ผลของโปรแกรมส่งเสริมการรับรู้สมรรถนะแห่งตนของการออกกำลังกายต่อการทรงตัว และความกลัวการหกล้มของผู้สูงอายุในโรงพยาบาลส่งเสริมสุขภาพตำบลบ้านดงมัน ตำบลสิงห์โคก อำเภอเกษตรวิสัย จังหวัดร้อยเอ็ด

Thanyaluk Thangtumpituk; Wiwin Purana; Chawala Seesomba; Wanida Sripromsa

Authors

Thanyaluk Thangtumpituk Faculty of Nursing, Roi-Ed Rajabhat University
Wiwin Purana Faculty of Nursing, Roi-Ed Rajabhat University
Chawala Seesomba Dong Man Sub-District Health Promoting Hospital
Wanida Sripromsa Boromarajonani College of Nursing, Udon Thani, Faculty of Nursing, Praboromarajchanok Institute

Keywords:

self-efficacy promotion program, exercise, balance, fear of falling, older adults

Abstract

Introduction: Falls among older adults are a major cause of injury, disability, and death. Enhancing exercise self-efficacy helps older adults build confidence in their abilities to successfully engage in physical activities.

Research objectives: This research aimed to examine the effects of the exercise self-efficacy promotion program on balance and fear of falling in older adults.

Research methodology: This study employed a quasi-experimental, two-group, pre-test and post-test. The sample consisted of older adults aged 60 years and over residing in Singkhok Sub-district, Kaset Wisai District, Roi Et Province. Participants were identified as being at risk of falling (scoring 4 points or higher on the fall risk assessment) and were able to complete a balance test. Participants were assigned to either an experimental group or a control group, with 37 individuals in each group. The experimental group participated in the program for 45 minutes per session, three times a week for 12 weeks while the control group received routine care. Data were collected using the balance test and the fear of falling assessment scale. Descriptive statistics and t-test were used to analyze the data.

Results: The results showed that the mean balance time and the mean fear of falling score of the experimental group were significantly lower than those of the control group (p < .001).

Conclusions: The exercise self-efficacy promotion program effectively improved balance performance and reduced fear of falling among older adults.

Implications: The exercise self-efficacy promotion program should be implemented in community and healthcare settings to enhance balance and reduce fear of falling among older adults. Additionally, appropriate and well-maintained equipment should be provided, and caregivers should closely supervised older adults to ensure their safety during exercise activities.

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