Development of Fall Prevention Model in the Geriatric Clinic of Sapphaya Hospital, Chainat Province
Article Sidebar
Main Article Content
Abstract
This study was a research and development aimed to develop fall prevention model in the geriatric clinic of Sapphaya Hospital, Chainat Province. It was divided into 3 phases. Phase 1 was the situation assessment, data collection from focus group discussions to discover the problems related to fall prevention behavior. The data was analyzed by content analysis. Phase 2 was the model development phase, including: (1) planning; (2) activity implementation according to the plan; (3) monitoring and evaluation during implementation; and (4) reflection of model development results and lessons learned. The sample group which selected purposively was divided into 2 groups: 25 elderly people from the geriatric clinic at Sapphaya hospital, Sapphaya district, Chai Nat province, and 35 community stakeholders. Phase 3 was the evaluation including single group activity outcome measurement, pre- and post-measurement, and data analysis using Paired t-test statistics.
The results of the study in Phase 1 found that the factors affecting fall behavior were as follows: (1) knowledge of fall risk factors and fall prevention methods; (2) motivation and awareness of fall prevention; (3) support from family and community; and (4) impact and severity of fall. Phase 2 found that there were processes as follows: (1) using participation to analyze and find the solutions; (2) planning joint actions; (3) training workshops on fall in the elderly and testing the use of the fall prevention model with Pender's health promotion model; and (4) evaluating the continuous implementation results, which resulted in an appropriate fall prevention model in the geriatric clinic. Phase 3 found that the mean scores of fall prevention behavior after participating in the experiment was significantly higher than before participating in the experiment (p < .01). The mean scores of testings with the Time Up and Go Test (TUGT) and Five Times Sit to Stand Test (FTSST) was significantly better (p < .01).
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Foundation of Thai Gerontology Research and Development Institute (TGRI). Situation of the Thai elderly 2019. Nakorn Pathom: Institute for Population and Social Research, Mahidol University; 2019.
Department of Older Persons. Situation of the older persons. Bangkok: Amarin; 2022. (in Thai).
World Health Organization. WHO global report on falls prevention in older age. [Internet]. [cited 2024 April 7]. Available from: https://www.who.int/news-room/fact-sheets/detail/falls.
Department of Disease Control. Fall data 2022. [Internet]. [cited 2024 April 7]. Available from: https://ddc.moph.go.th/dip/news.php?news=23567&deptcode=#:~:text. (in Thai).
Noopud P, Phrom-On D, Woradet S, Chaimay B. Prevalence of fall risk and factors associated with fall risk among elderly people. Journal of Sports Science and Health 2020;21(1):125-37. (in Thai).
Jinda T. Effect of cluster set resistance training on muscular function and balance in elderly. [Master’s Thesis, Faculty of Sports Science]. Chulalongkorn University; 2021. (in Thai).
Department of Disease Control. Fall prevention. [Internet]. [cited 2024 April 7]. Available from: https://ddc.moph.go.th/dip/news.php?news=23843. (in Thai).
Rodseeda P. Fall prevention among the elderly living in a community: the nursing role in home health care. TRC Nurs J 2018;11(2):15-25. (in Thai).
Ditsra W, Buncharahatrakrit P, Thongdee J. Exercise for balance in elderly: systemic review. Journal of Health Research and Innovation 2022;5(2):1-13. (in Thai).
Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 5th ed. New Jersey: Pearson Education; 2006.
Wayo W, Jitmomtree N, Wirojrat W. The Effect of multifactorial fall prevention program on fall prevention behavior among community dwelling older adults. Journal of Nursing and Health Care 2017;35(2):25-33. (in Thai).
Tasuwanin T, Thapakrit K. Effect of falling prevention program for elderly. Journal of Nursing and Health Care 2017;35(3):186-95. (in Thai).
Department of Service Support. Results of health screening for the elderly in the community. [Internet]. [cited 2024 April 7]. Available from: https://3doctor.hss.moph.go.th/main/rp_screen. (in Thai).
Khunvised P, Nojit W. Development of fall prevention model of homebound elderly by multisectoral collaboration at all levels of healthcare and social agencies in Sapphaya district Chainat province. Region 11 Medical Journal 2023;37(4):26-44. (in Thai).
Poncumhak P, Duangsanjun W, Srithawong A, Sittitan M. The optimal cut-off score of dynamic balance test for predict risk of falls in community-dwelling older adults. Srinagarind Med J 2018;33(4):334-8. (in Thai).
Poncumhak P, Suwannakul B, Srithawong A. Validity of five times sit to stand test for the evaluation of risk of fall in community-dwelling older adults. Bull Chiang Mai Assoc Med Sci 2016;49(2):236-44. (in Thai).
Thongpra J. Comparison of the effects of exercise programs in the elderly to prevent falls ThaLuang hospital Lopburi province. Mahasarakham Hospital Journal 2024;21(1):110-21. (in Thai).
Borson S, Scanlan JM, Chen P, Ganguli M. The Mini-Cog as a screen for dementia: validation in a population-based sample. J Am Geriatr Soc 2003;51(10):1451-54.
Wannapong S, Nakmareong S, Surussawadi B, Bennett S, Nualnetr N. The Effects of nine-square exercise on balance in the elderly with Falls risk. Thai J Phys Ther 2021; 43(2):67-79. (in Thai).
Nualnetr N, Aonsri C, Chaipipat N. A comparison of 9-squareexercise and conventional balance exercise on balance in older women. Thai J Phys Ther 2016;38(3):93-102. (in Thai).
Prommool M. Effect of square stepping exercise on balance and cognitive function in the normal or mild cognitive impairment elderly. [Master’ Thesis, Faculty of Sports Science]. Chulalongkorn University; 2021. (in Thai).
Krajangjaeng T, Kaewkhen P. Effect of integrated motor control training program on balance ability and efficacy in elderly. RTN Med J 2021;48(2):420-33. (in Thai).
Nimit-arnun N, Chouwai S, Suebsoontorn W. Square-stepping exercise for fall prevention in community-dwelling elderly persons: a literature analysis. RTN Med J 2020;48(1):23-38. (in Thai).
Sarapun A, Sirisopon N, Kainaka P, Onsir S, Outayanik B, Threrawachjareanchai S, et al. Factors related to a fall prevention behavior of elderly. Journal of The Royal Thai Army Nurses 2017;18(Suppl 1 January-April):215-22. (in Thai).
Phumphid S, Sasat S. The effect of experiential health education on fall prevention behavior in older people with pakinson’s disease. RTN Med J 2019;48(2):369-81. (in Thai).
Suwan P, Kanthanaphat N, Soawaphan J, Intharasongkor S, Uonkeaw U, Hankla S. The development of practice guideline for preventing fall using 1 p’s multifactorial concepts among older adults in community. RTN Med J 2020;47(2):414-31. (in Thai).
Pongaumpai P, Hoontrakul S, Roojanavech S. The effect of family Empowerment program on fall prevention capabilities on the elderly. RTN Med J 2018;45(2):311-27. (in Thai).
Klinhom W, Nimit-arnun N, Klinhom W, Wattakicharoen J, Thipkaew C. The development of fall prevention model of the elderly though community participant Journal of The Royal Thai Army Nurses 2020;21(2):389-99. (in Thai).
Suankool P, Intayos H. The effectiveness of the fall prevention model among the elderly dwelling in the community. Journal of the Phrae Hospital 2023;31(1):27-42. (in Thai).