12週之研究，並填寫前後測問卷。實驗組接受之課程包含防跌衛生教育與防跌運動指導，其中實驗組Ⅱ之課程只提供防跌衛生教育，對照組則未接受任何介入。研究工具採用結構式問卷、平衡能力與下肢肌力測驗。本研究以SPSS15.0套裝軟體進行資料分析。結果顯示：無論接受何種形式之防跌課程，均有效提升老人預防跌倒知識與行為的表現；然而實驗組Ⅰ在預防跌倒知識、信念、自我效能、預防跌倒行為、平衡力和下肢肌力均顯著優於實驗組Ⅱ對照組。實驗組Ⅱ在預防跌倒知識和行為顯著優於對照組。結論：顯示結合防跌衛生教育與防跌運動之課程更能有效提升老人防跌之成效，本結果可供日後安養機構對老人預防跌倒課程設計、推行以及相關研究之參考。
The purpose of this study was to explore the effects of fall prevention programs among older adults living in residential care homes. A pre-post research design and quasi-experiment design were applied, and a purposive sampling was used to collect data from the older adults living in three private registered residential care homes in Taipei county. Ninety elder adults participated in this study and were divided into three groups. Experiment group Ⅰ accepted 12 weeks of falls prevention education and exercise programs. Experiment group Ⅱ accepted falls prevention education only. Control group accepted no intervention. These data collected through structured questionnaires, Timed Up and Go Test (for balance), Sit-to-Stand Test(for lower limbs muscle power). Statistically analyzed by Chi-square, paired t-test, and ANCOVA. The results showed Experiment group Ⅰ had more significant advantages than group Ⅱ and Control group in falls prevention knowledge, belief, self-efficacy, behavior, balance and the muscle power of the lower limbs. On the other hand, Experiment group Ⅱ had more significant advantages than Control group only in falls prevention knowledge and behavior. The results of the study would serve as references to related promotion for the fall prevention programs designed in residential care homes and the same field of study in the future.
期刊論文
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5.梁偉成、紀煥庭、胡名霞、林茂榮(20050600)。社區老人跌倒機轉與傷害嚴重度。物理治療，30(3)，105-115。  延伸查詢new window
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8.田沁潔、賴惠玲、許文林、彭逸稘、李茹萍(2007)。護理衛教對頭頸部癌症病人口腔照顧認知、健康信念及自我效能之成效。實證護理，3(3)，215-224。new window  延伸查詢new window
9.Curb, J. D.、Ceria-Ulep, C. D.、Rodriguez, B. L.、Grove, J.、Guralnik, J.、Willcox, B. J.(2006)。Performance-based measures of physical function for high-function populations。Journal of the American Geriatrics Society，54(5)，737-742。  new window
10.朱碧梧、黃奕清(20030600)。社區老人運動養生策略。護理雜誌，50(3)，37-42。new window  延伸查詢new window
11.張蓓貞、吳麗貞、彭淑美(20030200)。無規律性運動中老年人運動介入成效評估研究。臺灣公共衛生雜誌，22(1)，1-9。new window  延伸查詢new window
12.秦毛漁、盧德發、吳美惠(20080600)。社區老人跌倒相關因素之探討。護理雜誌，55(3)，39-48。new window  延伸查詢new window
13.林淑芬、高毓秀(20080600)。機構高血壓老人預防跌倒行為相關因素之探討。健康促進與衛生教育學報，29，99-117。new window  延伸查詢new window
14.黃秀梨、張媚(2000)。兩種教育方案介入對工作場所婦女接受子宮頸抹片檢查之知識、健康信念及行爲的影響。護理研究，8，111-123。  延伸查詢new window
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研究報告
1.林茂榮、曹昭懿、胡名霞、陳淑雅、林秀真、張淑惠(2004)。社區跌倒老人健康的變化與再跌倒之預防。  延伸查詢new window
學位論文
1.許淑芬(2005)。機構老人跌倒預防課程介入之過程及衝擊評價研究(碩士論文)。國立臺灣師範大學。  延伸查詢new window
其他
1.內政部統計處(2008)。重要內政統計指標，http://www.moi.gov.tw/stat/， 20080522。  延伸查詢new window
2.(2007)。1999年與2005年臺灣地區老人跌倒狀況之比較，http://sars.nhri.org.tw/enews/enews_list_new2.php?volume_indx=198&showx=showarticle&article_indx=5630&enews_dt=2007-04-26。  new window
3.楊漢琛，林建勳(2007)。老人跌倒的預防與下肢肌力促進。  延伸查詢new window
 
 
 
 
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