| Summary: | 碩士 === 臺北醫學大學 === 護理學研究所 === 96 === Fall is a major issue for elderly health. This study was to examine the effect of home safety guidance program for elderly fall prevention through decreasing subjects’ home environment hazards, improving fall avoidance self-efficacy and falling prevention behavior. The quasi-experimental design was adopted, subjects who were 65 years old and over were invited from an acute medical center, a total of 37 in the experimental group and 38 in the control group were recruited. The research instruments used including “Inside/Outside Home Environmental Hazard Evaluation Scale”, “Fall self-efficacy Scale” and “Falls Behavior (FaB) Scale”. Home visit and questionnaire were used for data collection.
The subjects’ mean age was 75.47 years old (SD=6.23), male and female were equally distributed. Most of them were illiterate and live with family including grandkids. 77.33﹪of them suffered from one to several kinds of chronic disease(s) (M= 1.24); 70.67﹪of them were under long-term medical treatment and used in average 1.11 types of medications. Based on functional evaluation, 60﹪of the subjects were independent and 95.0% were normal in cognition. 34.7﹪and 20﹪ of them experienced falling incident one year and two months previous to home visiting respectively. In comparing 2 groups’ homogenous, higher educational level, more underlined diseases and regular controlled medicines were noted in experimental group.
Two months after the home safety guidance program intervention, results indicated that the experimental group improves from 6.91 to 8.96 in Fall self-efficacy (paired-t = 4.32, p < .001), 3.04 to 3.69 in FaB (paired-t = 8.78, p < .001) and 0.86 to 0.06 times in fall frequency (paired-t = -2.50, p < .05); compared to 7.76 to 7.73 (paired-t = -0.08, p = .940), 3.12 to 3.50 (paired-t = 3.36, p < .01), and 0.19 to 0.46 (paired-t = 2.25, p < .05) in control group respectively. There was a significantly improvement for intervention group in avoiding fall self-efficacy ( t = 3.19, p < .01), preventing falls behavior ( t = 2.40, p < .05) and two month’s falling frequency( t = -3.13, p < .01) using t test analyses in post test. Based on results of this study, the following strategies will be recommended in research, clinical practice and nursing educations.
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