요양병원 뇌졸중 노인의 균형자신감, 낙상공포가 낙상에 미치는 영향

Effects of Balance Confidence and Fear of Falling on Falls among Older Adults with Stroke in Long-term Care Hospitals

Purpose : To examine how balance confidence and fear of falling affect falls among older adult inpatients with stroke in long-term care hospitals and to provide foundational evidence for fall prevention nursing guidelines. Methods : A total of 156 older adult inpatients from long-term care hospitals in D metropolitan city were surveyed. Data were analyzed using SPSS 27.0 with descriptive statistics, chi-square tests, and binary logistic regression. Results : Factors significantly associated with falls were 4.25 times more likely among Christians/Catholics than among those with no religion(β＝1.45, p＝.033). Alcohol use was associated with a 5.51 times higher risk of falls(β＝1.71, p＝.006). Falls were 3.76 times more likely for patients who had been hospitalized for 24 months or more(β＝1.33, p＝.043), and 7.58 times more likely for those who had not received fall education upon admission(β＝-2.03, p＝.010). Higher balance confidence was associated with a 0.84 times lower risk of falls(β＝-0.18, p＜.001), and a higher fear of fall was associated with a 0.03 times lower risk of falls(β＝-3.52, p＜.001). Conclusion : An integrated intervention program that simultaneously targets physical function enhancement and psychological factors is needed to prevent falls among older adult inpatients with stroke in long-term care hospitals.