The Development of Fall Prevention Nursing Practice Guidelines for Older Persons in Community

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Paralee Opasanant
Sunee Punyawong


          This action research aimed to develop fall prevention nursing practice guidelines for older persons in community. Phase I was study the incidence of falls, internal and external factors affecting falls in older persons. Phase II was undertaken to develop a fall prevention nursing practice guidelines. Lastly, Phase III was implemented to evaluated effects of implementing the fall prevention nursing practice guidelines. Key informants were aged 65 years and over with a history of chronic disease and the Timed Up and Go Test was assessed with a duration of more than 15 seconds, totaling 30 people, 3 professional nurses, 12 Public health volunteers and  elderly care volunteers. Data were collected from September 2016 to September 2017

         The research found that the incidence of falls 21.2%. Falling is associated with having chronic disease statistically significant at the .01 level, falls were associated with hypertension and osteoarthritis. statistically significant at the .05 level, and falls were correlated with balancing by using Timed Up and Go Test assessment with statistical significance at .05 level. Prevention nursing practice guidelines included 1) Guidelines for older adults with no history of falls 2) Guidelines for older adults with history of falls in the past 1 year. There were effects of nursing practice guidelines on decrease of incidence of falls, number of falls, depression score and increase of balance


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