Effects of An Empowerment Program on Prevention of Falling among Older Adults
Keywords:Empowerment program, Preventing falls among elderly people, Elderly
This quasi – experimental research aimed to compare the average risk score for falling based on the Timed Up and Go Test (TUGT) and Berg Balance Scale (BBS) before and after elderly participated in an empowerment program. Subjects were selecting from elderly who had passed a risk assessment for falls. One group of 40 patients were randomly assigned to join an eight-week empowerment program while 40 in a comparison group were given a self-study guidebook on preventing falls among the elderly people in rural households.
Research findings were represented using percentage frequency distribution paired t-test comparison and Independent t-test for scores within and between groups. Following the program, the average risk scores, both the Timed Up and Go Test and Berg Balance Scale improved from initial assessment at a statistical significance (p<0.01). For those who using the program, the average risk scores were better than for the control group receiving regular care at a statistical significance (p<0.01). For recommendation, This research shows that this prevention program is adaptable to the context of the area. Using a community involvement process starting from the planning process to practice can enable sustainability of the program in the community.
Institute Of Geriatric Medicine. Management of Sleep Disorders in the Elderly. Bangkok: The Agricultural Cooperative Federation of Thailand; 2008.
Rodseeda P. Fall Prevention among the Elderly Living in a Community: The Nursing Role in Home Health Care. Thai Red Cross Nursing Journal 2018; 11(2): 15-25. (in Thai)
Khongrang S, Boongird C, Phiphadthakusolkul S, Putthipokin K. Health Promotion Education for Elderly Patients by Using Structured Self-Health Records to Enhance Knowledge and Attitudes Toward Fall Prevention. Ramathibodi Medical Journal 2019; 42(1): 19-28. (in Thai)
Aekplakorn W, Puckcharern H, Thaikla K, Satheannoppaka W. The 5th Thai National Health Examination Survey 2014. Bangkok: Health Systems Research Institute; 2014.
Phetsanghan U. Falls among Elderly People. LokWanNee WanSuk 2014; 471/2551: 1-2. (in Thai)
Sorysang L, Khompraya J, Natetanasombut K. A study of fall prevention guideline in older adult living in Mitraphappatana Community. Journal of The Royal Thai Army Nurses 2014; 15(1): 122-9. (in Thai)
Boonpleng W, Sriwongwan W, Sattawatcharawanij P. Rate and Associated Factors for Falls among Elderly People: Chaopraya Waterfront Community in Nonthaburi Province. Nursing Science Journal of Thailand 2015; 33(3): 74-86. (in Thai)
Aroonsang P. Nursing care for critical problems in elderly: Usage. Khon kaen: Klung Nana; 2011.
Wimolphan P, Pitchalard K. Effect of a Fall Prevention Program on Falls among Elderly People. Nursing Journal of the Ministry of Public Health 2013; 23(3): 98-109. (in Thai)
Kamsri W. Health beliefs influencing fall-preventive behaviors in the edlerly with hypertension dissertation. Songkhla: Prince of Songkla University; 2007.
Harnirattisai T, Thongtawee B, Raetong P. The Effects of a Physical Activity Program for Fall Prevention among Thai Older Adults. Pacific Rim International Journal of Nursing Research 2015; 19(1): 4-18. (in Thai)
Wongphaet P, Watchareeudomkarn W. Effect of Partial Body Weight Support Treadmill Training on Improvement of Walking and Balance in Elderly Community-dwellers. Journal of Thai Rehabilitation Medicine 2016; 26(1): 19-23. (in Thai)
Piyaworakul D. Community capacity in promoting exercise of the elderly in Wang Nuea Subdistrict, Lampang Province [dissertation]. Chiang Mai: Chiang Mai University; 2008.
Pongaumpai P, Hoontrakul S, Roojanavech S. The Effects of Family Empowerment Program on Fall Prevention Capabilities of the Elderly. Royal Thai Navy Medical Journal 2018; 45(2): 311-27. (in Thai)
Hengkrawit S. Fall Prevention Program in Elderly Patients with Previous Hip Fracture. Region 4-5 Medical Journal 2016; 35(4): 259-60. (in Thai)
Praboromarajchanok Institute of Health Workforce Development. Adult and Elderly Nursing. Vol. 1. 13th ed. Nonthaburi: Yutharin Printing; 2013.
Srithamrongsawat S, Suriyawongpaisal P, Kasemsup V, Aekplakorn W, Leerapan B. Research to Develop Long-Term Care (Long-term care) for elderly patients who are dependent under the health insurance system. Bangkok: Department of Community Medicine Faculty of Medicine Ramathibodi Hospital; 2018.
Khanork S. Effectiveness of Multifactorial Intervention for Preventing Falls Programme in Elderly Visiting Aging Clinic [Master of Nursing Science Thesis in Gerontological Nursing]: Khon Kaen: Khon Kaen University; 2010.
Phattanaporn V. Efficacy of falling prevention program in the elderly in Chiang Mai. Chiang Mai: Faculty of Medicine Chiang Mai University; 2008.
Simplee S, Banchonhattakit P. Effects of Health Literacy Promoting Programs and Exercise by Applying Maneewach Exercise for Preventing Fall in Elderly at Buriram Province. Journal of Health Education 2019; 42(2): 149-59.
Sumpowthong K. Family and elderly health care and promotion. Bangkok: Faculty of Nursing Thammasat University; 2009.
Rongmuang D, Tongdee J, Nakchattri C, Sombutboon J. Incidence and Factors Associated with Fall among the Community-Dwelling Elderly, Suratthani. Journal of Phrapokklao Nursing College 2016; 27suppl 1: 123-38.
Suttanon P, Piriyaprasarth P, Aranyavalai T, Krootnark K. Falls in Thai older people living in urban and suburban areas: incidence, risk factors, management and prevention. Bangkok: Health Systems Research Institute; 2015.
Phoochinda W, Pongsupa Y, Phianyam W, Vongchan P, Nootimthong S. Development of Environmental Management Model by the Aging people in rural areas in Thailand. Bangkok: Health Systems Research Institute; 2014.
Champar-ngam N. Environmental Health Management: Well-Being of Elderly People Society. EAU Heritage Journal Science and Technology 2018; 13(2): 63-73. (in Thai)
Poonual D, Puanarunutha S, Phongphit S, Sirasoonthorn P. A Development of Healthy Ageing City Model. Journal of Health Education 2014; 37(126): 82-101. (in Thai)
Poomsri K, Effect of supporttive-educative nursing system on self-care for falls prevention among ekderly. Chiang Mai: Faculty of Nursing Chiang Mai University; 2004.
Junsukon E, Kongpracha A. The Effectiveness of the Empowerment Program Towards Self-care Competency among Community-Dwelling Elders. PSRU Journal of Science and Technology 2017; 2(1): 24-34. (in Thai)
Somton W, Rawiworrakul T, Amnatsatsue K. Effects of a Fall Prevention Program for Thai Older Adults. Journal of Public Health Nursing 2013; 27(3): 58-70. (in Thai)
How to Cite
บทความที่ตีพิมพ์และแผนภูมิรูปภาพถือเป็นลิขสิทธิ์ของวารสารพยาบาลสาธารณสุข (Thai Public Health Nurses Association)